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Journal article

Seasonal affective disorder among primary care attenders and a community sample in Aberdeen

Authors:
EAGLES J. M., et al
Journal article citation:
British Journal of Psychiatry, 175, November 1999, pp.472-475.
Publisher:
Royal College of Psychiatrists

Patients aged 16-64 consulting their GPs in Aberdeen during January were screened with the Seasonal Pattern Assessment Questionnaire (SPAQ). SPAQs were also mailed to 600 matched patients, who had not consulted their GP during January. Surgery attenders who fulfilled SPAQ criteria for SAD were invited for interview to determine whether they met criteria for SAD in DSM-IV and the Structured Interview Guide for the Hamilton Rating Scale for Depression--Seasonal Affective Disorder Version (SIGH-SAD). Of 6161 surgery attenders, 4557 (74%) completed a SPAQ; 442 (9.7%) were SPAQ cases of SAD. Rate of caseness on the SPAQ did not differ between surgery attenders and non-attenders. Of 223 interviewed SPAQ cases of SAD, 91 (41%) also fulfilled DSM-IV and SIGH-SAD criteria. It is concluded that there is a high prevalence of SAD among patients attending their GPs in January in Aberdeen; this is likely to reflect a similar rate in the community.

Journal article

Can CORE assessment data identify those clients less likely to benefit from brief counselling in primary care?

Authors:
SAXON David, IVEY Catherine, YOUNG Tracey
Journal article citation:
Counselling and Psychotherapy Research, 8(4), December 2008, pp.223-230.
Publisher:
Taylor and Francis

Studies show that counsellors in primary care see many clients with difficulties of a severity similar to those found in secondary care services. Evidence from both RCTs and studies of routinely collected data indicates that many of these 'clinical' clients benefit from brief counselling intervention. However, little is known about why some benefit while others fail to do so despite completing their counselling contract. This paper considers client characteristics recorded at assessment and aims, using logistic regression analysis, to identify those characteristics predictive of a poor outcome. Results indicate that a number of characteristics are associated with poor outcome; the most important predictors are economic inactivity and aspects of the patient's condition, particularly continuous/recurrent depression, with some differences between genders. However, the models produced were not acceptable in their predictive power. This may be partly due to data quality issues or important characteristics not being available in the data. The paper concludes that being unemployed or on state benefits may be a proxy measure of severity that has an important impact on outcome for all patients, and particularly for males. Some reasons are suggested and areas of future research are identified.

Book Full text available online for free

Developing social prescribing and community referrals for mental health in Scotland

Authors:
FRIEDLI Lynne, et al
Publisher:
Scottish Development Centre for Mental Health
Publication year:
2007
Pagination:
97p.
Place of publication:
Edinburgh

This report was commissioned from the Scottish Development Centre for Mental Health (SDC) by the Scottish Government’s National Programme for Improving Mental Health and Wellbeing, to address the role and potential contribution of social prescribing or community referral in two principal areas of concern in mental health: effective identification and response to people with common mental health problems presenting in primary care, and the role of primary care in supporting people with long term mental health problems. The aim of this report is to provide information that could inform the future development, commissioning and design of social prescribing or community referral programmes in Scotland.

Book Full text available online for free

Adult mental health services in primary healthcare settings in Wales: policy implementation guidance

Author:
WALES. Welsh Assembly Government
Publisher:
Wales. Welsh Assembly Government
Publication year:
2006
Pagination:
28p.
Place of publication:
Cardiff

This policy implementation guide has been written with 2 main objectives: a) To provide a framework in which the quality of primary care offered to patients with mental health problems can be improved and, b) To define the necessary support required to primary care from Local Health Boards and specialist mental health services in achieving this.

