Pregnant Hispanic Women: A Mental Health Study

1992 ◽  
Vol 73 (9) ◽  
pp. 515-521 ◽  
Author(s):  
Luis H. Zayas ◽  
Nancy A. Busch-Rossnagel
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Low Income ◽  
Mental Health Problems ◽  
Hispanic Women ◽  
Primary Care Clinic ◽  
Health Study ◽  
Community Based ◽  
Care Clinic ◽  
Mental Health Study

By most accounts, pregnant Hispanic women are a population at risk for perinatal health and mental health problems. In this article, the authors report on a pilot study of the mental health status of 86 low-income, pregnant Hispanics. Three cases drawn from a community-based, primary care clinic demonstrate how Hispanic women may appear in the clinical setting and how interventions can be designed.

Pediatrician Interview Style and Mothers' Disclosure of Psychosocial Issues

PEDIATRICS ◽  
1994 ◽  
Vol 93 (2) ◽  
pp. 289-295
Author(s):  
Lawrence S. Wissow ◽  
Modena E.H. Wilson ◽  
Debra L. Roter
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Problems ◽  
Primary Care Clinic ◽  
Health Problems ◽  
Physical Punishment ◽  
Pediatric Primary Care ◽  
Psychosocial Issues ◽  
City Hospital ◽  
Care Clinic

Objective. Primary care pediatricians play an important role in the detection, diagnosis, treatment, and referral of children with mental health problems. Some parents, however, are reluctant to discuss behavioral and emotional symptoms with their child's pediatrician. Studies of patient-physician communication suggest that specific aspects of pediatrician interview style (asking questions about psychosocial issues, making supportive statements, and listening attentively) increase disclosure of sensitive information. We hypothesized that disclosures of parent and child psychosocial problems would be more likely to occur during visits when pediatricians used these techniques. Design. Cross-sectional analysis of a systematic sample of pediatric primary care visits. Population. Two hundred thirty-four children ages 6 months to 14 years and their mothers or female guardians attending an inner-city hospital-based pediatric primary care clinic; 52 physicians in their second or third year of pediatric residency training. Methods. Visits audiotaped and dialogue coded using the Roter Interactional Analysis System. Independent variables included counts of pediatrician utterances in the following categories: (a) questions about psychosocial issues, (b) statements of support and reassurance, and (c) statements indicating sympathetic and attentive listening. Dependent variables were the disclosure of information about: (a) parental medical or emotional impairment, (b) family disruption, (c) use of physical punishment, and (d) aggressive or overactive child behavior. Results. Use of psychosocially oriented interviewing techniques was associated with a greater likelihood of disclosure for all four of the topic areas studied. Odds ratios for disclosure, adjusted for parental concerns and child age, ranged from 1.09 to 1.22 depending on the interview technique and outcome involved. Positive associations were observed both for topics raised primarily in response to pediatrician questions (family and parent problems) and for topics raised primarily by mothers (behavior and punishment). Conclusions. Three simple communication skills were associated with disclosure of specific concerns relevant to child mental health. Training pediatricians to use these skills would help to better detect and diagnose children's mental health problems.

scholarly journals Psychosocial Underpinnings of Pain and Sleep Disturbance in Safety-Net Primary Care Patients

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Sarah Griffin ◽  
Joseph Tan ◽  
Paul B. Perrin ◽  
Allison B. Williams ◽  
Erin R. Smith ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Primary Care ◽  
Sleep Disturbance ◽  
Psychosocial Factors ◽  
Low Income ◽  
Primary Care Clinic ◽  
Safety Net ◽  
Care Clinic ◽  
Cynical Hostility

Objective. The aim of this study was to uncover possible psychosocial underpinnings of pain and sleep disturbance in a safety-net primary care sample. Methods. Patients (n = 210) awaiting care in a safety-net primary care clinic waiting room completed measures of cynical hostility, social support, mental health, sleep disturbance, and pain. This study was cross-sectional and observational. Results. A structural equation model suggested that higher cynical hostility was associated with lower social support, which in turn was associated with poorer mental health, which then corresponded with higher pain and sleep disturbance. All possible indirect (mediational) effects within this model were statistically significant, suggesting a possible route through which cynical hostility may shape pain and sleep, two common presenting problems in primary care. Conclusions. These findings illustrate the interplay of psychosocial factors with chronic pain and sleep disturbance in a sample of low-income, predominantly African-American patients seeking care at a safety-net primary care clinic. The findings support integrated primary care as a way to target not only behavioral health issues but also the psychosocial factors entangled with physical health.

scholarly journals Mental Health Trauma Center Integrated with a Primary Care Clinic

2010 ◽  
Vol 25 (S1) ◽  
pp. S49-S49
Author(s):  
N. Laor ◽  
A. Louden ◽  
S. Shachar ◽  
Z. Wiener
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Trauma Center ◽  
Primary Care Clinic ◽  
Care Clinic

Using Touch-Screen Technology to Assess Smoking in a Low-Income Primary Care Clinic: A Pilot Study

2011 ◽  
Vol 46 (14) ◽  
pp. 1750-1754 ◽  
Author(s):  
Philip H. Smith ◽  
Gregory G. Homish ◽  
Christopher Barrick ◽  
Nancy L. Grier
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Low Income ◽  
Primary Care Clinic ◽  
Touch Screen ◽  
Care Clinic

Benefits of a Primary Care Clinic Co-Located and Integrated in a Mental Health Setting for Veterans With Serious Mental Illness

