TY - JOUR KW - History, 20th Century KW - Mental Health Services/history/organization & administration KW - Primary Health Care/history/organization & administration KW - United States AU - B. G. Druss A1 - AB - This paper, the first in a series commissioned by NIMH for the "Challenges for the 21st Century: Mental Health Services Research Conference," seeks to provide a broad perspective on the primary care/mental health interface in the United States. The manuscript examines both the care of mental disorders in medical settings, and also the medical care of the seriously medically ill. The first section provides a historical overview of the cycling patterns of growth and retrenchment of primary care medicine during the 20th century, and the how those changes have paralleled the care of mental disorders and the mentally ill. The second section examines the four core features of primary care -first contact, longitudinality, comprehensiveness and coordination -and their implications for these issues. An historical and system-level perspective can provide a crucial step towards improving care on the mental health/primary care interface. BT - General hospital psychiatry C5 - Financing & Sustainability CP - 4 CY - United States IS - 4 JF - General hospital psychiatry N2 - This paper, the first in a series commissioned by NIMH for the "Challenges for the 21st Century: Mental Health Services Research Conference," seeks to provide a broad perspective on the primary care/mental health interface in the United States. The manuscript examines both the care of mental disorders in medical settings, and also the medical care of the seriously medically ill. The first section provides a historical overview of the cycling patterns of growth and retrenchment of primary care medicine during the 20th century, and the how those changes have paralleled the care of mental disorders and the mentally ill. The second section examines the four core features of primary care -first contact, longitudinality, comprehensiveness and coordination -and their implications for these issues. An historical and system-level perspective can provide a crucial step towards improving care on the mental health/primary care interface. PP - United States PY - 2002 SN - 0163-8343; 0163-8343 SP - 197 EP - 202 EP - T1 - The mental health/primary care interface in the United States: history, structure, and context T2 - General hospital psychiatry TI - The mental health/primary care interface in the United States: history, structure, and context U1 - Financing & Sustainability U2 - 12100830 VL - 24 VO - 0163-8343; 0163-8343 Y1 - 2002 ER -