Journal article Full text available online for free

The effectiveness of case-finding for mental health problems in primary care

Author:
MaGPIe Research Group
Journal article citation:
British Journal of General Practice, 55(518), September 2005, pp.665-669.
Publisher:
Royal College of General Practitioners

This study explores the efficacy of screening and case-finding for high prevalence psychological disorders in routine general practice in New Zealand. Consecutive patients from a random sample of GPs were screened using the General Health Questionairre (GHQ-12).  A stratified random sample of patients was selected, based on GHQ strata, and invited to participate in an indepth interview to assess their psychological health.  Seventy GPs (90% response) and 775 patients (68.5% response) were included in analyses.  Patients' GHQ-12 scores were compared with GP assessment of patients' psychological health using a 5-point scale of severity, and with the Composite International Diagnostic Interview (CIDI 1-month assessment). Results: Overall 17.5% of patients reached the threshold for CIDI diagnosis.  GPs identified at least some psychological symptoms in the past 12 months in 70.3% of patients reaching the CIDI threshold for diagnosis.  Case-finding with a 'perfect' screening instrument had the potential to identify only five new cases per 100.  The sensitivity and specificity of the GHQ-12 suggest it is not an appropriate tool for case finding in a general practice setting. The study concludes that the potential value of any screening and case-finding instrument in routine general practice must be considered in the context of current high rates of identification.  Where continuity of care is a feature of usual management, case-finding is most efficient when focused on patients the GP has not seen in the past year.

Book

Refugees and mental health: a good practice guide for primary care workers

Author:
CIVIS TRUST
Publisher:
Civis Trust
Publication year:
2004
Pagination:
60p.,bibliog.
Place of publication:
London

This guide aims to share experience of good practice in delivering services to refugees with a mental health problem. It contains guidance on approaches to culturally appropriate health care provision, explores how issues like language and the specialist needs of different communities might be approached, and contains comprehensive references to primary care initiatives and specialist refugee organisations.

Journal article Full text available online for free

Deprivation, psychological distress and consultation length in general practice

Authors:
STIRLING A.M., WILSON P., McCONNACHIE A.
Journal article citation:
British Journal of General Practice, 51(467), June 2001, pp.456-460.
Publisher:
Royal College of General Practitioners
Book

The role of primary care in community care services: executive summary

Author:
GREAT BRITAIN. Scottish Office. National Health Service in Scotland. CRAG Working Group on Mental Illness
Publisher:
HMSO/Great Britain. Scottish Office. National Health Service in Scotland
Publication year:
1996
Pagination:
16p.
Place of publication:
Edinburgh

Executive summary of a report outlining issues concerned with the effective delivery of primary care services for people with mental health problems in Scotland in the context of current community care legislation.

Book

The role of primary care in community care services

Author:
GREAT BRITAIN. Scottish Office. National Health Service in Scotland. CRAG Working Group on Mental Illness
Publisher:
HMSO/Great Britain. Scottish Office. National Health Service in Scotland
Publication year:
1996
Pagination:
55p.,bibliog.
Place of publication:
Edinburgh

Report outlining issues concerned with the effective delivery of primary care services in the context of current community care legislation. While recognising the diversity of service provision the report recommends a locally co-ordinated approach to the delivery of community care by primary care teams and general practitioners. Focuses in particular on the delivery of services to people with mental health problems.

Book Full text available online for free

Primary care guidance on debt and mental health

Authors:
FITCH Chris, MAMO Emma, CAMPION Jonathan
Publishers:
Royal College of General Practitioners, Royal College of Physicians
Publication year:
2014
Pagination:
2
Place of publication:
London

A factsheet for primary care practitioner which looks at the relationship between debt and mental health, and the ways practitioners can help patients to deal with their debt. It explains how debt problems increase the risk of mental health problems, and how mental illness increases the risk of debt problems. It highlights five ways in which general practitioners can make a difference: spotting problems, talking about debt, referring patients to debt advice services, providing medical evidence without charging, and look at ways primary care services can help prevent patient financial problems by working with debt advice services. Although this guidance is aimed at those working in primary care, it will be useful for those working across all areas of health and social care. (Edited publisher abstract)

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