Literature Collection

7241

Mental health care quality across the COVID-19 pandemic in rural versus urban patients

Type: Journal Article

Authors: Korie Rice, Daniel Gottlieb, Natalie Riblet, Bradley V. Watts, Brian Shiner

Year: 2025

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7242

Mental health care roles of non-medical primary health and social care services

Type: Journal Article

Authors: P. Mitchell

Year: 2009

Publication Place: England

Abstract: 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.

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7243

Mental Health Care Services by Family Physicians

Type: Web Resource

Authors: American Academy of Family Physicians

Year: 2001

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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.

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7244

Mental health care services in primary care: Tackling the issues in the context of health care reform

Type: Web Resource

Authors: L. Russell

Year: 2010

Publication Place: Washington, D.C.

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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.

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7245

Mental health care technologies: Primary Care practices and processes

Type: Journal Article

Authors: D. B. Campos, I. C. Bezerra, M. S. B. Jorge

Year: 2018

Publication Place: Brazil

Abstract: OBJECTIVE: To analyze the technologies of mental health care used in the practices and processes that constitute Primary Health Care from the discourses of nurses of the Family Health Strategy. METHOD: Qualitative approach based on the dialectical hermeneutic composition which aims to perform a comprehensive and critical analysis of semi-structured interviews, and free field observation. RESULTS: From the empirical material analyzed, two essential analytical categories emerged: "Health technologies used in PHC for the care of users with psychological distress" and "To stop medicating suffering and to Train professionals". FINAL CONSIDERATIONS: The study pointed the reception and matrixing as the main technologies of care exercised in the interface of Primary Health Care with Mental Health. However, there was a need for reinforcing actions for matrixing, for training in order to improve the professionals' autonomy in face of this demand, as well as the importance of stop medicating individuals with psychological distress.

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7246

Mental health care technologies: Primary Care practices and processes

Type: Journal Article

Authors: D. B. Campos, I. C. Bezerra, M. S. B. Jorge

Year: 2018

Publication Place: Brazil

Abstract: OBJECTIVE: To analyze the technologies of mental health care used in the practices and processes that constitute Primary Health Care from the discourses of nurses of the Family Health Strategy. METHOD: Qualitative approach based on the dialectical hermeneutic composition which aims to perform a comprehensive and critical analysis of semi-structured interviews, and free field observation. RESULTS: From the empirical material analyzed, two essential analytical categories emerged: "Health technologies used in PHC for the care of users with psychological distress" and "To stop medicating suffering and to Train professionals". FINAL CONSIDERATIONS: The study pointed the reception and matrixing as the main technologies of care exercised in the interface of Primary Health Care with Mental Health. However, there was a need for reinforcing actions for matrixing, for training in order to improve the professionals' autonomy in face of this demand, as well as the importance of stop medicating individuals with psychological distress.

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7247

Mental health care treatment initiation when mental health services are incorporated into primary care practice

Type: Journal Article

Authors: R. Kessler

Year: 2012

Publication Place: United States

Abstract: PURPOSE: Most primary care patients with mental health issues are identified or treated in primary care rather than the specialty mental health system. Primary care physicians report that their patients do not have access to needed mental health care. When referrals are made to the specialty behavioral or mental health care system, rates of patients who initiate treatment are low. Collaborative care models, with mental health clinicians as part of the primary care medical staff, have been suggested as an alternative. The aim of this study is to examine rates of treatment startup in 2 collaborative care settings: a rural family medicine office and a suburban internal medicine office. In both practices referrals for mental health services are made within the practice. METHODS: Referral data were drawn from 2 convenience samples of patients referred by primary care physicians for collaborative mental health treatment at Fletcher Allen Health Care in Vermont. The first sample consisted of 93 consecutively scheduled referrals in a family medicine office (sample A) between January 2006 and December 2007. The second sample consisted of 215 consecutive scheduled referrals at an internal medicine office (sample B) between January 2009 and December 2009. Referral data identified age, sex, and presenting mental health/medical problem. RESULTS: In sample A, 95.5% of those patients scheduling appointments began behavioral health treatment; in sample B this percentage was 82%. In sample B, 69% of all patients initially referred for mental health care both scheduled and initiated treatment. CONCLUSIONS: When referred to a mental health clinician who provides on-site access as part of a primary care mental health collaborative care model, a high percentage of patients referred scheduled care. Furthermore, of those who scheduled care, a high percentage of patients attend the scheduled appointment. Findings persist despite differences in practice type, populations, locations, and time frames of data collection. That the findings persist across the different offices suggests that this model of care may contain elements that improve the longstanding problem of poor treatment initiation rates when primary care physicians refer patients for outpatient behavioral health services.

