Across the spectrum: Strategies to improve recognition and treatment of mental disorders in primary care

2017 ◽  
Author(s):  
Victoria J. Palmer ◽  
Rob Whitley
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Mental Disorders ◽  
Social Workers ◽  
Health Care Professionals ◽  
Occupational Therapists ◽  
Whole Person ◽  
Seeking Help

There is an abundance of published literature documenting the important role of primary care in the recognition, treatment and management of mental disorders. Despite this, general practitioners, nurses, social workers, occupational therapists, physiotherapists, and other primary health care professionals remain under acknowledged, and the multidisciplinary team arrangements needed for effective management elusive. Individual and community stigma attached to seeking help has not been removed. This chapter provides an overview of these existing barriers and outlines strategies for implementation to improve recognition and treatment of mental disorders across the spectrum in primary care. These strategies are focused on the delivery of whole person, resulting in integrated and person-centred care.

The Role of Primary Health Care Professionals

2017 ◽  
pp. 329-335 ◽  
Author(s):  
Alfonso M. Cueto-Manzano ◽  
Héctor R. Martínez-Ramírez ◽  
Laura Cortés-Sanabria ◽  
Enrique Rojas-Campos
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Professionals ◽  
Primary Health

The role of social workers in mental health care: A study of primary care centers in Mexico

2018 ◽  
Vol 18 (6) ◽  
pp. 1017-1033
Author(s):  
Nayelhi I Saavedra ◽  
Shoshana Berenzon ◽  
Jorge Galván
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Social Workers

scholarly journals Detection of mental disorders with the Patient Health Questionnaire in primary care settings in Nigeria

2010 ◽  
Vol 2 (1) ◽  
pp. 46-50 ◽  
Author(s):  
Olawale O. Ogunsemi ◽  
Francis A. Oluwole ◽  
Festus Abasiubong ◽  
Adebayo R. Erinfolami ◽  
Olufemi E. Amoran ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Mental Disorders ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Primary Care Settings ◽  
Primary Health ◽  
Patient Health ◽  
The Impact

Mental disorders lead to difficulties in social, occupational and marital relations. Failure to detect mental disorder denies patients potentially effective treatment. This study aimed to assess the prevalence and nature of mental disorders at the primary care settings and the recognition of these disorders by the attending physicians. Over a period of eight weeks, consecutive and consenting patients who attended three randomly selected primary health care facilities in Sagamu Local Government Area of Ogun state were recruited and administered a questionnaire that included a socio-demographic section and Patient Health Questionnaire (PHQ). A total of 412 subjects took part in the study. Subject age ranged from 18-90 years with a mean age of 52.50±21.08 years. One hundred and seventy-six (42.7%) of the subjects were males. A total of 120 (29.1%) of the subjects had depressive disorder, 100 (24.3%) had anxiety disorder, 196 (47.6%) somatoform disorder and 104 (25.2%) met the criteria for an alcohol related problem. The PHC physicians were only able to diagnose disorders relating to mental health in 52 (12.6%) of the subjects. Health and work situations accounted for more than three-quarters of the causes of stress experienced by the subjects. We conclude that there is a high prevalence of mental disorders among patients seen in primary care settings and that a significant proportion of them are not recognized by the primary care physicians. Stress relating to health, work and financial problems is common among primary health care attendees. Physicians in primary health care should be alert to the possibility and the impact of undetected psychiatric morbidity.

scholarly journals Reporting of noise-induced hearing loss: perceptions of primary health care professionals

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Gonçalves ◽  
H Pedroso ◽  
J Areosa
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Hearing Loss ◽  
Primary Health Care ◽  
Health Care Professionals ◽  
Health Concern ◽  
Noise Induced Hearing Loss ◽  
Care Network ◽  
Primary Health ◽  
Health Care Network

