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Opioids & SU
The Literature Collection contains over 11,000 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).
11272 Results
5481
Integrating mental health in primary healthcare in low-income countries: changing the future for people with mental disorders
Type: Journal Article
Year: 2017
Publication Place: England
Abstract: BACKGROUND: Untreated mental disorders are a huge challenge for healthcare systems worldwide. Treatment possibilities are particularly scarce in low-income countries (LICs). WHO estimates that up to 85% of all people with a mental disorder in LICs do not have access to evidence-based treatment. AIMS: This paper seeks to explore the rationale behind the WHO recommendations for improving mental health services in LICs. At the core of these recommendations is an integration of mental health services into existing primary healthcare. This article presents available research supporting this approach. Furthermore, it highlights challenges needing special attention and opportunities demanding additional research to guide a comprehensive restructuring of a healthcare system. METHODS: A literature review of WHO documents and searches on PubMed for relevant supporting literature. RESULTS: Research from LICs that investigate mental health interventions is scarce. The evidence that does exist favours integration into primary healthcare. There is evidence that collaborative- and stepped-care interventions can provide viable treatment options for patients. CONCLUSION: Integration of mental health services into primary healthcare seems like a viable solution to ensure that treatment becomes more available, even though the evidence is limited. Locally conducted research is needed to guide the development of sustainable evidence-based mental health treatment, involving relevant healthcare providers, with optimal task-sharing and possibilities for referral of complex cases. Furthermore, to achieve this, comprehensive political will and investments are necessary pre-requisites.
Topic(s):
Healthcare Disparities
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5482
Integrating Mental Health in Safety-net Primary Care: A Five-year Observational Study on Visits in a County Health System
Type: Journal Article
Year: 2021
Topic(s):
Healthcare Disparities
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, Opioids & Substance Use
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5483
Integrating mental health into adolescent annual visits: Impact of previsit comprehensive screening on within-visit processes
Type: Journal Article
Year: 2015
Publication Place: United States
Topic(s):
HIT & Telehealth
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, Healthcare Disparities
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5485
Integrating mental health into general health care: lessons from HIV
Type: Journal Article
Year: 2012
Publication Place: South Africa
Abstract: Mental disorders are highly prevalent across all health settings. Where they are co-morbid with other chronic physical disorders, a complex bidirectional relationship exists between them. While mental disorders may result in an increase in adverse healthrelated outcomes, they are amenable to cost-effective treatments. In resource-limited settings, many barriers to the detection and treatment of mental disorders exist. One approach to the effective targeting of the available resources is to utilize a "risk-flag" approach, wherein individuals at-risk of treatment failure are identified and routed into more intensive mental health screening and intervention. This paper discusses how lessons from HIV services may inform how to improve mental health care and integration in HIV settings, as well as in other chronic diseases.
Topic(s):
General Literature
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Reference Links: 
View the DOI record for Integrating mental health into general health care: lessons from HIV
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View the PubMed citation for Integrating mental health into general health care: lessons from HIV5486
Integrating mental health into HIV prevention and care: A call to action
Type: Journal Article
Year: 2021
Topic(s):
Education & Workforce
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, Healthcare Disparities
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Reference Links:
View the DOI record for Integrating mental health into HIV prevention and care: A call to action
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View the PubMed citation for Integrating mental health into HIV prevention and care: A call to action5487
Integrating Mental Health into Maternal Health Care in Rural Mali: A Qualitative Study
Type: Journal Article
Year: 2021
Topic(s):
Education & Workforce
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, Healthcare Disparities
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Reference Links:
View the DOI record for Integrating Mental Health into Maternal Health Care in Rural Mali: A Qualitative Study
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View the PubMed citation for Integrating Mental Health into Maternal Health Care in Rural Mali: A Qualitative Study5488
Integrating Mental Health into Primary Care
Type: Journal Article
Year: 2016
Publication Place: Israel
Topic(s):
General Literature
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5489
Integrating Mental Health into Primary Care
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: As part of its Raise the Voice campaign to showcase nurses who are key players in transforming health care, the American Academy of Nursing has identified nurses they call edge runners-"practical innovators who have led the way in bringing new thinking and new methods to a wide range of health care challenges." This is the seventh in AJN's series of profiles of these nursing innovators. Read and be proud of what nurses can accomplish.
