Literature Collection

7721

Primary health care nurses: Attitudes towards the person with mental disorder

Type: Journal Article

Authors: Maria do Perpétuo Socorro de Sousa Nóbrega, Carla Sílvia Neves da Nova Fernandes, Sonia Regina Zerbetto, Francisco Miguel Correia Sampaio, José Carlos Carvalho, Suellen Cristina da Silva Chaves

Year: 2021

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7722

Primary health care practitioners' tools for mental health care

Type: Journal Article

Authors: S. Hyvonen, M. Nikkonen

Year: 2004

Publication Place: England

Abstract: The purpose of this study was to describe and analyse the content of mental health care from the practitioner's point of view. The specific aim of this paper was to outline the types of mental health care tools and the ways in which they are used by primary health care practitioners. The data were derived from interviews with doctors and nurses (n = 29) working in primary health care in six different health care centres of the Pirkanmaa region in Finland. The data were analysed by using qualitative content analysis. The tools of mental health care used in primary health care were categorized as communicative, ideological, technical and collaborative tools. The interactive tools are either informative, supportive or contextual. The ideological tools consist of patient initiative, acceptance and permissiveness, honesty and genuineness, sense of security and client orientation. The technical tools are actions related to the monitoring of the patient's physical health and medical treatment. The collaborative tools are consultation and family orientation. The primary health care practitioner him/herself is an important tool in mental health care. On the one hand, the practitioner can be categorized as a meta-tool who has control over the other tools. On the other hand, the practitioner him/herself is a tool in the sense that s/he uses his/her personality in the professional context. The professional skills and attitudes of the practitioner have a significant influence on the type of caring the client receives. Compared with previous studies, the present informants from primary health care seemed to use notably versatile tools in mental health work. This observation is important for the implementation and development of mental health practices and education.

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7723

Primary healthcare outlets that target injecting drug users: Opportunity to make services accessible and acceptable to the target group

Type: Journal Article

Authors: Mofizul Islam, Libby Topp, Carolyn A. Day, Angela Dawson, Katherine M. Conigrave

Year: 2012

Publication Place: Amsterdam

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7724

Primary healthcare workers could help to reduce the burden of common mental disorders in low-income nations

Type: Journal Article

Authors: J. Fisher

Year: 2014

Publication Place: England

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7725

Primary healthcare-based integrated care with opioid agonist treatment: First experience from Ukraine

Type: Journal Article

Authors: O. Morozova, S. Dvoriak, I. Pykalo, F. L. Altice

Year: 2017

Publication Place: Ireland

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7726

Primary medical care and reductions in addiction severity: a prospective cohort study

Type: Journal Article

Authors: R. Saitz, N. J. Horton, M. J. Larson, M. Winter, J. H. Samet

Year: 2005

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7727

Primary mental health care for older persons in India: How age-inclusive are public policies?

Type: Journal Article

Authors: T. Kafczyk, K. Hämel

Year: 2021

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7728

Primary mental health care information and services for St. John's visible minority immigrants: Gaps and opportunities

Type: Journal Article

Authors: S. Reitmanova, D. L. Gustafson

Year: 2009

Publication Place: England

Abstract: This article draws on an environmental scan and interviews with visible minority immigrants in a small urban Atlantic community to report on gaps and opportunities for improving access to information about primary mental health care services and barriers to utilization of these services. Information about services was limited and did not specifically address the complex health-related concerns of immigrants with diverse religious and cultural backgrounds. Accessing information about mental health care services was challenging for some visible minority immigrants because of physical and financial constraints and limited computer and language literacy. The major barriers to the utilization of primary mental health care services were lack of information, language and literacy issues, a mistrust of primary mental health care services, the stigma associated with mental illness, long wait times, lack of finances, and religious and cultural differences and insensitivity. A list of nine recommendations, which may be of interest to mental health decision-makers and service providers in small urban centers with limited ethno-cultural diversity, is provided.

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7729

Primary mental health care visits in self-reported data versus provincial administrative records

Type: Journal Article

Authors: J. L. Palin, E. M. Goldner, M. Koehoorn, C. Hertzman

Year: 2011

Publication Place: Canada

Abstract: BACKGROUND: Survey data and provincial administrative health data are the major sources of population estimates of mental health care visits to General Practitioners (GPs). Previous research has suggested that self-reported estimates of the number of mental health-related visits per person to health professionals may exceed estimates obtained from physician reimbursement records. DATA AND METHODS: Self-reported data from the 2002 Canadian Community Health Survey (CCHS): Mental Health and Well-being and administrative records from the Medical Services Plan of British Columbia were linked. The analytic sample consisted of 145 CCHS respondents who had at least one mental health visit to a GP in the past 12 months according to both data sources. High Reporters (self-reported visits exceeded number in administrative data), Low Reporters (self-reported visits were less than number in administrative data), and Exact Matches were analyzed in two ways. The first analysis used diagnostic codes to identify mental health-related visits in the administrative data. For the second analysis, all GP visits in the administrative data were counted as "possibly" mental health-related. Differences were described based on the median number of visits. RESULTS: When diagnostic codes were used to identify mental-health-related visitis in the administrative data, High Reporters (49%) substantially exceeded Low Reporters (24%). The remaining 27% were Exact Matches. Based on a broader definition of a mental health visit, 51% were Exact Matches. High reporting was common among people with mental disorders. INTERPRETATION: Self-reported data and administrative data provide different estimates of the number of mental health visits per person to GPs. The discrepancy can be large.

