Literature Collection

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Grey Literature

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The Literature Collection contains over 10,000 references for published and grey literature on the integration of behavioral health and primary care. Learn More

Use the Search feature below to find references for your terms across the entire Literature Collection, or limit your searches by Authors, Keywords, or Titles and by Year, Type, or Topic. View your search results as displayed, or use the options to: Show more references per page; Sort references by Title or Date; and Refine your search criteria. Expand an individual reference to View Details. Full-text access to the literature may be available through a link to PubMed, a DOI, or a URL. References may also be exported for use in bibliographic software (e.g., EndNote, RefWorks, Zotero).

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5261
Integrating mental health into primary care for post-conflict populations: a pilot study
Type: Journal Article
Authors: C. Siriwardhana, A. Adikari, K. Jayaweera, B. Abeyrathna, A. Sumathipala
Year: 2016
Publication Place: England
Abstract: BACKGROUND: Mental health care in post-conflict settings is often not prioritized, despite its important public health role. There is a salient gap in integrating mental health into primary care, especially in post-conflict settings. In the post-conflict Northern province of Sri Lanka, a pilot study was conducted to explore the feasibility of integrating mental health into primary care through a mhGAP-based training intervention. METHODS: Using the mhGAP training intervention modules, a 24 h training programme was held over 3 days for primary care practitioners serving post-conflict populations (including internally displaced people and returnees). mhGAP intervention guide and video material was used in the training. Pre/post knowledge increase was measured. A qualitative study was also nested within the training programme to explore views, attitudes and perceptions of primary care practitioners on integrating mental health into primary care in the region. In-depth interviews were conducted. RESULTS: Twelve primary care practitioners participated. The average service duration of the group was 7.6 years. The mean pre- and post-test scores of the PCP group were 72.8 and 77.2 % respectively. All 12 took part in the qualitative component. Participants highlighted their experiences of conflict and displacement, discussed the health profiles/needs of post-conflict populations in the region and provided insight into mental health care and training needs at primary care level. Participants also provided feedback on the mhGAP-based training; the cultural and contextual relevance of training material and content. CONCLUSION: This study was planned as a local demonstrative project to explore the feasibility of training primary care practitioners to promote the integration of mental health into primary care for post-conflict populations. To our knowledge, this is the first such attempt in Sri Lanka. Findings highlight the practical, operational and attitudinal barriers to integrate mental health into primary care, especially in resource-poor, post-conflict settings. Important feedback on mhGAP intervention guide, its implementation and training material was gained.
Topic(s):
Education & Workforce See topic collection
5262
Integrating mental health into primary care in Africa: The case of Equatorial Guinea
Type: Journal Article
Authors: Maraa Goretti Moron-Nozaleda, Juan Gomez de Tojeiro, Daniel Cobos-Munoz, Alberto Fernandez-Liria
Year: 2011
Publication Place: Netherlands: War Trauma Foundation
Topic(s):
Healthcare Policy See topic collection
5263
Integrating mental health into primary care within the Veterans Health Administration
Type: Journal Article
Authors: Edward P. Post, Maureen Metzger, Patricia Dumas, Laurent Lehmann
Year: 2010
Publication Place: US: Educational Publishing Foundation; Systems, & Health
Topic(s):
Education & Workforce See topic collection
,
Medical Home See topic collection
5265
Integrating mental health into primary care: a global perspective
Type: Government Report
Authors: World Health Organization
Year: 2008
Publication Place: Geneva, Switzerland
Topic(s):
Grey Literature See topic collection
Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

