No Shame, No Stigma

Mood Prep 101 ◽  
2020 ◽  
pp. 203-212
Author(s):  
Carol Landau
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Professional ◽  
Mental Health Problems ◽  
Psychological Help ◽  
Cognitive Behavior ◽  
Interpersonal Therapy ◽  
Primary Care Professional ◽  
Advantages And Disadvantages

This chapter helps parents decide when their student needs psychological help and, if so, how to arrange it. The role of the primary care professional is crucially important, to examine medical illnesses and medications that might cause depression. In addition, primary healthcare professionals are increasingly able to diagnose psychiatric disorders and provide referrals for mental health problems. Parents need to ensure that a mental health professional is licensed, experienced with adolescents, and trained in cognitive behavior therapy or interpersonal therapy, the therapies with effectiveness in treating depression. The advantages and disadvantages of antidepressant medications are detailed. The chapter also includes a section on suicide and how to talk about it. Two cases of teens seeking consultation are described, along with their parents’ concerns. Vignettes about talking to reluctant teens about therapy are included.

scholarly journals Child and adolescent mental health problems in primary care

2000 ◽  
Vol 6 (4) ◽  
pp. 287-294 ◽  
Author(s):  
Tami Kramer ◽  
M. Elena Garralda
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practitioner ◽  
Mental Health Services ◽  
Young People ◽  
Health Services ◽  
Psychiatric Disorder ◽  
Children And Adolescents ◽  
Mental Health Problems

Epidemiological research has revealed that psychiatric disorders in children and adolescents are common, persistent and handicapping. Only 1 in 10 of those with a disorder is seen in specialist mental health services. However, the majority of children and adolescents see their general practitioner (GP) every year. Although the majority present with physical complaints, there are indications that rates of psychiatric disorder in those attending are increased and that psychiatric disorder is associated with increased consulting. These findings raise questions about the role of primary care in the promotion and management of mental health in young people.

Role of Stigma and Attitudes Toward Help-Seeking from a General Practitioner for Mental Health Problems in a Rural Town

2005 ◽  
Vol 39 (6) ◽  
pp. 514-521 ◽  
Author(s):  
Sarah Wrigley ◽  
Henry Jackson ◽  
Fiona Judd ◽  
Angela Komiti
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Psychological Help ◽  
Health Issues ◽  
Perceived Stigma ◽  
Professional Psychological Help ◽  
Mental Health Issues

Objective: To examine the role of perceived stigma and attitudes to seeking care in predicting help-seeking from a general practitioner (GP) for mental health problems. Method: Across-sectional surveyin 2002 with self-repor t questionnaires assessing current levels of symptomatology, disability, attitudes towards mental illness, knowledge of prevalence and causes of mental illness, contact with mental illness and help-seeking behaviour and preferences and attitudes toward seeking professional psychological help. Results: No significant relationship was found between symptom measures and measures of disability and help-seeking. Variables positively associated with general attitudes to seeking professional psychological help were: lower perceived stigma, and biological rather than person-based causal attributions for schizophrenia. Willingness to discuss mental health issues with a GP was predicted by the perceived helpfulness of the GP and by no other variable. Conclusions: Causal attributions and perceivedstigma rather than participants' levels of symptomatology and disability influence attitudes to help-seeking for mental health issues. Efforts to improve attitudes to help-seeking should focus on reducing stigma and improving mental health literacy regarding the causes of disorders.

scholarly journals A Terapia Comunitária Integrativa na abordagem da saúde mental na atenção primária: um relato de experiência

2020 ◽  
Vol 16 (esp. 1) ◽  
pp. 483-497
Author(s):  
Adriane Elizabeth Gamarra Gaete ◽  
Maria José Soares de Mendonça de Gois
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Life Experiences ◽  
Collaborative Practice ◽  
Social Intervention ◽  
Primary Care Unit ◽  
Primary Care Professional ◽  
Health Team ◽  
Community Space

The Integrative Community Therapy (ICT), in addition to being a therapeutic method, is considered a community space to user embracement, where people can share their sufferings, life experiences, knowledge, problems, tough situations, victories and overcoming stories. The objective of this work is to report the experience and present the process of an ICT group’s insertion in a primary care unit located in Curitiba-PR. The themes and achievements presented by the participants are discussed, as well as the role of the primary care professional as a therapist in an ICT circle, and its reverberations in the workplace and clinical practice. It is concluded that ICT has great value because it can be understood as a technology for mental health, as well as a collaborative practice of social intervention, given the greatness of its possibilities since it empowers the community in solving their problems, and humanizes the work of the health team.

