TY - JOUR KW - Adolescent KW - Adult KW - Aged KW - Attitude of Health Personnel KW - Child KW - Child, Preschool KW - Continuity of Patient Care/organization & administration KW - Cooperative Behavior KW - Delivery of Health Care, Integrated KW - Health Care Surveys KW - Health Policy KW - Humans KW - Infant KW - Infant, Newborn KW - Interinstitutional Relations KW - Mental Disorders/prevention & control KW - Middle Aged KW - Operations Research KW - Patient-Centered Care/organization & administration KW - Primary Prevention/organization & administration KW - Principal Component Analysis KW - Private Sector KW - Professional Role KW - Public Sector KW - Qualitative Research KW - Social Work, Psychiatric/organization & administration KW - Sociology, Medical KW - Victoria KW - Young Adult AU - P. Mitchell A1 - AB - Changes in patterns of delivery of mental health care over several decades are putting pressure on primary health and social care services to increase their involvement. Mental health policy in countries like the UK, Australia and New Zealand recognises the need for these services to make a greater contribution and calls for increased intersectoral collaboration. In Australia, most investment to date has focused on the development and integration of specialist mental health services and primary medical care, and evaluation research suggests some progress. Substantial inadequacies remain, however, in the comprehensiveness and continuity of care received by people affected by mental health problems, particularly in relation to social and psychosocial interventions. Very little research has examined the nature of the roles that non-medical primary health and social care services actually or potentially play in mental health care. Lack of information about these roles could have inhibited development of service improvement initiatives targeting these services. The present paper reports the results of an exploratory study that examined the mental health care roles of 41 diverse non-medical primary health and social care services in the state of Victoria, Australia. Data were collected in 2004 using a purposive sampling strategy. A novel method of surveying providers was employed whereby respondents within each agency worked as a group to complete a structured survey that collected quantitative and qualitative data simultaneously. This paper reports results of quantitative analyses including a tentative principal components analysis that examined the structure of roles. Non-medical primary health and social care services are currently performing a wide variety of mental health care roles and they aspire to increase their involvement in this work. However, these providers do not favour approaches involving selective targeting of clients with mental disorders. BT - Health & social care in the community C5 - Education & Workforce CP - 1 CY - England DO - 10.1111/j.1365-2524.2008.00800.x IS - 1 JF - Health & social care in the community N2 - Changes in patterns of delivery of mental health care over several decades are putting pressure on primary health and social care services to increase their involvement. Mental health policy in countries like the UK, Australia and New Zealand recognises the need for these services to make a greater contribution and calls for increased intersectoral collaboration. In Australia, most investment to date has focused on the development and integration of specialist mental health services and primary medical care, and evaluation research suggests some progress. Substantial inadequacies remain, however, in the comprehensiveness and continuity of care received by people affected by mental health problems, particularly in relation to social and psychosocial interventions. Very little research has examined the nature of the roles that non-medical primary health and social care services actually or potentially play in mental health care. Lack of information about these roles could have inhibited development of service improvement initiatives targeting these services. The present paper reports the results of an exploratory study that examined the mental health care roles of 41 diverse non-medical primary health and social care services in the state of Victoria, Australia. Data were collected in 2004 using a purposive sampling strategy. A novel method of surveying providers was employed whereby respondents within each agency worked as a group to complete a structured survey that collected quantitative and qualitative data simultaneously. This paper reports results of quantitative analyses including a tentative principal components analysis that examined the structure of roles. Non-medical primary health and social care services are currently performing a wide variety of mental health care roles and they aspire to increase their involvement in this work. However, these providers do not favour approaches involving selective targeting of clients with mental disorders. PP - England PY - 2009 SN - 1365-2524; 0966-0410 SP - 71 EP - 82 EP - T1 - Mental health care roles of non-medical primary health and social care services T2 - Health & social care in the community TI - Mental health care roles of non-medical primary health and social care services U1 - Education & Workforce U2 - 18700871 U3 - 10.1111/j.1365-2524.2008.00800.x VL - 17 VO - 1365-2524; 0966-0410 Y1 - 2009 ER -