scholarly journals Pathways to psychiatric care in Eastern Europe

2005 ◽  
Vol 186 (6) ◽  
pp. 529-535 ◽  
Author(s):  
Richard Gater ◽  
Vesna Jordanova ◽  
Nadja Maric ◽  
Valbona Alikaj ◽  
Maja Bajs ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Eastern Europe ◽  
General Practitioners ◽  
Direct Access ◽  
Care Seeking ◽  
Starting Point ◽  
Icd 10 ◽  
Hospital Doctors

BackgroundThere has been almost no research into mental health services in Eastern Europe. A pathways study is a quick and useful starting point, requiring few resources.AimsTo improve understanding of prior care-seeking and treatment of new patients seen at mental health services.MethodPathways diagrams were drawn showing the routes of care-seeking for 50 new patients in eight centres. Patterns of care-seeking, durations and previous treatments were compared for ICD–10 diagnostic groups.ResultsThe diagnoses varied according to the organisation of services. Major pathways included general practitioners, direct access and hospital doctors. General practitioners have a limited role as ‘gatekeeper’ in centres in Albania, Croatia, Macedonia, Romania and Serbia–Montenegro, and rarely prescribed treatment, except sedatives, for mental disorders.ConclusionsFindings highlight areas that require attention if aspirations for community-oriented mental health care are to be realised, particularly integration of mental health into primary care.

Impact of training for general practitioners on their mental health services: The Hong Kong experience

2018 ◽  
Vol 47 (8) ◽  
pp. 550-555 ◽  
Author(s):  
Tai Pong Lam ◽  
Kai Sing Sun ◽  
Leon Piterman ◽  
Kwok Fai Lam ◽  
Man Kay Poon ◽  
...  
Keyword(s):  
Mental Health ◽  
Hong Kong ◽  
Mental Health Services ◽  
Health Services ◽  
General Practitioners

Providing Mental Health Services in the Primary Care Setting: the Experiences and Perceptions of General Practitioners at a New York City Clinic

2018 ◽  
Vol 89 (4) ◽  
pp. 897-908 ◽  
Author(s):  
Issa Papiss Bagayogo ◽  
Katharina Turcios-Wiswe ◽  
Kanako Taku ◽  
Lauren Peccoralo ◽  
Craig L. Katz
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
New York ◽  
New York City ◽  
Mental Health Services ◽  
Health Services ◽  
General Practitioners ◽  
York City ◽  
Care Setting ◽  
Primary Care Setting

Developing a Mental Health Resource for Consumers

1997 ◽  
Vol 3 (4) ◽  
pp. 40
Author(s):  
Deborah Saltman ◽  
Bronwyn Veale ◽  
Gina Bloom
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
General Practitioners ◽  
Personal Development ◽  
Research Process ◽  
Consumer Information ◽  
Mental Health Providers ◽  
Health Providers ◽  
Mental Health Resource

Little is known about how consumers select mental health providers. In the literature there is an absence of information to assist consumers and referral agencies including general practitioners, in making informed choices. This paper reports the research process undertaken to develop such a resource. Interviews were conducted with representatives from a variety of groups identified by consumers and providers as supplying mental health services, including: general practitioners, psychiatrists, psychologists, social workers, Relationships Australia (NSW), Alcoholics Anonymous (AA), postnatal depression self-help groups, Lifeline, the Gay and Lesbian Counselling Service of NSW, spiritual healers, and, consumer consultants. The interviews covered issues of cost, type of services provided, goals of management, limitations of therapy, consumer information about the process, sessions, therapist credentials, training, background and experience, professional and personal development, quality assurance, research, referral, access, and confidentiality. Indicators for ascertaining effectiveness of the therapist's work were also delineated. Although there was a great deal of similarity in views concerning the nature of therapy held by a range of providers of mental health services, differences of approach did emerge that need to be brought to the awareness of consumers. Comparing responses of mental health providers to the same questions allows other issues such as priorities and access to be gauged by comparing these responses. The strength of this approach is that it allows the presentation of information in a manner that allows consumers to make comparisons and choices based on information obtained in a context similar to the therapeutic situation.

scholarly journals Factors that influence access to mental health services in South-Eastern Europe

2018 ◽  
Vol 12 (1) ◽  
Author(s):  
Andreea Raluca Tirintica ◽  
Ivana Andjelkovic ◽  
Orela Sota ◽  
Mihail Cristian Pirlog ◽  
Maria Stoyanova ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Eastern Europe ◽  
South Eastern ◽  
South Eastern Europe

Case: Liability for general practitioners and mental health services for the acts of their patients

Clinical Risk ◽  
2009 ◽  
Vol 15 (4) ◽  
pp. 164-166
Author(s):  
Ewan Lockhart ◽  
Robin Oppenheim ◽  
Richard Hackett ◽  
Angus Moon
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
General Practitioners

Workforce Deployment: Reconciling Demands and Resources

1995 ◽  
Vol 29 (3) ◽  
pp. 394-402 ◽  
Author(s):  
Gavin Andrews
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
General Practitioners ◽  
Unmet Need ◽  
Public Mental Health ◽  
Epidemiological Data ◽  
Mental Illnesses ◽  
National Mental Health

Objective: The purpose of the study was to review the information in a Consultancy prepared for the National Mental Health Policy which suggested that half of the people with serious mental illnesses were untreated, while persons with “mental problems” were being overserviced by the specialist mental health services. The fate of the large group of persons with mental disorders of mid-range severity was not addressed. Method: Epidemiological data was reconciled with the service patterns of the clinical workforce and the extent of the unmet need estimated. Results: It was estimated that 25–30% of the Australian population meet criteria for a mental disorder in any year, yet less than one third will receive treatment. Of those that are treated, three quarters will receive their treatment from general practitioners and the remaining quarter will be treated by either the public mental health services, the addiction services, or private psychiatrists. The problem is that less than one half of those with serious mental disorders and only two thirds of those with chronic and disabling disorders appear to be being treated by anyone. Even if there were no slippage of services away from these serious and chronic groups of patients, there would still be a workforce shortfall, especially in rural and remote areas. Conclusions: Strategies to remedy this shortfall that involve psychiatrists, clinical psychologists and general practitioners are noted, and the need for a National Mental Health Survey to provide accurate data is stressed.

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