TY - JOUR
KW - Attitude of Health Personnel
KW - Bipolar Disorder/diagnosis/therapy
KW - Cooperative Behavior
KW - Humans
KW - Interviews as Topic
KW - Mental Health Services/supply & distribution
KW - Patient Participation/psychology
KW - Physicians, Primary Care/psychology
KW - Primary Health Care/methods
KW - Qualitative Research
KW - Referral and Consultation
KW - Rural Health
KW - Safety-net Providers
AU - J. M. Cerimele
AU - J. C. Fortney
AU - J. M. Pyne
AU - G. M. Curran
A1 - 
AB - Objective: To understand primary care patients' and clinicians' experiences with diagnosis and treatment of patients with bipolar disorder in primary care. Methods: We conducted a qualitative study using thematic content analysis of individual interviews with nine primary care clinicians and six patients from Federally Qualified Health Centers to understand their experiences with the diagnosis and treatment of bipolar disorder. Results: Themes of bipolar disorder detection, referral to specialty mental health care and medication treatment emerged from individual interviews with primary care patients and clinicians. Clinicians and patients faced challenges deciding to continue with care in primary care that is easier to access, but less intensive, than specialty care that can be harder to access but at times of higher quality. Conclusions: Potential next steps in research include identifying ways to support primary care clinicians in detection of patients with bipolar disorder, and strategies to support treatment of patients in primary care with easier access to specialty care including consultation in primary care or co-management with specialty care.
AD - Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.; Department of Veterans Affairs HSR&D, Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA, USA.; Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA.; Department of Veterans Affairs, Center for Mental Health Care and Outcomes Research, Central Arkansas Veterans Health Care System, North Little Rock, AR, USA.; Department of Veterans Affairs, Center for Mental Health Care and Outcomes Research, Central Arkansas Veterans Health Care System, North Little Rock, AR, USA.; Department of Pharmacy Practice, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
BT - Family practice
C5 - General Literature
CP - 1
CY - England
DO - 10.1093/fampra/cmy019
IS - 1
JF - Family practice
M1 - Journal Article
N2 - Objective: To understand primary care patients' and clinicians' experiences with diagnosis and treatment of patients with bipolar disorder in primary care. Methods: We conducted a qualitative study using thematic content analysis of individual interviews with nine primary care clinicians and six patients from Federally Qualified Health Centers to understand their experiences with the diagnosis and treatment of bipolar disorder. Results: Themes of bipolar disorder detection, referral to specialty mental health care and medication treatment emerged from individual interviews with primary care patients and clinicians. Clinicians and patients faced challenges deciding to continue with care in primary care that is easier to access, but less intensive, than specialty care that can be harder to access but at times of higher quality. Conclusions: Potential next steps in research include identifying ways to support primary care clinicians in detection of patients with bipolar disorder, and strategies to support treatment of patients in primary care with easier access to specialty care including consultation in primary care or co-management with specialty care.
PP - England
PY - 2019
SN - 1460-2229; 0263-2136
SP - 32
EP - 37
EP - 
T1 - Bipolar disorder in primary care: a qualitative study of clinician and patient experiences with diagnosis and treatment
T2 - Family practice
TI - Bipolar disorder in primary care: a qualitative study of clinician and patient experiences with diagnosis and treatment
U1 - General Literature
U2 - 29659789
U3 - 10.1093/fampra/cmy019
VL - 36
VO - 1460-2229; 0263-2136
Y1 - 2019
Y2 - Jan 25
ER -