5266
Integrating mental health into primary care: the policy maker's perspective and experience in China
Type: Journal Article
Authors: Yu Xin, Liu Jin, Ma Hong
Year: 2010
Publication Place: United Kingdom
Topic(s):
General Literature See topic collection
5267
Integrating mental health into primary health care in Iraq
Type: Journal Article
Authors: S. Sadik, S. Abdulrahman, M. Bradley, R. Jenkins
Year: 2011
Publication Place: England
Abstract: The Ministry of Health in Iraq is undertaking a systematic programme to integrate mental health into primary care in order to increase population access to mental health care. This paper reports the evaluation of the delivery of a ten day interactive training programme to 20% of primary care centres across Iraq. The multistage evaluation included a pre- and post-test questionnaire to assess knowledge, attitudes and practice in health workers drawn from 143 health centres, a course evaluation questionnaire and, in a random sample of 41 clinics, direct observation of health workers skills and exit interviews of patients, comparing health workers who had received the training programme with those from the same clinics who had not received the training. Three hundred andseventeen health workersparticipated in the training, which achieved an improvement in test scores from 42.3% to 59%. Trained health workers were observed by research psychiatrists to have a higher level of excellent skills than the untrained health workers, and patient exit interviews also reported better skills in the trained rather than untrained health workers. The two week course has thus been able to achieve significant change, not only in knowledge, but also in subsequent demonstration of trained practitioners practical skills in the workplace. Furthermore, it has been possible to implement the course and the evaluation despite a complex conflict situation.
Topic(s):
Education & Workforce See topic collection
,
Education & Workforce See topic collection
5268
Integrating mental health into primary health care in Nigeria: Management of depression in a local government (district) area as a paradigm
Type: Journal Article
Authors: A. O. Odejide, J. J. Morakinyo, F. O. Oshiname, O. Omigbodun, A. J. Ajuwon, L. Kola
Year: 2002
Publication Place: Japan
Abstract: BACKGROUND: In Nigeria, the primary health care (PHC) manned by non-physician health workers, forms the bedrock of the health care system. And mental health care has not yet been integrated into primary health care system. OBJECTIVE: To demonstrate how the training of primary health care workers in the recognition and management of depression can form an example of systematic integration of mental health into primary health care. METHODS: The training needs and knowledge of 62 primary health care workers were assessed through focus group discussions and structured self-administered questionnaire. A two-day training program on the recognition and management of depression was conducted using an adapted version of the World Psychiatric Association (WPA) guidelines for the management of depression in primary health care. The trainees completed a pre and post-training assessments to determine the immediate outcome of the training. RESULTS: Pre-training, the health workers had very poor knowledge of depression. None of the participants could mention any antidepressant. There were significant improvements in knowledge post training, with the greatest gain in knowledge occurring in drug management of depression. General outcome evaluation showed significant increase in knowledge and skills for the recognition and management of depression. CONCLUSIONS: The training increased PHC workers knowledge about the concept, recognition and management of depression. And the methods adopted could be helpful means of integrating mental health into PHC.
Topic(s):
Education & Workforce See topic collection
5269
Integrating mental health into primary health care in Rohingya refugee settings in Bangladesh: experiences of UNHCR
Type: Journal Article
Authors: Sadya Tarannum, Mohamed Elshazly, Sandra Harlass, Peter Ventevogel
Year: 2019
Publication Place: Mumbai
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
5270
Integrating mental health into primary health care in Zambia: A care provider's perspective
Type: Journal Article
Authors: Lonia Mwape, Alice Sikwese, Augustus Kapungwe, Jason Mwanza, Alan Flisher, Crick Lund, Sara Cooper
Year: 2010
Publication Place: United Kingdom: BioMed Central Limited
Topic(s):
Education & Workforce See topic collection
5271
Integrating mental health into primary health care settings after an emergency: Lessons from Haiti
Type: Journal Article
Authors: Nick Rose, Peter Hughes, Sherese Ali, Lynne Jones
Year: 2011
Publication Place: Netherlands: War Trauma Foundation
Topic(s):
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
,
HIT & Telehealth See topic collection
5272
Integrating mental health screening and abnormal cancer screening follow-up: An intervention to reach low-income women
Type: Journal Article
Authors: K. Ell, B. Vourlekis, J. Nissly, D. Padgett, D. Pineda, O. Sarabia, V. Walther, S. Blumenfield, P. J. Lee
Year: 2002
Publication Place: United States
Abstract: The results of implementing mental health screening within cancer screening and diagnostic programs serving low-income ethnic minority women are reported. Multi-phased screening for anxiety and depression was provided as part of structured health education and intensive case management services to improve abnormal mammogram or Pap test follow-up. Seven hundred fifty-three women were enrolled in the Screening Adherence Follow-up Program. Ten percent (n = 74) met criteria for depressive or anxiety disorder. Women with depressive or anxiety disorders were more likely to have cancer, significant psychosocial stress, fair or poor health status, a comorbid medical problem, and limitation in functional status. Forty-seven women with disorders were receiving no depression care.
Topic(s):
Healthcare Disparities See topic collection
5274
Integrating mental health services into a general hospital in Puerto Rico
Type: Journal Article
Authors: J. Jimenez, D. Rivera, P. Benitez, H. Tarrats, A. Ramos
Year: 2013
Publication Place: United States