Topic(s):
Education & Workforce
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5490
Integrating mental health into primary care an integrative collaborative primary care model--the Jamaican experience
Type: Journal Article
Year: 2011
Publication Place: Jamaica
Abstract: Many low-income countries face enormous constraints which limit the development of mental health services. The World Health Organization (WHO) made ten recommendations to facilitate the development of mental health services; among these is the integration of mental health into primary care. Jamaica developed an integrated collaborative system of mental health care through the adoption of a primary care model which is central to the delivery of mental health care. This model emphasized the integration of mental health into primary care and, in expanding the role of the mental health team, made it more collaborative. Mental health services were mainstreamed into primary care and several strategies facilitated this process. These included the training of staff in primary care, the availability of psychotropic medication in primary care facilities and the provision of mental health beds at the community level. Furthermore, focus was placed on human development and the involvement of consumers in the policy development and service delivery. This has resulted in a reduction in the population of the mental health hospital and expansion in the community mental health services.
Topic(s):
Education & Workforce
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Reference Links: View the PubMed citation for Integrating mental health into primary care an integrative collaborative primary care model--the Jamaican experience
5491
Integrating mental health into primary care for displaced populations: the experience of Mindanao, Philippines
Type: Journal Article
Year: 2011
Publication Place: England
Abstract: ABSTRACT: BACKGROUND: For more than forty years, episodes of violence in the Mindanao conflict have recurrently led to civilian displacement. In 2008, Medecins Sans Frontieres set up a mental health program integrated into primary health care in Mindanao Region. In this article, we describe a model of mental health care and the characteristics and outcomes of patients attending mental health services. METHODS: Psychologists working in mobile clinics assessed patients referred by trained clinicians located at primary level. They provided psychological first aid, brief psychotherapy and referral for severe patients. Patient characteristics and outcomes in terms of Self-Reporting Questionnaire (SRQ20) and Global Assessment of Functioning score (GAF) are described. RESULTS: Among the 463 adult patients diagnosed with a common mental disorder with at least two visits, median SRQ20 score diminished from 7 to 3 (p < 0.001) and median GAF score increased from 60 to 70 (p < 0.001). Baseline score and score at last assessment were different for both discharged patients and defaulters (p < 0.001). CONCLUSIONS: Brief psychotherapy sessions provided at primary level during emergencies can potentially improve patients' symptoms of distress.
Topic(s):
General Literature
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Reference Links:
View the DOI record for Integrating mental health into primary care for displaced populations: the experience of Mindanao, Philippines
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View the PubMed citation for Integrating mental health into primary care for displaced populations: the experience of Mindanao, Philippines5492
Integrating mental health into primary care for post-conflict populations: a pilot study
Type: Journal Article
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
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Reference Links:
View the DOI record for Integrating mental health into primary care for post-conflict populations: a pilot study
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View the PubMed citation for Integrating mental health into primary care for post-conflict populations: a pilot study5495
Integrating mental health into primary care within the Veterans Health Administration
Type: Journal Article
Year: 2010
Publication Place: United States
Topic(s):
Education & Workforce
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, Medical Home
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Reference Links:
View the DOI record for Integrating mental health into primary care within the Veterans Health Administration
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View the PubMed citation for Integrating mental health into primary care within the Veterans Health Administration5499
Integrating mental health into primary health care in Iraq
Type: Journal Article
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
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, Education & Workforce
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Reference Links: View the PubMed citation for Integrating mental health into primary health care in Iraq
5500
Integrating mental health into primary health care in Nigeria: Management of depression in a local government (district) area as a paradigm
Type: Journal Article
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
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