Pub Date : 2008-01-01DOI: 10.1080/17468840802213890
Liliana Cordero, M. Rudd, C. Bryan, Kent A Corso
{"title":"Accuracy of primary care medical providers' understanding of the FDA black box warning label for antidepressants","authors":"Liliana Cordero, M. Rudd, C. Bryan, Kent A Corso","doi":"10.1080/17468840802213890","DOIUrl":"https://doi.org/10.1080/17468840802213890","url":null,"abstract":"","PeriodicalId":54586,"journal":{"name":"Primary Care and Community Psychiatry","volume":"13 1","pages":"109-114"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60002857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-01-01DOI: 10.1080/17468840802168268
C. Bryan, Kent A Corso, M. Rudd, Liliana Cordero
{"title":"Improving identification of suicidal patients in primary care through routine screening","authors":"C. Bryan, Kent A Corso, M. Rudd, Liliana Cordero","doi":"10.1080/17468840802168268","DOIUrl":"https://doi.org/10.1080/17468840802168268","url":null,"abstract":"","PeriodicalId":54586,"journal":{"name":"Primary Care and Community Psychiatry","volume":"13 1","pages":"143-147"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60002813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-01-01DOI: 10.1080/17468840802067486
I. Cameron, J. Crawford, K. Lawton, Sumit Sharma, S. Dutoit, Steven Hay, I. Reid
{"title":"Assessing the validity of the PHQ-9, HADS, BDI-II and QIDS-SR16 in measuring severity of depression in a UK sample of primary care patients with a diagnosis of depression: study protocol","authors":"I. Cameron, J. Crawford, K. Lawton, Sumit Sharma, S. Dutoit, Steven Hay, I. Reid","doi":"10.1080/17468840802067486","DOIUrl":"https://doi.org/10.1080/17468840802067486","url":null,"abstract":"","PeriodicalId":54586,"journal":{"name":"Primary Care and Community Psychiatry","volume":"13 1","pages":"67-71"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60002766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-01-01DOI: 10.1080/17468840802168227
L. Naccarella, J. Pirkis, Belinda Morley, Fau Kohn, G. Blashki, P. Burgess
Background: The Australian Better Outcomes in Mental Health Care (BOiMHC) program commenced in 2001, with the aim of improving primary mental healthcare delivery. One component of the BOiMHC program involves 108 Access to Allied Psychological Services (ATAPS) projects which enable GPs to refer patients to allied health professionals for low-cost, evidence-based care. The projects have improved access to psychological care, but referrals are outstripping their capacity to provide psychological services. This study examined the demand management strategies that projects have used, and how well these strategies are working. Method: A survey was emailed to the project officers of the 108 ATAPS projects. Results: The most commonly used demand management strategies were: informing/training GPs; putting in place systems and/or administrative procedures; and monitoring and limiting referrals. Most projects used combined broad demand management strategies, employing many approaches within each strategy. Monitoring and limiting referrals and putting in place systems and/or administrative procedures were ranked as the most useful. Demand strategies were underpinned by strong partnerships and solid infrastructure. Conclusion: The ATAPS projects are using demand management strategies. Strategies tend to be supply-side strategies instituted where the patient makes contact with the GP and/or approaches the GP-allied health professional interface, rather than demand-side strategies aimed at the patient-practice interface. Strategies appear to be working well when supported by collaborations and infrastructure. The need for demand management strategies reflects resourcing issues that impact on providers' morale and patients' satisfaction. Findings are discussed in relation to other recent developments in Australian primary mental healthcare.
{"title":"Managing demand for psychological services within an Australian primary mental healthcare initiative","authors":"L. Naccarella, J. Pirkis, Belinda Morley, Fau Kohn, G. Blashki, P. Burgess","doi":"10.1080/17468840802168227","DOIUrl":"https://doi.org/10.1080/17468840802168227","url":null,"abstract":"Background: The Australian Better Outcomes in Mental Health Care (BOiMHC) program commenced in 2001, with the aim of improving primary mental healthcare delivery. One component of the BOiMHC program involves 108 Access to Allied Psychological Services (ATAPS) projects which enable GPs to refer patients to allied health professionals for low-cost, evidence-based care. The projects have improved access to psychological care, but referrals are outstripping their capacity to provide psychological services. This study examined the demand management strategies that projects have used, and how well these strategies are working. Method: A survey was emailed to the project officers of the 108 ATAPS projects. Results: The most commonly used demand management strategies were: informing/training GPs; putting in place systems and/or administrative procedures; and monitoring and limiting referrals. Most projects used combined broad demand management strategies, employing many approaches within each strategy. Monitoring and limiting referrals and putting in place systems and/or administrative procedures were ranked as the most useful. Demand strategies were underpinned by strong partnerships and solid infrastructure. Conclusion: The ATAPS projects are using demand management strategies. Strategies tend to be supply-side strategies instituted where the patient makes contact with the GP and/or approaches the GP-allied health professional interface, rather than demand-side strategies aimed at the patient-practice interface. Strategies appear to be working well when supported by collaborations and infrastructure. The need for demand management strategies reflects resourcing issues that impact on providers' morale and patients' satisfaction. Findings are discussed in relation to other recent developments in Australian primary mental healthcare.","PeriodicalId":54586,"journal":{"name":"Primary Care and Community Psychiatry","volume":"228 1","pages":"126-133"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60002802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-02-01DOI: 10.1185/135525706X121156