Abstract Background Worldwide, workers' health is still a Public Health concern, given the high number of hazardous occupational activities, as well as workers affected by work-related diseases. Among these diseases, occupational Noise-Induced Hearing Loss-NIHL is considered the second commonest occupational disease, and in Brazil, its reporting is compulsory. However, occupational diseases are usually underreported, hindering the knowledge of their actual magnitude, and the elaboration of prevention-oriented public policies. Objective To analyze the perception and knowledge of Primary Health Care professionals in Curitiba-Parana State, Brazil, on the compulsory NIHL reporting. Methods quantitative and qualitative approach conducted in three steps: analysis of a series of NIHL case histories reported in the official database between 2007 and 2018; application of a questionnaire to Primary Health Care Network professionals; collective interview with Primary Health Care Network nurses, speech therapists and doctors. Results NIHL reporting evidenced 82 cases, 67 (81.7%) among males, age ranging 50-64 years, 10 (12.2%) had complete high school level, 27 (32.9%) were formally employed, and 12 (14.6%) worked in the processing industry. Regarding the result of the applied questionnaire among the Primary Health Care professionals, 48 (68.7%) stated that they were prepared to identify workers' health problems, to 33 (68.7%) professionals, guidance to reassure users' comprehensive care is more important than the compulsory reporting, 21 (43.7%) claimed that they were qualified to identify NIHL cases, and 25 (52.1%) did not report the cases. Difficulties in reporting NIHL cases are: not understanding their flow, being afraid of the legal implications, which may generate difficulties in requesting audiometric testing, not having the management support, etc. Conclusions Most health care professionals are knowledgeable on NIHL, but they do not report the suspected cases due to lack of guidance. Key messages Primary care health professionals does not consider occupational health as part of the service to be provided. Primary care services are not prepared to establish the relationship between the injury and the job.

scholarly journals ASSESSMENT OF AWARENESS OF FAMILY PHYSICIANSABOUT THE OSTEOPOROSIS AS A PROBLEM OF ELDERLY

2017 ◽  
Vol 9 (1) ◽  
pp. 79-82
Author(s):  
O Yu Kuznetsova ◽  
I E Moiseeva
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Primary Care Physicians ◽  
Age Group ◽  
Treatment Of Osteoporosis ◽  
Family Doctors ◽  
Primary Health ◽  
Prevalence Of Osteoporosis

The prevalence of osteoporosis in Russia is about 10%, and in the age group over 50 years - up to 25-35%. The role of primary care physicians in the prevention, diagnosis and treatment of this disease is high, because 80% of patients seeking medical help in primary health care. The article presents the results of the assessment of the awareness of the general practitioners (family doctors) on the preven- tion, diagnostics and treatment of osteoporosis

scholarly journals Patient Safety in Primary Health Care in a Brazilian municipality

2021 ◽  
Vol 31 (4) ◽  
Author(s):  
Marcelo Pereira da Rocha ◽  
Ingrid Soares Viana ◽  
Iago Freitas Vieira
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Patient Safety ◽  
Content Analysis ◽  
Primary Health Care ◽  
Health Care Professionals ◽  
Family Health ◽  
Qualitative Approach ◽  
Exploratory Research ◽  
Primary Health

Abstract The adoption of safe practices by health services drives out health harms and preventable deaths at all levels of health care. This study aimed to understand how patient safety actions are organized in the conception of primary health care professionals in a municipality in the state of Bahia. exploratory research, with a qualitative approach, was performed through in person and online interviews with two Nurses and three Dental Surgeons, with broad knowledge of the researched matter and working in traditional primary care and Family Health teams. Data were analyzed through content analysis. It was perceived that knowledge of the researched topic was insufficient and that there was a need for the matter to become part of the teams’ discussion agenda. The reports point out that, in the interviewees’ view, actions related to patient safety are not yet implemented in the researched location. It was identified the need for structuring actions aimed at preventing adverse events and institutionalizing safety in health care.

scholarly journals Atuação dos profissionais de educação física na atenção primária à saúde

2017 ◽  
Vol 15 (2) ◽  
pp. 105-113
Author(s):  
Joel Carlos Valcanaia Ferreira ◽  
Joel Saraiva Ferreira
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Physical Education ◽  
Health Care Professionals ◽  
Private Higher Education ◽  
Education Professionals ◽  
Department Of Health ◽  
Primary Health ◽  
Intervention Context