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7730

Primary mental health care: Service delivery and the impact on the workforce

Type: Journal Article

Authors: H. Rodenburg, T. Dowell, K. James

Year: 2009

Publication Place: New Zealand

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7731

Primary mental health workers in child and adolescent mental health services

Type: Journal Article

Authors: W. Macdonald, S. Bradley, P. Bower, T. Kramer, B. Sibbald, E. Garralda, R. Harrington

Year: 2004

Publication Place: England

Abstract: BACKGROUND: The interface between primary care and specialist services is increasingly seen as crucial in the effective management of child and adolescent mental health (CAMH) problems. In the United Kingdom, a new role of primary mental health worker (PMHW), has been established in order to achieve effective collaboration across the interface through the provision of clinical care in primary care settings and by improving the skills and confidence of primary care staff. However, little is known about the development of this innovative role in service contexts. Issues raised during the early stages of implementation may have important implications for the preparation and development of professionals who undertake the role. AIMS: The aim of this paper is to report on a study that examined key issues in implementation of the PMHW role in six health authorities in England. METHODS: Case study evaluation was conducted, using thematic analysis of 75 qualitative interviews with key stakeholders from different professions (e.g. PMHWs, general practitioners, health visitors, psychiatrists and service managers) and representing different sectors (primary care, specialist services and community child health services). FINDINGS: The study identified three models of organization (outreach, primary care-based and teams). Each was associated with different advantages and disadvantages in its effects on referral rates to specialist services and the development of effective working relationships with primary care providers. Problems associated with accommodation and effective integration of PMHWs with specialist services, and tensions caused by the two different roles that PMHWs could undertake (direct clinical care vs. consultation-liaison) were common across all sites. CONCLUSIONS: The PMHW role is an important development that may go some way towards realizing the potential of primary care services in CAMH. The implementation of new roles and models of working in primary care is complex, but may be facilitated by effective planning with primary care providers, clear goals for staff, and a long-term perspective on service development.

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7732

Primary prevention of child mental health problems using primary health care professionals: Cost comparisons

Type: Journal Article

Authors: Martin Knapp, Barbara Barrett, Sarah Byford, Angela Hallam, Hilton Davis, John Tsiantis, Kaija Puura, Veronika Ispanovic-Radojkovic, Anna Paradisiotou

Year: 2005

Publication Place: United Kingdom: Clifford Beers Foundation

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7733

Primary preventive health care among injection drug users, other sustained drug users, and non-users

Type: Journal Article

Authors: Dale D. Chitwood, Jesus Sanchez, Mary Comerford, Clyde B. McCoy

Year: 2001

Publication Place: United States

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7734

Primary process: Why psychiatry and general practice should collaborate

Type: Journal Article

Year: 2016

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7735

Primary versus specialty care outcomes for depressed outpatients managed with measurement-based care: results from STAR*D

Type: Journal Article

Authors: B. N. Gaynes, A. J. Rush, M. H. Trivedi, S. R. Wisniewski, G. K. Balasubramani, P. J. McGrath, M. E. Thase, M. Klinkman, A. A. Nierenberg, W. R. Yates, M. Fava

Year: 2008

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7736

Primary-care provider reflections on Research and Training from Special issue on ethical quandaries when delivering integrated

Type: Journal Article

Authors: Debra A. Gould

Year: 2013

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7737

Primary, Secondary, and Tertiary Prevention of Substance Use Disorders through Socioecological Strategies

Type: Government Report

Authors: Amanda D. Latimore, Elizabeth Salisbury-Asfshar, Noah Duff, Emma Freiling, Brett Kellett, Rebecca D. Sullenger, Aisha Salman, Prevention Treatment and Recovery Services Working Group of the National Academy of Medicine's Action Collaborative on Countering the U.S. Opioid Epidemic

Year: 2023

Publication Place: Washington, DC

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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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7738

Primer on Opioids

Type: Report

Authors: National Association of State Alcohol and Drug Abuse Directors

Year: 2018

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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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7739

Principles and Methods of Statistical Assessment of Abuse-Deterrent Opioids

Type: Journal Article

Authors: L. Chen

Year: 2018

Publication Place: United States

Abstract: The FDA Guidance for Industry: Abuse-Deterrent Opioids-Evaluation and Labeling was published in April 2015. Since then questions have been raised regarding how to determine the relative abuse-deterrent (AD) effect of an AD formulation (a test product) compared to an immidiate release (IR) or NonAD extended release (ER) formulation of the same opioid (a positive control) and how to define a responder for responder analysis in clinical abuse potential studies. These questions are reasonable and important for the assessment of AD effect of an AD formulation. This article discusses the principles of the statistical assessment in this area and gives details on how to calculate sample size for the primary comparison in the study and how to perform the statistical analyses. In addition, the article also discusses the reason why the non-inferiority test is not proper for the comparison between a test product and an approved AD version of the same opioid product. Finally, a gatekeeping testing procedure is proposed for this comparison with an example.

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7740

Principles for collaboration between health and mental health providers in primary care

Type: Journal Article

Authors: S. McDaniel, T. Campbell, D. Seaburn

Year: 1995

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