Literature Collection

8021

Primary care, public health, and mental health

Type: Journal Article

Authors: B. G. Druss, R. A. Mays Jr, V. J. Edwards, D. P. Chapman

Year: 2010

Publication Place: United States

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8022

Primary care: A collaborative practice

Type: Book

Authors: Terry Mahan Buttaro, JoAnn Trybulski, Patricia Polgar-Bailey, Joanne Sandberg-Cook

Year: 2017

Publication Place: St. Louis, MO

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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 Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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8023

Primary care: Current problems and proposed solutions

Type: Journal Article

Authors: T. Bodenheimer, H. H. Pham

Year: 2010

Publication Place: United States

Abstract: In 2005, approximately 400,000 people provided primary medical care in the United States. About 300,000 were physicians, and another 100,000 were nurse practitioners and physician assistants. Yet primary care faces a growing crisis, in part because increasing numbers of U.S. medical graduates are avoiding careers in adult primary care. Sixty-five million Americans live in what are officially deemed primary care shortage areas, and adults throughout the United States face difficulty obtaining prompt access to primary care. A variety of strategies are being tried to improve primary care access, even without a large increase in the primary care workforce.

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8024

Primary care: Meeting the mental health care needs of adolescents with depression

Type: Journal Article

Authors: Laura Mufson, Moira A. Rynn

Year: 2019

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8025

Primary care: mental and behavioral health and persons with intellectual and developmental disabilities

Type: Journal Article

Authors: D. A. Ervin, A. Williams, J. Merrick

Year: 2014

Publication Place: Switzerland

Abstract: INTRODUCTION: There are multiple ways to address the mental and behavioral health needs of people with intellectual and developmental disabilities (IDD). METHOD: In this paper, we do not argue for a particular approach or set of approaches, but instead review the benefits of integrating mental and behavioral health supports with primary healthcare based primarily on our experience in and understanding of healthcare systems in the United States. It is estimated that between 35 and 40% of people with IDD also live with psychiatric disorders. NADD, an association for persons with developmental disabilities and mental health needs in the US holds that coexisting IDD and a psychiatric disorder interferes with a person's education and job readiness, and disrupts family and peer relationships. Historically, the presence of such disorders among people with IDD was not well understood or was discounted altogether. CONCLUSION: Over the past 15 years, however, greater attention is being paid to these comorbidities and their treatment, including the need to integrate mental and behavioral health treatments into primary care. Healthcare must account for multiple domains of quality of life, going beyond yearly physicals, and acute care visits, for example, to assess individuals' healthcare goals and support them in achieving those goals. While integrated healthcare delivery systems can be difficult to find and access for people with IDD, such approaches are more responsive to the comprehensive needs and desires of people with IDD.

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8026

Primary Care: On the Front Lines of the Opioid Epidemic

Type: Report

Authors: Marcus A. Bachhuber, Janet Weiner, Julia Mitchell, Jeffrey Samet

Year: 2016

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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.

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8027

Primary care/behavioral health integration efforts in North Carolina

Type: Journal Article

Authors: R. S. Dickens, M. S. Lancaster, K. Crosbie

Year: 2012

Publication Place: United States

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8028

Primary health care and the social determinants of health: essential and complementary approaches for reducing inequities in health

Type: Journal Article

Authors: K. Rasanathan, E. V. Montesinos, D. Matheson, C. Etienne, T. Evans

Year: 2011

Publication Place: England

Abstract: Increasing focus on health inequities has brought renewed attention to two related policy discourses - primary health care and the social determinants of health. Both prioritise health equity and also promote a broad view of health, multisectoral action and the participation of empowered communities. Differences arise in the lens each applies to the health sector, with resultant tensions around their mutual ability to reform health systems and address the social determinants. However, pitting them against each is unproductive. Health services that do not consciously address social determinants exacerbate health inequities. If a revitalised primary health care is to be the key approach to organise society to minimise health inequities, action on social determinants has to be a major constituent strategy. Success in reducing health inequities will require ensuring that the broad focus of primary health care and the social determinants is kept foremost in policy - instead of the common historical experience of efforts being limited to a part of the health sector.

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8029

Primary health care experiences of Hispanics with serious mental illness: a mixed-methods study

Type: Journal Article

Authors: L. J. Cabassa, A. P. Gomes, Q. Meyreles, L. Capitelli, R. Younge, D. Dragatsi, J. Alvarez, A. Nicasio, B. Druss, R. Lewis-Fernandez

Year: 2014

Publication Place: United States

Abstract: This mixed-methods study examines the primary health care experiences of Hispanic patients with serious mental illness. Forty patients were recruited from an outpatient mental health clinic. Participants reported a combination of perceived discrimination and stigmatization when receiving medical care. They rated the quality of chronic illness care as poor and reported low levels of self-efficacy and patient activation. These indicators were positively associated with how patients viewed their relationships with primary care providers. A grounded model was developed to describe the structural, social, and interpersonal processes that shaped participants' primary care experiences.

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8030

Primary health care for people who inject drugs in low and middle income countries

Type: Journal Article

Authors: Bronwyn J. Myers

Year: 2012

Publication Place: Amsterdam

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8031

Primary health care in the mental health workplace: insights from the Australian experience

Type: Journal Article

Authors: M. Cleary, S. Dean, S. Webster, G. Walter, P. Escott, V. Lopez

Year: 2014

Publication Place: England

Abstract: In Australia, Primary Health Care and the mental health sector have always shared a philosophy. In 1978, Primary Health Care was first put forward as a strategy to improve "health for all." Recently, the Australian Government included mental health as a national health priority, identifying six strategies consistent with a Primary Health Care approach to address the mental health of all Australians. Throughout this time, Primary Health Care has been highlighted in all models of care. However, in reality, it appears that in mental health services, mental health nurses, despite good intentions, are not delivering care in a planned or systematised way and that much needs to be done to further improve the situation for individuals accessing the health care system. Services currently focus on those identified as seriously mentally unwell; in order to really make an impact it is argued that services should be broader, offered to the population at large and, further, that the emphasis on case work at an individual level should be changed to an approach that considers prevention, maintenance, and follow-up as well as crisis intervention. This article reflects the Australian experience and offers some insights from that experience.

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8032

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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8033

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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8034

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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8035

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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8036

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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8037

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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8038

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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8039

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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8040

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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