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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).
10858 Results
7901
Psychiatrists' and Primary Care Physicians' Beliefs About Overtreatment of Depression and Anxiety
Type: Journal Article
Year: 2015
Abstract: Critics say that physicians overdiagnose and overtreat depression and anxiety. We surveyed 1504 primary care physicians (PCPs) and 512 psychiatrists, measuring beliefs about overtreatment of depression and anxiety and predictions of whether persons would benefit from taking medication, investing in relationships, and investing in spiritual life. A total of 63% of PCPs and 64% of psychiatrists responded. Most agreed that physicians too often treat normal sadness as a medical illness (67% of PCPs and 62% of psychiatrists) and too often treat normal worry and stress as a medical illness (59% of PCPs, 55% of psychiatrists). Physicians who agreed were less likely to believe that depressed or anxious people would benefit "a lot" from taking an antidepressant (36% vs. 58% of PCPs) or antianxiety medication (25% vs. 42% of PCPs, 42% vs. 57% of psychiatrists). Most PCPs and psychiatrists believe that physicians too often treat normal sadness and worry as a medical illness.
Topic(s):
General Literature
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View the DOI record for Psychiatrists' and Primary Care Physicians' Beliefs About Overtreatment of Depression and Anxiety
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View the PubMed citation for Psychiatrists' and Primary Care Physicians' Beliefs About Overtreatment of Depression and Anxiety7903
Psychiatry and primary care integration: Challenges and opportunities
Type: Journal Article
Year: 2011
Publication Place: England
Abstract: Health systems across the world remain significantly fragmented, affecting access, quality and costs of the care delivered. Strengthening health systems is a global health challenge for all countries: low, middle and high income. According to the World Health Organization the key components of a well functioning health system, namely, leadership and governance, health information systems, health financing, human resources for health, essential medical products and technologies, and services delivery are sine qua non for health systems functioning and strengthening (WHO, 2010). Psychiatry and primary care integration are contributions the house of medicine can make to address fragmentation, access, quality and costs.
Topic(s):
Financing & Sustainability
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View the DOI record for Psychiatry and primary care integration: Challenges and opportunities
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View the PubMed citation for Psychiatry and primary care integration: Challenges and opportunities7904
Psychiatry in primary care using the three-stage assessment
Type: Journal Article
Year: 2014
Publication Place: South Africa
Topic(s):
General Literature
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Reference Links: View the PubMed citation for Psychiatry in primary care using the three-stage assessment
7905
Psychiatry is not a science like others - a focus group study on psychotropic prescribing in primary care
Type: Journal Article
Year: 2013
Publication Place: England
Abstract: BACKGROUND: Psychotropic drug prescribing is problematic and knowledge of factors affecting the initiation and maintenance of such prescribing is incomplete. Such knowledge could provide a basis for the design of interventions to change prescribing patterns for psychotropics. The aim of this study was to explore the views of general practitioners (GPs), GP interns, and heads of primary care units on factors affecting the prescribing of psychotropic drugs in primary care. METHODS: We performed four focus group discussions in Gothenburg, Sweden, with a total of 21 participants (GPs, GP interns, and heads of primary care units). The focus group discussions were transcribed verbatim and analyzed using manifest content analysis. RESULTS: Three different themes emerged from the focus group discussions. The first theme Seeking care for symptoms, reflects the participants' understanding of why patients approach primary care and comprised categories such as knowledge, attitudes, and society and the media. The second theme, Lacking a framework, resources, and treatment alternatives, which reflects the conditions for the physician-patient interaction, comprised categories such as economy and resources, technology, and organizational aspects. The third theme, Restricting or maintaining prescriptions, with the subthemes Individual factors and External influences, reflects the physicians' internal decision making and comprised categories such as emotions, knowledge, and pharmaceutical industry. CONCLUSION: The results of the present study indicate that a variety of factors may affect the prescribing of psychotropic medications in primary care. Many factors were related to characteristics of the patient, the physician or their interaction, rather than the patients' medical needs per se. The results may be useful for interventions to improve psychotropic prescribing in primary care.
