TY - JOUR
AU - P. Rucci
AU - A. Piazza
AU - M. Menchetti
AU - D. Berardi
AU - A. Fioritti
AU - S. Mimmi
AU - M. P. Fantini
A1 - 
AB - This study, carried out in the context of a collaborative care program for common mental disorders, is aimed at identifying the predictors of Primary Care Physician (PCP) referral to Community Mental Health Center (CMHC) and patterns of care. Patients with depression or anxiety disorders who had a first contact with CMHCs between January 1, 2007-December 31, 2009 were extracted from Bologna Local Health Authority database. A classification and regression tree procedure was used to determine which combination of demographic and diagnostic variables best distinguished patients referred by PCPs and to identify predictors of patterns of care (consultation, shared care, and treatment at the CMHC) for patients referred by PCPs. Of the 8570 patients, 57.4% were referred by PCPs. Those less likely to be referred by PCPs were living in the urban area, suffered from depressive disorder, and were young. As to the pattern of care, patients living in the urban area were more likely to receive shared care compared with those living in the nonurban area, while the reverse was true for consultation. Predictors of CMHC treatment were depression and young age. Prospective studies are needed to assess length, quantity, and quality of collaborative treatment for common mental disorder delivered at any step of care.
BT - International journal of family medicine
C5 - General Literature
CY - Egypt
DO - 10.1155/2012/507464
JF - International journal of family medicine
N2 - This study, carried out in the context of a collaborative care program for common mental disorders, is aimed at identifying the predictors of Primary Care Physician (PCP) referral to Community Mental Health Center (CMHC) and patterns of care. Patients with depression or anxiety disorders who had a first contact with CMHCs between January 1, 2007-December 31, 2009 were extracted from Bologna Local Health Authority database. A classification and regression tree procedure was used to determine which combination of demographic and diagnostic variables best distinguished patients referred by PCPs and to identify predictors of patterns of care (consultation, shared care, and treatment at the CMHC) for patients referred by PCPs. Of the 8570 patients, 57.4% were referred by PCPs. Those less likely to be referred by PCPs were living in the urban area, suffered from depressive disorder, and were young. As to the pattern of care, patients living in the urban area were more likely to receive shared care compared with those living in the nonurban area, while the reverse was true for consultation. Predictors of CMHC treatment were depression and young age. Prospective studies are needed to assess length, quantity, and quality of collaborative treatment for common mental disorder delivered at any step of care.
PP - Egypt
PY - 2012
SN - 2090-2050; 2090-2050
SP - 507464
T1 - Integration between Primary Care and Mental Health Services in Italy: Determinants of Referral and Stepped Care
T2 - International journal of family medicine
TI - Integration between Primary Care and Mental Health Services in Italy: Determinants of Referral and Stepped Care
U1 - General Literature
U2 - 22675628
U3 - 10.1155/2012/507464
VL - 2012
VO - 2090-2050; 2090-2050
Y1 - 2012
ER -