scholarly journals Establishing a mental health liaison attachment with primary care

1997 ◽  
Vol 3 (4) ◽  
pp. 219-224 ◽  
Author(s):  
Tom Burns ◽  
Rob Bale
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
General Practitioner ◽  
Mental Health Care ◽  
Mental Health Problems ◽  
Health Problems

The role of the general practitioner (GP) in the care of individuals with mental health problems has long been recognised. Goldberg & Huxleys' (1980) pioneering work on the pathways to mental health care demonstrated that only a fraction of identified mental health problems are referred on to psychiatrists. Goldberg & Bridges (1987) estimated that between 20 and 25% of a GP's workload concerns mental health, with only about 5% referred on to psychiatrists. Shepherd (1991) insisted that the only real hope for significant improvement in mental health care lay in the improvement of GP provision – there will simply never be enough psychiatrists.

Challenging care work: General practitioners’ perspectives on caring for young adults with complex psychosocial problems

2019 ◽  
pp. 136345931987410
Author(s):  
Julie Høgsgaard Andersen ◽  
Tine Tjørnhøj-Thomsen ◽  
Susanne Reventlow ◽  
Annette Sofie Davidsen
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Young Adults ◽  
General Practitioners ◽  
Mental Health Problems ◽  
Psychosocial Problems ◽  
Health Problems ◽  
Care Work ◽  
Psychiatric Nurses ◽  
Provision Of Care

The international literature shows that primary care is well placed to address mental health problems in young people, but that primary care professionals experience a range of challenges in this regard. In Denmark, young adults who have complex psychosocial problems, and who are not in education or work, cause political and academic concern. They are also in regular contact with their general practitioners, the Danish municipalities and psychiatric services. However, little is known about general practitioners’ perspectives on caring for this vulnerable group of patients. In this article, we investigate how general practitioners’ care work is shaped by the bureaucratic management of care in a complex infrastructure network comprising the general practitioners, psychiatry, the municipalities and the young adults. The analysis is based on interviews and focus groups with general practitioners, psychiatric nurses and social workers. We employ Tronto’s concept of care and the concept of boundary work as a theoretical framework. We argue that general practitioners strive to provide care, but they are challenged by the following: contested diagnostic interpretations and the bureaucratic significance of diagnoses for the provision of care from psychiatry and the municipalities, systemic issues with handling intertwined social and mental health problems, and the young adults’ difficulties with accessing and receiving available care.

Uninsured Children With Psychosocial Problems: Primary Care Management

PEDIATRICS ◽  
2000 ◽  
Vol 106 (Supplement_3) ◽  
pp. 930-936 ◽  
Author(s):  
Thomas K. McInerny ◽  
Peter G. Szilagyi ◽  
George E. Childs ◽  
Richard C. Wasserman ◽  
Kelly J. Kelleher
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Professionals ◽  
Mental Health Problems ◽  
Psychosocial Problems ◽  
The United States ◽  
Behavior Study ◽  
Care Practices ◽  
Uninsured Children ◽  
Primary Care Practices

Objective. Nearly 14% of children in the United States are uninsured. We compared the prevalence of psychosocial problems and mental health services received by insured and uninsured children in primary care practices. Methods. The Child Behavior Study was a cohort study conducted by Pediatric Research in Office Settings and the Ambulatory Sentinel Practice Network. Four hundred one primary care clinicians enrolled an average sample of 55 consecutive children (4–15 years old) per clinician. Results. Of the 13 401 visits to clinicians with 3 or more uninsured patients, 12 518 were by insured children (93.4%) and 883 were by uninsured children (6.6%). A higher percentage of adolescents, Hispanic children, those with unmarried parents, and those with less educated parents were uninsured. According to clinicians, uninsured children and insured children had similar rates of psychosocial problems (19%) and severe psychosocial problems (2%). For children with a clinician-identified psychosocial problem, we found no differences in clinician-reported counseling, medication use, or referral to mental health professionals. Conclusions. Among children served in primary care practices, uninsured children have similar prevalence of clinician-identified psychosocial and mental health problems compared with insured children. Within their practices, clinicians managed uninsured children much the same way as insured children.psychosocial problems, uninsured children, pediatrics, family medicine, primary care.

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