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7248

Mental health care use among adolescent sexual minority males before and during COVID-19

Type: Journal Article

Authors: Nicholas S. Perry, Kimberly M. Nelson

Year: 2024

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7249

Mental health care utilization following a new positive PTSD screen in primary care in the Veterans Health Administration

Type: Journal Article

Authors: David Cameron, Brian Shiner, Lauren M. Denneson, Nathan F. Dieckmann, Allison O'Neill, Kathleen F. Carlson, Maya E. O'Neil

Year: 2024

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7250

Mental health challenges associated with sickle cell disease and strategies to address them: Reflections from a community input panel

Type: Journal Article

Authors: A. Adeyokunnu, H. Avant, S. Hardy, C. Rowley, C. Cole-Cavins, T. Fasipe, L. Kittles, V. H. Coleman-Cowger

Year: 2025

Abstract:

Despite advances in treatment, the mental health challenges of individuals living with Sickle Cell Disease (SCD) remain critically overlooked. Depression, anxiety, and post-traumatic stress disorder disproportionately affect this population, yet mental health support is often inadequate or absent. This paper presents patient-driven insights into the psychological toll of SCD, emphasizing the urgent need for integrated care approaches that address both physical and mental health. By exploring barriers to mental health access, the impact of medical trauma, and strategies for resilience, we aim to shift the conversation toward a more holistic, patient-centered model of SCD care.

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7251

Mental health classifications in primary care: commentary, Dowrick

Type: Journal Article

Authors: C. Dowrick

Year: 2024

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7252

Mental Health Client-Level Data (MH-CLD) 2022: Data on Clients Receiving Mental Health Treatment Services Through State Mental Health Agencies

Type: Web Resource

Authors: Substance Abuse and Mental Health Services Administration

Year: 2024

Publication Place: Rockville, MD

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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.

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7253

Mental health clinical pathways for children and young people with long‐term health conditions: A systematic review

Type: Journal Article

Authors: Thomas King, Roz Shafran, Dougal S. Hargreaves, Luke Muschialli, Daniela Linton, Sophie Bennett

Year: 2024

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7254

Mental health collaborative care and its role in primary care settings

Type: Journal Article

Authors: D. E. Goodrich, A. M. Kilbourne, K. M. Nord, M. S. Bauer

Year: 2013

Publication Place: United States

Abstract: Collaborative care models (CCMs) provide a pragmatic strategy to deliver integrated mental health and medical care for persons with mental health conditions served in primary care settings. CCMs are team-based intervention to enact system-level redesign by improving patient care through organizational leadership support, provider decision support, and clinical information systems, as well as engaging patients in their care through self-management support and linkages to community resources. The model is also a cost-efficient strategy for primary care practices to improve outcomes for a range of mental health conditions across populations and settings. CCMs can help achieve integrated care aims underhealth care reform yet organizational and financial issues may affect adoption into routine primary care. Notably, successful implementation of CCMs in routine care will require alignment of financial incentives to support systems redesign investments, reimbursements for mental health providers, and adaptation across different practice settings and infrastructure to offer all CCM components.

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7255

Mental health collaborative care: A synopsis of the Rural and Isolated Toolkit

Type: Journal Article

Authors: J. M. Haggarty, K. D. Ryan-Nicholls, J. A. Jarva

Year: 2010

Publication Place: Australia

Abstract: CONTEXT: For those residing in rural and isolated parts of Canada, obtaining quality mental health services is often an unfulfilled wish. Rural and isolated communities share the problems of health status and access to care. Health deteriorates the greater the distance from urban areas in the following dimensions: lower life expectancy than the national average; higher rates of disability, violence, poisoning, suicide and accidental death; and more mental and physical health issues than those who live in urban areas. The Canadian Collaborative Mental Health Initiative (CCMHI) was formed to provide, in part, a practical means to encouraging collaborations between primary care and mental health providers. ISSUE: This article provides a synopsis of the Rural and Isolated (R&I) toolkit developed through the CCMHI, which was intended to develop primary care and mental health collaboration in such areas. This toolkit was developed using focus group discussions with mental health providers, and surveys completed by providers and consumers. LESSONS LEARNED: Key messages from the consultative process included: access to services; interprofessional education; consumer involvement; research and evaluation; models of collaboration; ethics; funding; and policy and legislation. A flow diagram was devised to detail the synthesis and practical application of the toolkit, as well as the challenges, key questions and principles of implementation associated with collaborative care initiatives in rural and isolated regions.