J. L. Hidalgo, F. Rabadán, C. Gras, Pilar Galdón Blesa, J. M. Campo, M. Verdejo
{"title":"Understanding depressive signs in the elderly Spanish population","authors":"J. L. Hidalgo, F. Rabadán, C. Gras, Pilar Galdón Blesa, J. M. Campo, M. Verdejo","doi":"10.1185/135525706X121156","DOIUrl":"https://doi.org/10.1185/135525706X121156","url":null,"abstract":"","PeriodicalId":54586,"journal":{"name":"Primary Care and Community Psychiatry","volume":"66 1","pages":"107-111"},"PeriodicalIF":0.0,"publicationDate":"2007-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65623221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-02-01DOI: 10.1185/135525706X132893
D. Wheatley
{"title":"St John's Wort in depression: the patient's dilemma","authors":"D. Wheatley","doi":"10.1185/135525706X132893","DOIUrl":"https://doi.org/10.1185/135525706X132893","url":null,"abstract":"","PeriodicalId":54586,"journal":{"name":"Primary Care and Community Psychiatry","volume":"11 1","pages":"137-142"},"PeriodicalIF":0.0,"publicationDate":"2007-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65622883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-02-01DOI: 10.1185/135525706X162890
D. Menkes
{"title":"Calling the piper's tune","authors":"D. Menkes","doi":"10.1185/135525706X162890","DOIUrl":"https://doi.org/10.1185/135525706X162890","url":null,"abstract":"","PeriodicalId":54586,"journal":{"name":"Primary Care and Community Psychiatry","volume":"9 1","pages":"147-149"},"PeriodicalIF":0.0,"publicationDate":"2007-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65622927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-02-01DOI: 10.1185/135525706X121183
A. Serrano-Blanco, A. Pinto-Meza, Maria T. Peñarrubia, D. Suarez, E. Vicens, R. F. Vergel, J. Haro
{"title":"Selective serotonin reuptake inhibitors: are there differences in effectiveness in primary care?","authors":"A. Serrano-Blanco, A. Pinto-Meza, Maria T. Peñarrubia, D. Suarez, E. Vicens, R. F. Vergel, J. Haro","doi":"10.1185/135525706X121183","DOIUrl":"https://doi.org/10.1185/135525706X121183","url":null,"abstract":"","PeriodicalId":54586,"journal":{"name":"Primary Care and Community Psychiatry","volume":"11 1","pages":"113-120"},"PeriodicalIF":0.0,"publicationDate":"2007-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65623279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-02-01DOI: 10.1185/135525706X121192
J. Cigrang, A. C. Dobmeyer, Milton E. Becknell, R. Roa-Navarrete, S. R. Yerian
Background: The effectiveness of a collaborative model of mental health treatment under conditions of routine care in a primary care setting has received limited evaluation. Potential effects include reduced symptoms and decreased healthcare utilization. Methods: The present study describes treatment outcome for 234 patients seen by a mental health professional in a primary care clinic using a collaborative model of care. Patients were seen for one session (n = 120), two sessions (n = 59), three sessions (n = 29), or four or more sessions (n = 26). Patients completed the Outcome Questionnaire-45 (OQ45) at every session. Results: OQ-45 total scores for patients seen for more than one appointment showed statistically significant reductions in psychological distress from first to last session for all groups. Pre-treatment health care utilization was unrelated to level of psychological distress at the first session. A comparison of health care utilization for the six month period before and after the first session showed a small but statistically significant increase in total number of medical visits. Conclusions: The results support the effectiveness of a collaborative model of mental health care for reducing symptoms in patients seen in a primary care setting. Patient’s overall healthcare utilization in the short term was largely unaffected.
{"title":"Evaluation of a collaborative mental health program in primary care: effects on patient distress and health care utilization","authors":"J. Cigrang, A. C. Dobmeyer, Milton E. Becknell, R. Roa-Navarrete, S. R. Yerian","doi":"10.1185/135525706X121192","DOIUrl":"https://doi.org/10.1185/135525706X121192","url":null,"abstract":"Background: The effectiveness of a collaborative model of mental health treatment under conditions of routine care in a primary care setting has received limited evaluation. Potential effects include reduced symptoms and decreased healthcare utilization. Methods: The present study describes treatment outcome for 234 patients seen by a mental health professional in a primary care clinic using a collaborative model of care. Patients were seen for one session (n = 120), two sessions (n = 59), three sessions (n = 29), or four or more sessions (n = 26). Patients completed the Outcome Questionnaire-45 (OQ45) at every session. Results: OQ-45 total scores for patients seen for more than one appointment showed statistically significant reductions in psychological distress from first to last session for all groups. Pre-treatment health care utilization was unrelated to level of psychological distress at the first session. A comparison of health care utilization for the six month period before and after the first session showed a small but statistically significant increase in total number of medical visits. Conclusions: The results support the effectiveness of a collaborative model of mental health care for reducing symptoms in patients seen in a primary care setting. Patient’s overall healthcare utilization in the short term was largely unaffected.","PeriodicalId":54586,"journal":{"name":"Primary Care and Community Psychiatry","volume":"11 1","pages":"121-127"},"PeriodicalIF":0.0,"publicationDate":"2007-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65623320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-01-01DOI: 10.1080/17468840701750711
J. Laugharne, A. Janča
{"title":"ICD-10 telepsychiatry education in Western Australia: bridging the distance","authors":"J. Laugharne, A. Janča","doi":"10.1080/17468840701750711","DOIUrl":"https://doi.org/10.1080/17468840701750711","url":null,"abstract":"","PeriodicalId":54586,"journal":{"name":"Primary Care and Community Psychiatry","volume":"12 1","pages":"145-149"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60003193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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