O objetivo do estudo foi analisar as características sociodemográficas e econômicas dos profissionais de Educação Física atuantes na Atenção Primária à Saúde no município de Campo Grande - MS. A distribuição dos profissionais na rede municipal de saúde foi fornecida pela Secretaria Municipal de Saúde. Para obter as informações junto aos profissionais, utilizou-se de questionário autoaplicável elaborado especificamente para o presente estudo. Os resultados indicaram que 61% dos profissionais de Educação Física com vínculo funcional com a Secretaria Municipal de Saúde Pública de Campo Grande - MS atuavam na Atenção Primária. Os profissionais são maioria do sexo masculino (54%), predominância de casados (82%), faixa etária de 30 a 39 anos (73%), renda mensal de até três salários mínimos (73%), formação em Educação Física (Licenciatura Plena) (54%), concluída há mais de 10 anos (82%), majoritariamente em instituições privadas de ensino superior (73%), concursados no serviço público (91%), com jornada de serviço semanal de 40 horas (91%), atuantes há mais de três anos da Atenção Primária à Saúde (82%). Concluiu-se que as características sociodemográficas e econômicas revelaram que os PEF detém estabilidade funcional, com experiência na área de atuação e formação condizente com o contexto de intervenção.ABSTRACT. The work of physical education professionals on primary health care. The goal of this study was to analyze the sociodemographic and economical characteristics of the physical education professionals working with Primary Health Care in the municipality of Campo Grande - MS. The data were initially collected with the management of municipal department of health, in order to identify the distribution of professionals in the municipal health network and, later, with the Primary Health Care professionals themselves. In order to obtain the information from the professionals, it was used a self-applicable questionnaire devised specifically for this study. The results showed that 61% of the physical education professionals functionally linked to the municipal department of public health of Campo Grande-MS worked with primary care, which represented a coverage of approximately 30% of supply of physical activities on that level of health care. The evaluated professionals presented a sociodemographic profile with a majority of males (54%), prevalently married (82%), in the age group between 30 and 39 years old (73%), with a monthly income of up to three minimum wages (73%), with a full licentiateship in Physical Education (54%), concluded over 10 years ago (82%), mostly in private higher education institutions (73%), with public service tender (91%), with a 40-hour workweek (91%), working with primary care for over three years (82%). It was concluded that the sociodemographic and economical characteristics showed that the Physical Education professionals have functional tenure, with experience in the area of work and training in line with the intervention context.

Multidisciplinary collaboration in primary care: through the eyes of patients

2013 ◽  
Vol 19 (3) ◽  
pp. 190 ◽  
Author(s):  
Lynn H. Cheong ◽  
Carol L. Armour ◽  
Sinthia Z. Bosnic-Anticevich
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Chronic Illness ◽  
Health Care Professionals ◽  
Care Delivery ◽  
Primary Health Care System ◽  
Structured Interviews ◽  
Multidisciplinary Collaboration ◽  
Primary Health

Managing chronic illness is highly complex and the pathways to access health care for the patient are unpredictable and often unknown. While multidisciplinary care (MDC) arrangements are promoted in the Australian primary health care system, there is a paucity of research on multidisciplinary collaboration from patients’ perspectives. This exploratory study is the first to gain an understanding of the experiences, perceptions, attitudes and potential role of people with chronic illness (asthma) on the delivery of MDC in the Australian primary health care setting. In-depth semi-structured interviews were conducted with asthma patients from Sydney, Australia. Qualitative analysis of data indicates that patients are significant players in MDC and their perceptions of their chronic condition, perceived roles of health care professionals, and expectations of health care delivery, influence their participation and attitudes towards multidisciplinary services. Our research shows the challenges presented by patients in the delivery and establishment of multidisciplinary health care teams, and highlights the need to consider patients’ perspectives in the development of MDC models in primary care.

The Importance of Independence in Toileting: the Views of Stroke Survivors and their Occupational Therapists

2005 ◽  
Vol 68 (4) ◽  
pp. 165-171 ◽  
Author(s):  
Joanne Clark ◽  
Sue Rugg
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Occupational Therapy ◽  
Health Care Professionals ◽  
Daily Activity ◽  
Occupational Therapists ◽  
Self Esteem ◽  
Stroke Survivors ◽  
Perceived Importance

The profession of occupational therapy claims to be patient centred; however, research shows that the views of patients and health care professionals often differ. Toileting is a fundamental daily activity, yet to date there have been few studies investigating the perceived importance of independence in toileting. A qualitative study was conducted to determine the views of stroke survivors and their occupational therapists regarding the importance of independence in toileting. A symbolic interactionistic framework was used, allowing the views of these two disparate groups to be compared. Thirteen stroke survivors and seven occupational therapists were interviewed. Five categories were identified in the data collected: the occupational form normally used in toileting; incontinence and continence; independence and dependence in toileting; issues relating to toileting and hospital discharge; and the role of occupational therapy. Both participant groups agreed that independence in toileting was important in avoiding the need for assistance and in avoiding feelings of decreased self-esteem. However, the patient participants' views extended further in that they stated that the method of toileting was important, not merely that it was conducted independently. In conclusion, it is essential that occupational therapists consider how they can facilitate a return to the method usually undertaken for toileting by patients. If a return to the previous methodology for toileting will not be possible, then the occupational therapists must give consideration as to how to facilitate adjustment by the patients.

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