TY - JOUR
KW - Health Care Surveys/methods
KW - Health Policy
KW - Health Services Accessibility
KW - Humans
KW - Interviews as Topic
KW - Medically Underserved Area
KW - Mental Health Services/supply & distribution
KW - New Zealand
KW - Primary Health Care
AU - A. O'Brien
AU - F. Moir
AU - K. Thom
A1 - 
AB - AIM: To identify barriers and enablers to the provision of mental health care by Primary Health Organisations (PHOs) in the northern region. METHODS: Information was generated from structured interviews with 22 of the 25 PHOs and the four District Health Boards (DHBs) in the northern region. RESULTS: Of the 22 PHOs who participated in the study, 17 had at least one specific mental health initiative; others had up to five initiatives. PHOs that were funded to provide one of the 41 Ministry of Health mental health pilot projects had more mental health initiatives in place. Barriers and enablers to providing mental health care occurred in areas such as workforce capacity, funding, infrastructure, and limited interest in transfer of care from secondary to primary care. CONCLUSIONS: Barriers to providing mental health care within the primary sector include stigma, lack of training, communication between sectors, funding and perceptions of sector roles. Factors which enable provision of mental health care are availability of training, good communication between sectors, use of available and new funding mechanisms and community involvement. Further research at the practice and practitioner level is necessary to fully understand development of mental health care within the primary care sector.
BT - Journal of primary health care
C5 - Education & Workforce; Financing & Sustainability; Healthcare Disparities
CP - 2
CY - New Zealand
IS - 2
JF - Journal of primary health care
N2 - AIM: To identify barriers and enablers to the provision of mental health care by Primary Health Organisations (PHOs) in the northern region. METHODS: Information was generated from structured interviews with 22 of the 25 PHOs and the four District Health Boards (DHBs) in the northern region. RESULTS: Of the 22 PHOs who participated in the study, 17 had at least one specific mental health initiative; others had up to five initiatives. PHOs that were funded to provide one of the 41 Ministry of Health mental health pilot projects had more mental health initiatives in place. Barriers and enablers to providing mental health care occurred in areas such as workforce capacity, funding, infrastructure, and limited interest in transfer of care from secondary to primary care. CONCLUSIONS: Barriers to providing mental health care within the primary sector include stigma, lack of training, communication between sectors, funding and perceptions of sector roles. Factors which enable provision of mental health care are availability of training, good communication between sectors, use of available and new funding mechanisms and community involvement. Further research at the practice and practitioner level is necessary to fully understand development of mental health care within the primary care sector.
PP - New Zealand
PY - 2009
SN - 1172-6164; 1172-6156
SP - 120
EP - 125
EP - 
T1 - The provision of mental health care by primary health organisations in the northern region: Barriers and enablers
T2 - Journal of primary health care
TI - The provision of mental health care by primary health organisations in the northern region: Barriers and enablers
U1 - Education & Workforce; Financing & Sustainability; Healthcare Disparities
U2 - 20690362
VL - 1
VO - 1172-6164; 1172-6156
Y1 - 2009
ER -