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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).
12257 Results
8762
Primary care/behavioral health integration efforts in North Carolina
Type: Journal Article
Year: 2012
Publication Place: United States
Topic(s):
Education & Workforce
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Reference Links: View the PubMed citation for Primary care/behavioral health integration efforts in North Carolina
8763
Primary health care and the social determinants of health: essential and complementary approaches for reducing inequities in health
Type: Journal Article
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.
Topic(s):
Healthcare Disparities
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, Healthcare Policy
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8764
Primary health care experiences of Hispanics with serious mental illness: a mixed-methods study
Type: Journal Article
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.
Topic(s):
Healthcare Disparities
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Reference Links:
View the DOI record for Primary health care experiences of Hispanics with serious mental illness: a mixed-methods study
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View the PubMed citation for Primary health care experiences of Hispanics with serious mental illness: a mixed-methods study8766
Primary health care in the mental health workplace: insights from the Australian experience
Type: Journal Article
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.
Topic(s):
General Literature
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Reference Links:
View the DOI record for Primary health care in the mental health workplace: insights from the Australian experience
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View the PubMed citation for Primary health care in the mental health workplace: insights from the Australian experience8768
Primary health care practitioners' tools for mental health care
Type: Journal Article
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.
Topic(s):
Medically Unexplained Symptoms
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, Measures
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Reference Links:
View the DOI record for Primary health care practitioners' tools for mental health care
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View the PubMed citation for Primary health care practitioners' tools for mental health care8770
Primary healthcare workers could help to reduce the burden of common mental disorders in low-income nations
Type: Journal Article
Year: 2014
Publication Place: England
Topic(s):
Healthcare Disparities
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, Education & Workforce
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Reference Links:
View the DOI record for Primary healthcare workers could help to reduce the burden of common mental disorders in low-income nations
View DOI Record
View the PubMed citation for Primary healthcare workers could help to reduce the burden of common mental disorders in low-income nations8771
Primary healthcare-based integrated care with opioid agonist treatment: First experience from Ukraine
Type: Journal Article
Year: 2017
Publication Place: Ireland
Topic(s):
Opioids & Substance Use
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Reference Links: View the PubMed citation for Primary healthcare-based integrated care with opioid agonist treatment: First experience from Ukraine
8772
Primary medical care and reductions in addiction severity: a prospective cohort study
Type: Journal Article
Year: 2005
Topic(s):
Opioids & Substance Use
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Reference Links:
View the DOI record for Primary medical care and reductions in addiction severity: a prospective cohort study
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View the PubMed citation for Primary medical care and reductions in addiction severity: a prospective cohort study8773
Primary mental health care for older persons in India: How age-inclusive are public policies?
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 Primary mental health care for older persons in India: How age-inclusive are public policies?
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View the PubMed citation for Primary mental health care for older persons in India: How age-inclusive are public policies?8774
Primary mental health care information and services for St. John's visible minority immigrants: Gaps and opportunities
Type: Journal Article
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.
Topic(s):
Healthcare Disparities
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Reference Links:
View the DOI record for Primary mental health care information and services for St. John's visible minority immigrants: Gaps and opportunities
View DOI Record
View the PubMed citation for Primary mental health care information and services for St. John's visible minority immigrants: Gaps and opportunities8775
Primary mental health care visits in self-reported data versus provincial administrative records
Type: Journal Article
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.
Topic(s):
Financing & Sustainability
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Reference Links: View the PubMed citation for Primary mental health care visits in self-reported data versus provincial administrative records
8776
Primary mental health care: Service delivery and the impact on the workforce
Type: Journal Article
Year: 2009
Publication Place: New Zealand
Topic(s):
Education & Workforce
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Reference Links: View the PubMed citation for Primary mental health care: Service delivery and the impact on the workforce
8777
Primary mental health workers in child and adolescent mental health services
Type: Journal Article
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.
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for Primary mental health workers in child and adolescent mental health services
View DOI Record
View the PubMed citation for Primary mental health workers in child and adolescent mental health services