2012 ◽  
Author(s):  
PA Pirraglia ◽  
E Rowland ◽  
W-C Wu ◽  
TH Taveira ◽  
LB Cohen ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Illness ◽  
Serious Mental Illness ◽  
Primary Care Clinic ◽  
Mental Health Setting ◽  
Care Clinic

scholarly journals Implementation of a New Kiosk Technology for Blood Pressure Management in a Community-Based Primary Care Clinic

2017 ◽  
Vol 4 (3) ◽  
pp. 185
Author(s):  
Beverly Green ◽  
Chai-Fung Chung ◽  
Sean A. Munson ◽  
Matthew J. Thompson ◽  
Laura-Mae Baldwin ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Primary Care ◽  
Primary Care Clinic ◽  
Pressure Management ◽  
Community Based ◽  
Care Clinic ◽  
Blood Pressure Management

Primary Care Patients' Reactions to Mental Health Screening

1996 ◽  
Vol 26 (4) ◽  
pp. 431-441 ◽  
Author(s):  
Mark Zimmerman ◽  
David T. Lush ◽  
Neil J. Farber ◽  
Jon Hartung ◽  
Gary Plescia ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Psychiatric Treatment ◽  
Primary Care Clinic ◽  
Empirical Support ◽  
Medical Patients ◽  
Care Clinic ◽  
History Of ◽  
Primary Care Patients ◽  
High Level

Objective: The authors examined whether there is empirical support for the notion that medical patients are upset by being asked questions about psychiatric disorders. Method: Six hundred and one patients attending a primary care clinic completed the SCREENER—a newly developed, brief self-administered questionnaire that surveys a broad range of psychopathology. In addition, they completed a second questionnaire that assessed their attitudes toward the SCREENER. Results: We found a high level of acceptance by patients. The questions were judged easy to answer, and they rarely aroused significant negative affect. Fewer than 2 percent of the patients judged the questions difficult to answer, and fewer than 3 percent were “very much” embarrassed, upset, annoyed, or uncomfortable with the questions. Individuals with a history of psychiatric treatment and poorer current mental health reacted more unfavorably to the questionnaire. Conclusions: From the patient's perspective, it is feasible and acceptable to use self-administered questionnaires for routine screening of psychiatric problems in primary care settings.

scholarly journals Pilot of Community-Based Diabetes Self-Management Support for Patients at an Urban Primary Care Clinic

2019 ◽  
Vol 32 (2) ◽  
pp. 157-163
Author(s):  
Pamela Jo Johnson ◽  
Mollie O’Brien ◽  
Dimpho Orionzi ◽  
Lovel Trahan ◽  
Todd Rockwood
Keyword(s):  
Primary Care ◽  
Primary Care Clinic ◽  
Self Management ◽  
Management Support ◽  
Community Based ◽  
Care Clinic

Treatment of diabetes at an integrated psychiatric and primary care clinic at a university mental health center: A model to follow?

2003 ◽  
Vol 60 (1) ◽  
pp. 332
Author(s):  
H. Aziz ◽  
J.S. Brar ◽  
B. Mullen ◽  
A. Vagnucci ◽  
R. Ganguli
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Center ◽  
Mental Health Center ◽  
Primary Care Clinic ◽  
Care Clinic ◽  
Treatment Of Diabetes

scholarly journals Reaching Out to Rural Caregivers and Veterans with Dementia Utilizing Clinical Video-Telehealth

2018 ◽  
Author(s):  
James S. Powers ◽  
Jennifer Buckner
Keyword(s):  
Primary Care ◽  
Rural Areas ◽  
Primary Care Clinic ◽  
Primary Care Providers ◽  
Dementia Care ◽  
Mental Health Provider ◽  
Care Providers ◽  
Community Based ◽  
Term Care ◽  
Care Clinic

Context: A clinical video telehealth (CVT) program was implemented improve access and quality of dementia care to patients and their caregivers in rural areas. The program was offered as part of an established dementia clinic/geriatric primary care clinic in collaboration with five community-based outpatient clinics (CBOC’s) affiliated with the Tennessee Valley Healthcare System (TVHS) in middle Tennessee. Telehealth support was provided by a physician – social worker team visit. Methods: Telehealth training and equipment were provided to clinic personnel, functioning part-time with other collateral clinical duties. Patients and caregivers were referred by primary care providers and had an average of 1 to 2 CVT encounters originating at their local CBOC lasting 20 to 30 minutes. Clinical characteristics and outcomes of patients and caregivers receiving CVT support were collected by retrospective electronic medical record (EMR) review. Results: Over a 3-year period 45 CVT encounters were performed on patient-caregiver pairs, followed for a mean of 15 (1-36) months. Some 80% patients had dementia confirmed and 89% of these had serious medical comorbidities, took an average of 8 medications, and resided at a distance of 103 (76-148) miles from the medical center. Dementia patients included 33% with late stage dementia, 25% received additional care from a mental health provider, 23% took antipsychotic medications, 19% transitioned to a higher level of care, and 19% expired an average of 10.2 months following consultation. Caregiver distress was present in 47% of family members. Consult recommendations included 64% community-based long-term care services and supports (LTSS), 36% medications, and 22% further diagnostic testing. Acceptance of the CVT encounter was 98%, with 8770 travel miles saved. Conclusion: CVT is well received and may be helpful in providing dementia care and supporting dementia caregivers to obtain LTSS for high-need older adults in rural areas.

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