Experiential Dynamic Psychotherapies in Primary Care Mental Health Services

2018 ◽  
pp. 135-160
Author(s):  
Jessica Bolton
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Services ◽  
Health Services ◽  
Primary Care Mental Health

scholarly journals VA Primary Care–Mental Health Integration: Patient Characteristics and Receipt of Mental Health Services, 2008–2010

2012 ◽  
Vol 63 (11) ◽  
pp. 1137-1141 ◽  
Author(s):  
Vicki Johnson-Lawrence ◽  
Kara Zivin ◽  
Benjamin R. Szymanski ◽  
Paul N. Pfeiffer ◽  
John F. McCarthy
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Services ◽  
Health Services ◽  
Patient Characteristics ◽  
Primary Care Mental Health ◽  
Mental Health Integration

The e-Mental Health Consultation Service: Providing Enhanced Primary-Care Mental Health Services Through Telemedicine

2007 ◽  
Vol 48 (2) ◽  
pp. 135-141 ◽  
Author(s):  
Jonathan D. Neufeld ◽  
Peter M. Yellowlees ◽  
Donald M. Hilty ◽  
Hattie Cobb ◽  
James A. Bourgeois
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Consultation ◽  
Consultation Service ◽  
Health Consultation ◽  
Primary Care Mental Health

No Technological Innovation Is a Panacea: A Case Series in Quality Improvement for Primary Care Mental Health Services

2008 ◽  
Vol 47 (7) ◽  
pp. 685-692 ◽  
Author(s):  
Sarah McCue Horwitz ◽  
Kimberly Eaton Hoagwood ◽  
Andrew Garner ◽  
Michael Macknin ◽  
Thomas Phelps ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Quality Improvement ◽  
Mental Health Services ◽  
Health Services ◽  
Technological Innovation ◽  
Case Series ◽  
Primary Care Mental Health

scholarly journals Impact of integrated district level mental health care on clinical and functioning outcomes of people with depression and alcohol use disorder in Nepal: a non-randomised controlled study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
M. J. D. Jordans ◽  
E. C. Garman ◽  
N. P. Luitel ◽  
B. A. Kohrt ◽  
C. Lund ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Alcohol Use ◽  
Mental Health Services ◽  
Health Services ◽  
Health Workers ◽  
Psychological Treatment ◽  
Controlled Study ◽  
Primary Care Mental Health ◽  
Treatment Groups

Abstract Background Integration of mental health services into primary healthcare is proliferating in low-resource countries. We aimed to evaluate the impact of different compositions of primary care mental health services for depression and alcohol use disorder (AUD), when compared to usual primary care services. Methods We conducted a non-randomized controlled study in rural Nepal. We compared treatment outcomes among patients screening positive and receiving: (a) primary care mental health services without a psychological treatment component (TG); (b) the same services including a psychological treatment (TG + P); and (c) primary care treatment as usual (TAU). Primary outcomes included change in depression and AUD symptoms, as well as disability. Disability was measured using the 12-item WHO Disability Assessment Schedule. Symptom severity was assessed using the 9-item Patient Health Questionnaire for depression, the 10-item Alcohol Use Disorders Identification Test for AUD. We used negative binomial regression models for the analysis. Results For depression, when combining both treatment groups (TG, n = 77 and TG + P, n = 60) compared to TAU (n = 72), there were no significant improvements. When only comparing the psychological treatment group (TG + P) with TAU, there were significant improvements for symptoms and disability (aβ = − 2.64; 95%CI − 4.55 to − 0.74, p = 0.007; aβ = − 12.20; 95%CI − 19.79 to − 4.62; p = 0.002, respectively). For AUD, when combining both treatment groups (TG, n = 92 and TG + P, n = 80) compared to TAU (n = 57), there were significant improvements in AUD symptoms and disability (aβ = − 15.13; 95%CI − 18.63 to − 11.63, p < 0.001; aβ = − 9.26; 95%CI − 16.41 to − 2.12, p = 0.011; respectively). For AUD, there were no differences between TG and TG + P. Patients’ perceptions of health workers’ skills in common psychological factors were associated with improvement in depression patient outcomes (β = − 0.36; 95%CI − 0.55 to − 0.18; p < 0.001) but not for AUD patients. Conclusion Primary care mental health services for depression may only be effective when psychological treatments are included. Health workers’ competencies as perceived by patients may be an important indicator for treatment effect. AUD treatment in primary care appears to be beneficial even without additional psychological services.

scholarly journals Predicting Women’s Utilization of Primary Care Mental Health Services in Mexico City

2016 ◽  
Vol 8 (2) ◽  
pp. 83-88
Author(s):  
Karla Mendoza ◽  
Arianna Ulloa ◽  
Nayelhi Saavedra ◽  
Jorge Galván ◽  
Shoshana Berenzon
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mexico City ◽  
Primary Care Providers ◽  
Mental Health Provider ◽  
Care Providers ◽  
Chi Square ◽  
Primary Care Mental Health

Objective: To analyze factors associated with and predicting Mexican women seeking primary care mental health services (PCMHS) and provide suggestions to increase PCMHS utilization. Method: We administered a questionnaire to (N = 456) female patients in Mexico City primary care clinics. We conducted chi-square analyses of seeking PCMHS and sociodemographic variables, perceptions of and experiences with PCMHS. Our results and literature review guided our logistic regression model. Results: Women referred to a mental health provider (MHP; odds ratio [OR] = 10.81, 95% CI = 3.59-32.51), whose coping mechanisms included talking to a MHP (OR = 5.53, 95% CI = 2.10-14.53), whose primary worry is loneliness (OR = 8.15, 95% CI = 1.20-55.10), and those who follow doctor’s orders; were more likely to seek PCMHS (OR = 0.28, 95% CI = 0.09-0.92). Conclusions: Primary care providers play a fundamental role in women’s decisions to seek PCMHS. Proper referrals to PCMHS should be encouraged.

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