scholarly journals Improving the quality of mental health care in primary care settings: a view from the United Kingdom

2007 ◽  
Vol 21 (1) ◽  
Author(s):  
Linda Gask
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
United Kingdom ◽  
Mental Health Care ◽  
Primary Care Settings ◽  
The United Kingdom

Direct medical mental health care costs of schizophrenia in France, Germany and the United Kingdom – Findings from the European Schizophrenia Cohort (EuroSC)

2009 ◽  
Vol 24 (4) ◽  
pp. 216-224 ◽  
Author(s):  
Dirk Heider ◽  
Sebastian Bernert ◽  
Hans-Helmut König ◽  
Herbert Matschinger ◽  
Theresa Hogh ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
United Kingdom ◽  
Mental Health Care ◽  
Service Use ◽  
Unit Cost ◽  
United States Dollar ◽  
The United Kingdom ◽  
Day Clinic ◽  
Use Of Services

AbstractObjectivesTo quantify and compare the resource consumption and direct costs of medical mental health care of patients suffering from schizophrenia in France, Germany and the United Kingdom.MethodsIn the European Cohort Study of Schizophrenia, a naturalistic two-year follow-up study, patients were recruited in France (N = 288), Germany (N = 618), and the United Kingdom (N = 302). Data about the use of services and medication were collected. Unit cost data were obtained and transformed into United States Dollar Purchasing Power Parities (USD-PPP). Mean service use and costs were estimated using between-effects regression models.ResultsIn the French/German/UK sample estimated means for a six-month period were respectively 5.7, 7.5 and 6.4 inpatient days, and 11.0, 1.3, and 0.7 day-clinic days. After controlling for age, sex, number of former hospitalizations and psychopathology (CGI score), mean costs were 3700/2815/3352 USD-PPP.ConclusionsService use and estimated costs varied considerably between countries. The greatest differences were related to day-clinic use. The use of services was not consistently higher in one country than in the others. Estimated costs did not necessarily reflect the quantity of service use, since unit costs for individual types of service varied considerably between countries.

scholarly journals Mental health in primary care: an evaluation using the Item Response Theory

2018 ◽  
Vol 52 ◽  
pp. 17 ◽  
Author(s):  
Hugo André da Rocha ◽  
Alaneir de Fátima dos Santos ◽  
Ilka Afonso Reis ◽  
Marcos Antônio da Cunha Santos ◽  
Mariângela Leal Cherchiglia
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Risk Stratification ◽  
Mental Health Care ◽  
Item Response ◽  
Group Care ◽  
Quality Of Primary Care ◽  
Access And Quality

OBJECTIVE: To determine the items of the Brazilian National Program for Improving Access and Quality of Primary Care that better evaluate the capacity to provide mental health care. METHODS: This is a cross-sectional study carried out using the Graded Response Model of the Item Response Theory using secondary data from the second cycle of the National Program for Improving Access and Quality of Primary Care, which evaluates 30,523 primary care teams in the period from 2013 to 2014 in Brazil. The internal consistency, correlation between items, and correlation between items and the total score were tested using the Cronbach’s alpha, Spearman’s correlation, and point biserial coefficients, respectively. The assumptions of unidimensionality and local independence of the items were tested. Word clouds were used as one way to present the results. RESULTS: The items with the greatest ability to discriminate were scheduling of the agenda according to risk stratification, keeping of records of the most serious cases of users in psychological distress, and provision of group care. The items that required a higher level of mental health care in the parameter of location were the provision of any type of group care and the provision of educational and mental health promotion activities. Total Cronbach’s alpha coefficient was 0.87. The items that obtained the highest correlation with total score were the recording of the most serious cases of users in psychological distress and scheduling of the agenda according to risk stratification. The final scores obtained oscillated between -2.07 (minimum) and 1.95 (maximum). CONCLUSIONS: There are important aspects in the discrimination of the capacity to provide mental health care by primary health care teams: risk stratification for care management, follow-up of the most serious cases, group care, and preventive and health promotion actions.

scholarly journals Integration of mental health care into primary care

2000 ◽  
Vol 176 (6) ◽  
pp. 581-588 ◽  
Author(s):  
D. Chisholm ◽  
S. James ◽  
K. Sekar ◽  
K. Kishore Kumar ◽  
R. Srinivasa Murthy ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Disorder ◽  
Mental Health Care ◽  
Low Income ◽  
Common Mental Disorder ◽  
Low Income Countries

BackgroundTargeting resources on cost-effective care strategies is important for the global mental health burden.AimsTo demonstrate cost–outcome methods in the evaluation of mental health care programmes in low-income countries.MethodFour rural populations were screened for psychiatric morbidity. Individuals with a diagnosed common mental disorder were invited to seek treatment, and assessed prospectively on symptoms, disability, quality of life and resource use.ResultsBetween 12% and 39% of the four screened populations had a diagnosable common mental disorder. In three of the four localities there were improvements over time in symptoms, disability and quality of life, while total economic costs were reduced.ConclusionEconomic analysis of mental health care in low-income countries is feasible and practicable. Our assessment of the cost-effectiveness of integrating mental health into primary care was confounded by the naturalistic study design and the low proportion of subjects using government primary health care services.

Mental Health Care in Primary Care Settings

2004 ◽  
Vol 45 (3) ◽  
pp. 272
Author(s):  
Caroline Carney Doebbeling ◽  
Bradford L. Felker ◽  
M. Kevin O’Connor
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Primary Care Settings
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