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7256

Mental health communications skills training for medical assistants in pediatric primary care

Type: Journal Article

Authors: J. D. Brown, L. S. Wissow, B. L. Cook, S. Longway, E. Caffery, C. Pefaure

Year: 2013

Publication Place: United States

Abstract: Paraprofessional medical assistants (MAs) could help to promote pediatric primary care as a source of mental health services, particularly among patient populations who receive disparate mental health care. This project piloted a brief training to enhance the ability of MAs to have therapeutic encounters with Latino families who have mental health concerns in pediatric primary care. The evaluation of the pilot found that MAs were able to master most of the skills taught during the training, which improved their ability to have patient-centered encounters with families during standardized patient visits coded with the Roter Interaction Analysis System. Parents interviewed 1 and 6 months following the training were more than twice as willing as parents interviewed 1 month before the training to discuss mental health concerns with MAs, and they had better perceptions of their interactions with MAs (all p < 0.01) even after controlling for a range of patient and visit characteristics. Before training, 10.2% of parents discussed a mental health concern with the MA but not the physician; this never happened 6 months after training. This pilot provides preliminary evidence that training MAs holds potential to supplement other educational and organizational interventions aimed at improving mental health services in pediatric primary care, but further research is necessary to test this type of training in other settings and among different patient populations.

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7257

Mental Health Community and Health System Issues in COVID-19: Lessons from Academic, Community, Provider and Policy Stakeholders

Type: Journal Article

Authors: A. C. Arevian, F. Jones, E. M. Moore, N. Goodsmith, S. Aguilar-Gaxiola, T. Ewing, H. Siddiq, P. Lester, E. Cheung, R. Ijadi-Maghsoodi, S. Gabrielian, O. K. Sugarman, C. Bonds, C. Benitez, D. Innes-Gomberg, B. Springgate, C. Haywood, D. Meyers, J. E. Sherin, K. Wells

Year: 2020

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7258

Mental Health Competencies for Pediatric Practice

Type: Journal Article

Year: 2019

Publication Place: United States

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7259

Mental Health Conditions and Health Care Payments for Children with Chronic Medical Conditions

Type: Journal Article

Authors: James M. Perrin, Joan Rosenbaum Asarnow, Terry Stancin, Stephen P. Melek, Gregory K. Fritz

Year: 2019

Publication Place: United States

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7260

Mental health consultations during the perimenopausal age range: a qualitative study of GP and patient experiences

Type: Journal Article

Authors: J. Burgin, Y. Pyne, A. Davies, D. Kessler

Year: 2025

Abstract:

BACKGROUND: There is an increased risk of mood changes in perimenopause, and evidence that patients and GPs may overlook this association. Evidence also shows that GPs have a lack of confidence in managing perimenopausal symptoms. AIM: To examine clinical consultations for patients in the perimenopausal age range who were presenting with mental health symptoms, and the experiences of GPs providing care to such patients. DESIGN & SETTING: A qualitative study was undertaken in one integrated care system in south-west England. It involved 18 women aged 45-55 years, who had consulted with their GP about a mental health symptom in the previous 6 months, and 11 GPs. METHOD: Participants were recruited between February 2023 and August 2023. Data were collected through semi-structured interviews, and thematic analysis was used to identify recurring patterns and key insights regarding consultation practices, patient-GP communication, and gaps in education and training. RESULTS: Women either did not recognise perimenopause or were uncertain whether it contributed to their mental health symptoms, and felt inhibited or embarrassed about raising the issue. GPs reported using variable approaches to asking about perimenopausal symptoms and acknowledged that there were gaps in their training. Time constraints and the stigma surrounding menopause further hindered consultations. CONCLUSION: Addressing mental health symptoms during perimenopause requires a proactive and informed approach in primary care. Improved GP training on menopause, coupled with patient education to increase awareness and confidence, could improve consultations and the management of mental health symptoms experienced during perimenopause.

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