Mental Health Services in Primary Care: Implications for Clinical Mental Health Counselors and Other Mental Health Providers

2014 ◽  
Vol 36 (2) ◽  
pp. 95-98 ◽  
Author(s):  
Lisa Hooper

I am pleased to introduce this special issue of the Journal of Mental Health Counseling dedicated to mental health in primary care. Though the idea of incorporating mental health services into primary care is not new, there is a clear need to promote the transportability of counseling theories and culturally sensitive counseling practices to primary care settings. Clinical mental health counselors who are not aware of the importance of fostering meaningful collaborations and consultation with primary care physicians can garner useful information from the articles that appear in this special issue of the Journal of Mental Health Counseling. Knowledge acquired from this special issue about the dearth of quality mental health care for some patients seen in primary care settings may engender innovative solutions, both put forward by clinical mental health counselors and co-created with primary care physicians. I also hope that the articles in this special issue may stimulate future research and produce implications for treatment and services that can be piloted and evaluated for their sustainability, patient-centeredness, and cultural responsiveness to the long-standing clinical issue of ensuring effective mental health services in primary care settings.

2005 ◽  
Vol 27 (2) ◽  
pp. 142-148 ◽  
Author(s):  
C. R. Auxier ◽  
Peter M. Forster ◽  
Selina C. Kuruleca

This article discusses the evolving role of mental health counseling in Fiji in the context of current social and cultural changes. Although counseling traditionally has been reserved for cultural elders and the clergy, the term counselor is being redefined, due to Western influences, to include persons who are formally educated and trained to provide mental health services. Contemporary issues such as changing gender roles, violence, and suicide are discussed as forces that are influencing the need for trained mental health counselors. This article discusses the current status of educating and credentialing counselors in Fiji and emphasizes counselor education that stresses methods suited to the cultural characteristics of persons in the region.


2011 ◽  
Vol 34 (2) ◽  
pp. 174-182 ◽  
Author(s):  
Nick Kates ◽  
Catherine McPherson-Doe ◽  
Lindsey George

2015 ◽  
Vol 27 (6) ◽  
pp. 525-539 ◽  
Author(s):  
John C. Fortney ◽  
Jeffrey M. Pyne ◽  
Eric E. Turner ◽  
Kellee M. Farris ◽  
Tre M. Normoyle ◽  
...  

2002 ◽  
Vol 47 (9) ◽  
pp. 857-862 ◽  
Author(s):  
Nick Kates ◽  
Anne-Marie Crustolo ◽  
Sheryl Farrar ◽  
Lambrina Nikolaou

Objective: To describe a program that integrates mental health counsellors within primary care settings, to present data on the program's impact, and to discuss lessons learned that may apply in other communities. Methods: This paper describes a Canadian program that brings counsellors and psychiatrists into the offices of 87 family physicians in 36 practices in a community of 460 000 in Southern Ontario. It describes the goals and organization of the program and the activities of counsellors when working in primary care. In addition, it summarizes data from the program's evaluation, including demographic data and the individual problems seen and services delivered (all from the program's database) as well as data on patient outcomes using the General Health Questionnaire (GHQ), the Centre for Epidemiological Studies Depression (CESD) Rating Scale, and consumer-satisfaction questionnaires. Results: Each counsellor sees an average of 161 new cases yearly. The major problems are depression, anxiety, and family problems. In fact, over 70% of individuals who are seen show significant improvements in outcomes. The program has led to a significant increase in access to mental health services, a reduction in the use of traditional mental health services, high levels of satisfaction with counsellors and family physicians, and significant improvements in symptoms and functioning of individuals seen. Conclusion: This program has effectively integrated counsellors within primary care settings, increasing the capacity of primary care to handle mental health problems, strengthening links between providers from different sectors, and making mental health care more accessible.


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