Organizing Services to Deliver Evidence-Based Mental Health Promotion and Prevention: The Roles, Performance, and Capacities of Community-Based Primary Care Services

2004 ◽  
Author(s):  
Penny Mitchell
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Promotion ◽  
Mental Health Promotion ◽  
Evidence Based ◽  
Community Based ◽  
Care Services ◽  
Primary Care Services

scholarly journals Screening Neurocognitive Disorders in Primary Care Services: The Quick Mild Cognitive Impairment Approach

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 158-158
Author(s):  
Constanca Paul ◽  
Susana Sousa ◽  
Pedro Santos ◽  
Rónán O’Caoimh ◽  
William Molloy
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Cognitive Impairment ◽  
Community Sample ◽  
Neurocognitive Disorders ◽  
Cognitive Status ◽  
Health Concerns ◽  
Care Services ◽  
Primary Care Services ◽  
Mental Health Concerns

Abstract Neurocognitive Disorders (NCD) is an increasingly common condition in the community. The General Practitioner (GP) in Primary Care Services (PCS), have a crucial role in early detection of NCD and is usually the first professional to detect the signs of MCI. The objective of this study was to test the feasibility and utility of the cognitive screening instrument QMCI in Primary Care. A community sample of 436 people 65+ living in the community was randomly selected from a larger group of old people with mental health concerns (N=2734), referred by their GPs. The mean age of the sample was 75.2 years (sd 7.2), with 41.3% men and 58.7% women; 60.4% married followed by 28.7% widows. The education level was low with 21% illiterate and 69,8% people with 4 years education. The QMCI mean was 37.1/100 (sd 16.2). The amount of people screening positive for cognitive impairment QMCI (<62/100) was 94.2%. In the distribution of people with cognitive impairment by Global Deterioration Scale (GDS) three recoded categories, of the 286 people 76,1% where classified as having very mild or mild impairment, 19,4% moderate or moderately serious and 4,5% severe or very severe impairment. These results confirm the perception of GPs about their clients having mental health concerns and the ability of QMCI accurately discriminate MCI. The QMCI is very brief (3-5mins) fitting the short time of GPs to assess cognitive status and timely refer clients to nonpharmacological interventions that could postpone NCD symptoms.

scholarly journals Business as Un-usual: Access to mental health and primary care services for people with severe mental illness during the COVID-19 restrictions

2021 ◽  
Author(s):  
Elizabeth Newbronner ◽  
Panagiotis Spanakis ◽  
Ruth Wadman ◽  
Suzanne Crosland ◽  
Paul Heron ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Severe Mental Illness ◽  
Care Services ◽  
Primary Care Services ◽  
Mental Health Support ◽  
Health Support

Aims: To explore: how satisfied people with severe mental illness (SMI) are with the support received during the pandemic; understand any difficulties encountered when accessing both mental health and primary care services; consider ways to mitigate these difficulties; and assess the perceived need for future support from mental health services. Materials and Methods: A representative sample was drawn from a large transdiagnostic clinical cohort of people with SMI, which was recruited between April 2016 and March 2020. The sample was re-surveyed a few months after the beginning of the restrictions. Descriptive frequency statistics were used to analyse the quantitative data. The free text responses were analysed thematically. Results: 367 participants responded to the survey. Two thirds were receiving support from mental health services with the rest supported in primary care or self-managing. A quarter thought they would need more mental health support in the coming year. Half had needed to used community mental health services during the pandemic and the majority had been able to get support. A minority reported that their mental health had deteriorated but they had either not got the supported they wanted or had not sought help. The biggest service change was the reduction in face-to-face appointments and increasing use of phone and video call support. Nearly half of those using mental health services found this change acceptable or even preferred it; acceptability was influenced by several factors. Participants were more likely to be satisfied with support received when seen in person. Discussion: Although most participants were satisfied with the mental health support they had received, a minority were not. This, couple with findings on future need for mental health support has implications for post pandemic demand on services. Remote care has brought benefits but also risks that it could increase inequalities in access to services.

Mental health and contact with primary care services in old age

1987 ◽  
Vol 2 (4) ◽  
pp. 223-226 ◽  
Author(s):  
Kevin Morgan ◽  
Helen Dallosso ◽  
Shah Ebrahim ◽  
Tom Arie ◽  
Peter Fentem
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Old Age ◽  
Care Services ◽  
Primary Care Services

Use of mental health and primary care services by caregivers of patients with bipolar disorder: a preliminary study

2005 ◽  
Vol 7 (2) ◽  
pp. 126-135 ◽  
Author(s):  
Deborah A Perlick ◽  
Jill M Hohenstein ◽  
John F Clarkin ◽  
Richard Kaczynski ◽  
Robert A Rosenheck
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Bipolar Disorder ◽  
Care Services ◽  
Primary Care Services ◽  
Preliminary Study

scholarly journals Supporting decision-making processes for evidence-based mental health promotion

2011 ◽  
Vol 26 (suppl 1) ◽  
pp. i140-i146 ◽  
Author(s):  
E. Jane-Llopis ◽  
H. Katschnig ◽  
D. McDaid ◽  
K. Wahlbeck
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Health Promotion ◽  
Mental Health Promotion ◽  
Evidence Based ◽  
Decision Making Processes

scholarly journals Beyond Workers’ Compensation

2013 ◽  
Vol 8 (1) ◽  
pp. 45-53 ◽  
Author(s):  
John L. Oliffe ◽  
Christina S. E. Han
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Job Insecurity ◽  
Indirect Costs ◽  
Well Being ◽  
Mental Health Promotion ◽  
Community Based ◽  
Work Related ◽  
Workplace Mental Health ◽  
Health Promotion Programs

The mental health of men is an important issue with significant direct and indirect costs emerging from work-related depression and suicide. Although the merits of men’s community-based and workplace mental health promotion initiatives have been endorsed, few programs are mandated or formally evaluated and reported on. Conspicuously absent also are gender analyses detailing connections between masculinities and men’s work-related depression and suicide on which to build men-centered mental health promotion programs. This article provides an overview of four interconnected issues, (a) masculinities and men’s health, (b) men and work, (c) men’s work-related depression and suicide, and (d) men’s mental health promotion, in the context of men’s diverse relationships to work (including job insecurity and unemployment). Based on the review, recommendations are made for advancing the well-being of men who are in as well as of those out of work.

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