Abstract: The prevalence of mental health problems in the general population should be carefully considered. The literature has reported a high co-morbidity of medical and mental illnesses; therefore, collaborative efforts incorporating psychological services into medical settings are imperative. In Puerto Rico, this is not a regular practice in general hospitals. Improving access to mental health services is a challenge and requires the creation of new venues within the healthcare system. This paper describes the theoretical framework, mission, and objectives of the Clinical Psychology Services Program (CPSP) implemented at Damas Hospital in Puerto Rico. From December 2002 to December 2010, a total of 13,580 visits were made to inpatients in diverse clinical units of the hospital; 61% of all inpatients evaluated met the criteria for at least one mental health disorder based on the DSM-IV-TR. The CPSP's outcomes highlight the acceptance and relevance of incorporating mental health services and clinical psychologists into general hospitals.
Topic(s):
General Literature See topic collection
5275
Integrating mental health services into primary care for HIV-infected pregnant and non-pregnant women: Whole Life-a theoretically derived model for clinical care and outcomes assessment
Type: Journal Article
Authors: S. Dodds, N. T. Blaney, E. M. Nuehring, T. Blakley, J. M. Lizzotte, J. E. Potter, M. J. O'Sullivan
Year: 2000
Publication Place: UNITED STATES
Abstract: Poor women of color who are disproportionately both infected and affected by HIV/AIDS also face multiple lifestyle and psychosocial burdens that complicate effective delivery of health care, thereby contributing to their poorer prognosis. Addressing these factors within the context of HIV/AIDS primary care for women is the aim of Whole Life, a program to integrate mental health services into primary care for HIV-infected pregnant and non-pregnant women. Whole Life utilizes a theoretically derived clinical services model that provides data for both clinical care and patient outcomes research within the constraints of a clinical setting. During a woman's first two clinic visits, data are gathered in structured interviews with standardized instruments-adapted for relevance to the population-that meet clinical and service needs, as well as measure components of the Whole Life model. Interviews are conducted by existing front-line staff who have been trained in using these instruments to gather information typically recorded in clinical notes. The implementation of Whole Life to date clearly demonstrates the feasibility of mental health-primary care services integration in a publicly funded HIV primary care clinic serving poor women of color.
Topic(s):
Healthcare Disparities See topic collection
5277
Integrating mental health services with primary care: Assessing the psychological and social components of HPV provider education
Type: Web Resource
Authors: Thekla P. Brumder
Year: 2009
Publication Place: US
Abstract: The purpose of this dissertation was to explore the current level of continuing education provided for primary care doctors about the psychological treatment of people infected with the human papillomavirus (HPV). A diagnosis of a sexually transmitted infection like HPV can cause significant psychological, social, and medical consequences. Primary care doctors are in a unique position to detect, diagnose, and treat HPV on each of three levels, medical, psychological, and social. This review involved an exploration of integrated primary care in treating an HPV diagnosis. A critical evaluation of medical education on HPV for primary care providers was conducted to evaluate the level of psychological and social education available for providers. Continuing medical education (CME) on HPV should address the psychological and social components of HPV as well as the medical sequelae. The integration of psychological services in primary care is essential when treating HPV in order to improve treatment adherence to follow-up care, increase patient satisfaction, and decrease reoccurrence. Utilizing the expertise of both medical and mental health professionals is the best method to meet an HPV positive patients needs. The data collected in this study indicated that the psychological and social education on HPV available for medical providers in online continuing medical education is low. Current HPV research and advice from HPV medical experts indicated that addressing the psychological and social components of an HPV diagnosis is essential for comprehensive care. Thus, psychosocial HPV education must be integrated into current medical education to ensure medical providers can begin to address the emotional sequalae of HPV. If time and training inhibits providers do integrate psychosocial care into the medical appointment, a referral for a mental health specialist is strongly advised. The data collected in this study support an integrated model of care: physical, psychological, social, and education to meet the unique needs of HPV patients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
Topic(s):
Education & Workforce See topic collection
,
Education & Workforce See topic collection
,
Grey Literature See topic collection
Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

5278
Integrating mental health services within primary care settings: The Hamilton Family Health Team
Type: Journal Article
Authors: N. Kates, C. McPherson-Doe, L. George
Year: 2011
Publication Place: United States
Abstract: For 16 years, the Hamilton Family Health Team Mental Health Program has successfully integrated mental health counselors, addiction specialists, child mental health professionals, and psychiatrists into 81 offices of 150 family physicians in Hamilton, Ontario. Maximising the potential of a "shared care" model requires changes within the primary care setting, to support the addition of mental health and addiction professionals, active involvement of primary care staff in managing mental health problems of patients, and collaborative practice. This coordinated effort allow mental health treatment through onsite support from a mental health team and supplants the need to refer most patients to the mental health setting. This article reviews the evolution of the program and the changes made by practices with key lessons learnt.
Topic(s):
General Literature See topic collection
5280
Integrating Mental Health Treatment into the Patient Centered Medical Home
Type: Government Report
Authors: T. W. Crogan, J. D. Brown
Year: 2010
Publication Place: Rockville, MD
Topic(s):
Grey Literature See topic collection
,
Medical Home See topic collection
,
Medical Home See topic collection
Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.