Topic(s):
Education & Workforce
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View the DOI record for Psychiatry is not a science like others - a focus group study on psychotropic prescribing in primary care
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View the PubMed citation for Psychiatry is not a science like others - a focus group study on psychotropic prescribing in primary care7906
Psychiatry resident graduate comfort with general medical issues: Impact of an integrated psychiatry-primary medical care training track
Type: Journal Article
Year: 2005
Publication Place: United States
Abstract: OBJECTIVE: To determine if a psychiatry-primary medical care (PPMC) training track impacts comfort and behaviors related to addressing general medical issues after residency. METHOD: Thirty five psychiatry resident graduates completed mailed surveys; nine of them had completed the PPMC track. RESULTS: Compared to non-PPMC participants, PPMC participants felt better prepared to address medical issues and tended to perform more consultations and feel more comfortable referring patients to general medical providers. They were not more likely to perform routine health screenings. CONCLUSION: Integrated training tracks may impact resident preparedness and career choice but may be insufficient to influence practice behaviors related to delivering general medical care.
Topic(s):
Education & Workforce
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7907
Psychiatry residents' confidence in integrated care skills on a collaborative care rotation at a safety net health care system
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
General Literature
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7908
Psychiatry Residents' Perspectives of Primary Care in the Psychiatric Setting
Type: Journal Article
Year: 2019
Publication Place: United States
Abstract: OBJECTIVE: Given the growing interest in integrated care, this study sought to investigate the perception of psychiatry residents towards managing general medical conditions in their psychiatric patients. METHODS: Between July-October 2017, all 46 residents at an adult psychiatry program were asked to complete an online survey. RESULTS: Sixty-seven percent responded. Most residents (81%) indicated they were knowledgeable and/or comfortable in managing medical conditions with supervision/consultation from a primary care provider. Residents also indicated that they would "like to" (48%) and/or "should" be able to (71%) manage the general medical conditions of their patients in the future with supervision/consultation from a primary care provider. An additional 26% indicated that they would like to and/or should be able to independently manage both behavioral and general medical conditions for their patients. Nicotine dependence, hypertension, dyslipidemias, and non-insulin-dependent diabetes were among the top conditions residents felt they should be able to manage (>/= 74%). A lack of knowledge, experience, training, and supervision were the most frequent barriers residents listed in providing general medical care to patients (71%). Residents noted that supervision from a primary care physician (29%) and additional education (54%) would help increase their comfort in managing medical conditions. CONCLUSIONS: Psychiatry residents were generally interested in managing basic medical issues. Opportunities to expand residency training in integrated care should be considered. With new models of integrated care emerging, future studies should explore how resident attitudes might evolve over time, as well as the attitudes and opinions of practicing psychiatrists and supervisors on this topic.
Topic(s):
Education & Workforce
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View the DOI record for Psychiatry Residents' Perspectives of Primary Care in the Psychiatric Setting
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View the PubMed citation for Psychiatry Residents' Perspectives of Primary Care in the Psychiatric Setting7910
Psychiatry's Expanded Integration into Primary Care
Type: Journal Article
Year: 2022
Publication Place: United States
Topic(s):
Education & Workforce
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, Opioids & Substance Use
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7911
Psychiatry's integration with medicine: the role of DSM-5
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: Mental disorders represent a significant global burden whose effects are exacerbated by gaps in diagnosis and service provision. A substantial number of individuals seek services not through specialty psychiatric clinics but through primary care. Thus, the interface between psychiatry and the rest of medicine represents an appropriate area of focus in which to improve the detection and treatment of mental disorders. Development of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) can play a key role in this process. DSM-5 is expected to include specific revisions in diagnostic criteria, chapter organization, text structure, and classification approach that are designed to improve use of DSM by nonpsychiatrist physicians. Furthermore, revisions to DSM-5 will inform development of the primary care version of DSM-5. The goal is to publish a manual that enhances clinical utility in a manner that is concise and more amenable to use in primary care.
Topic(s):
General Literature
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Reference Links: View the PubMed citation for Psychiatry's integration with medicine: the role of DSM-5
7913
Psychoactive medications and disengagement from office based opioid treatment (obot) with buprenorphine
Type: Journal Article
Year: 2017
Publication Place: Ireland
Topic(s):
Opioids & Substance Use
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Reference Links: View the PubMed citation for Psychoactive medications and disengagement from office based opioid treatment (obot) with buprenorphine
7914
Psychological and social problems in primary care patients - general practitioners' assessment and classification
Type: Journal Article
Year: 2013
Publication Place: England
Abstract: OBJECTIVE: To estimate the frequency of psychological and social classification codes employed by general practitioners (GPs) and to explore the extent to which GPs ascribed health problems to biomedical, psychological, or social factors. DESIGN: A cross-sectional survey based on questionnaire data from GPs. Setting. Danish primary care. SUBJECTS: 387 GPs and their face-to-face contacts with 5543 patients. MAIN OUTCOME MEASURES: GPs registered consecutive patients on registration forms including reason for encounter, diagnostic classification of main problem, and a GP assessment of biomedical, psychological, and social factors' influence on the contact. RESULTS: The GP-stated reasons for encounter largely overlapped with their classification of the managed problem. Using the International Classification of Primary Care (ICPC-2-R), GPs classified 600 (11%) patients with psychological problems and 30 (0.5%) with social problems. Both codes for problems/complaints and specific disorders were used as the GP's diagnostic classification of the main problem. Two problems (depression and acute stress reaction/adjustment disorder) accounted for 51% of all psychological classifications made. GPs generally emphasized biomedical aspects of the contacts. Psychological aspects were given greater importance in follow-up consultations than in first-episode consultations, whereas social factors were rarely seen as essential to the consultation. CONCLUSION: Psychological problems are frequently seen and managed in primary care and most are classified within a few diagnostic categories. Social matters are rarely considered or classified.
Topic(s):
General Literature
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View the DOI record for Psychological and social problems in primary care patients - general practitioners' assessment and classification
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View the PubMed citation for Psychological and social problems in primary care patients - general practitioners' assessment and classification7917
Psychological assistance provided to patients diagnosed with depression in primary care
Type: Journal Article
Year: 2017
Publication Place: Brazil
Abstract: The scope of this research was to understand the assistance provided by psychologists to patients diagnosed with depression in the municipal health care network. In this study, the phenomenon is examined from its broader perspective, taking the psychosocial dimensions of health into account. A group of 22 psychologists participated in this study of a qualitative nature. Data collection began with participant in-field observation of the institutional context followed by semi-structured interviews. Grounded theory methodology was used to analyze information, thereby facilitating its integration and categorization.The results revealed that in the primary care network the treatment of depression is essentially restricted to its biological aspect; the choice of individual psychotherapy as the main form of treatment refers to traditional practices of psychological care for depression; the use of institutional and community methods as part of the therapeutic approach suggests mental health interventions that address the psychosocial dimension. The findings indicate that transcending the traditional models of care for patients with depression and the construction of forms of treatment using psychosocial resources are ongoing, indicating that comprehensive care needs to be further consolidated in primary care.
Topic(s):
Education & Workforce
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Reference Links: View the PubMed citation for Psychological assistance provided to patients diagnosed with depression in primary care
7920
Psychological factors related to resilience and vulnerability among youth with HIV in an integrated care setting
Type: Journal Article
Year: 2018
Publication Place: England
Abstract: Approximately 22% of HIV diagnoses in 2015 occurred among youth aged 13-24. Much is known about the risk factors and psychopathology present in youth living with HIV (YLWH), however, relatively little is known about resiliency in this population. The current study sought to assess factors related to resilience and vulnerability among YLWH as well as the impact of psychosocial factors on these constructs using existing clinical data from an integrated care clinic serving YLWH in the southeastern United States. Data included findings from mental health screeners administered as part of the standard protocol of care for youth aged 13-24 including information about anxiety (GAD-7), post-traumatic stress disorder (PC-PTSD), depression (PHQ-A or PHQ-9), substance use (CRAFFT), and medication adherence (BEHKA-HIV Action subscale) as well as viral load and demographic variables. Hierarchical linear regression was used to determine factors related to biological (viral load) and behavioral indicators of resilience and vulnerability (BEHKA-HIV Action subscale and CRAFFT). Results showed that anxiety was a significant covariate of both biological and behavioral indicators of resilience while gender was a significant factor associated with behavioral indicators of vulnerability. None of the psychological or demographic factors examined in this study were associated with substance use, a behavioral indicator of vulnerability and resilience. Our results support the need for clinicians to screen for and monitor anxiety symptoms among YLWH in integrated care settings in an effort to promote resilience and minimize vulnerability. Practical, evidence-based strategies should be applied in clinical settings to address medication adherence and anxiety among YLWH.
Topic(s):
Healthcare Disparities
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Reference Links:
View the DOI record for Psychological factors related to resilience and vulnerability among youth with HIV in an integrated care setting
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View the PubMed citation for Psychological factors related to resilience and vulnerability among youth with HIV in an integrated care setting