Search results for ‘Subject term:"mental health problems"’ Sort:
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Managing physical and mental health conditions: consumer perspectives on integrated care
- Author:
- ROLLINS Angela L.
- Journal article citation:
- Social Work in Mental Health, 15(1), 2017, pp.66-79.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Despite the growing trend of integrating primary care and mental health services, little research has documented how consumers with severe mental illnesses (SMI) manage comorbid conditions or view integrated services. The authors sought to better understand how consumers perceive and manage both mental and physical health conditions and their views of integrated services. Semi-structured interviews with consumers receiving primary care services integrated in a community mental health setting were investigated. Consumers described a range of strategies to deal with physical health conditions and generally viewed mental and physical health conditions as impacting one another. Consumers viewed integration of primary care and mental health services favourably, specifically its convenience, friendliness, and knowledge of providers, and collaboration between providers. Although integration was viewed positively, consumers with SMI may need a myriad of strategies and supports to both initiate and sustain lifestyle changes that address common physical health problems. (Edited publisher abstract)
Registering reform in mental health
- Author:
- BARR Wally
- Journal article citation:
- Nursing Times, 17.5.01, 2001, pp.39-40.
- Publisher:
- Nursing Times
Argues that mental health registers were meant to radically improve services but three years on they seem to have made little difference.
Primary care and mental health
- Authors:
- PIDD Frankie, McARTHUR Margaret
- Journal article citation:
- Mental Health Review, 5(4), December 2000, pp.6-13.
- Publisher:
- Pier Professional
This article reflects some of the author's experience of working in primary care, and some observations of the state of development of primary care groups (PGCs) in taking up their mental health role.
Are specialist mental health services being targeted on the most needy patients? The effects of setting up special services in general practice
- Authors:
- KENDRICK T, et al
- Journal article citation:
- British Journal of General Practice, 50, February 2000, pp.121-126.
- Publisher:
- Royal College of General Practitioners
Around 25% of patients with psychoses lose contact with specialist psychiatric services, despite the government's policy to focus the efforts of the community teams on this group. This research aims to identify patient and practice factors associated with continuing contact and loss of contact with specialist services. It concludes that secondary mental health services are being targeted towards more needy patients. The provision of special services in general practices can shift care further away from secondary care while still meeting patients' needs.
Recommendations for primary care provided by psychiatrists
- Authors:
- SOWERS Wesley, ARBUCKLE Melissa, SHOYINKA Sosunmolu
- Journal article citation:
- Community Mental Health Journal, 52(4), 2016, pp.379-386.
- Publisher:
- Springer
Recent studies have shown that people with severe mental illness have a dramatically lower life expectancy than the general population. Psychiatrists have not traditionally been very attentive to or involved with physical health issues and there has been growing emphasis on integrated care for physical and mental health and access to primary care for all members of the population. This paper examines the role of psychiatrists in the provision of primary care to the patients they treat. Some recommendations are offered for their involvement in the provision of primary care at three levels of complexity: Level 1—Universal Basic Psychiatric Primary Care; Level 2—Enhanced Psychiatric Primary Care; and Level 3—Fully Integrated Primary Care and Psychiatric Management. Some of the obstacles to the provision of primary care by psychiatrists are considered along with some suggestions for overcoming them. (Publisher abstract)
Exploring primary care activities in ACT teams
- Authors:
- VANDERLIP Erik R., et al
- Journal article citation:
- Community Mental Health Journal, 50(4), 2014, pp.466-473.
- Publisher:
- Springer
People with serious mental illness often receive inadequate primary and preventive care services. Federal healthcare reform endorses team-based care that provides high quality primary and preventive care to at risk populations. Assertive community treatment (ACT) teams offer a proven, standardised treatment approach effective in improving mental health outcomes for the seriously mentally ill. Much is known about the effectiveness of ACT teams in improving mental health outcomes, but the degree to which medical care needs are addressed is not established. The purpose of this study was to explore the extent to which ACT teams address the physical health of the population they serve. ACT team leaders were invited to complete an anonymous, web-based survey to explore attitudes and activities involving the primary care needs of their clients. Information was collected regarding the use of health screening tools, physical health assessments, provision of medical care and collaboration with primary care systems. Data was analysed from 127 team leaders across the country, of which 55 completed the entire survey. Nearly every ACT team leader believed ACT teams have a role in identifying and managing the medical co-morbidities of their clientele. ACT teams report participation in many primary care activities. ACT teams are providing a substantial amount of primary and preventive services to their population. The survey suggests standardisation of physical health identification, management or referral processes within ACT teams may result in improved quality of medical care. ACT teams are in a unique position to improve physical health care by virtue of having medically trained staff and frequent, close contact with their clients. (Edited publisher abstract)
Early intervention in psychosis: a pilot study of methods to help existing staff adapt
- Authors:
- PAXTON Roger, et al
- Journal article citation:
- Journal of Mental Health, 12(6), December 2003, pp.627-636.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Improved detection and clear referral systems are prerequisites for effective early intervention. Although specialist early intervention services are being introduced in Britain, changes are still required in the practice of existing primary and secondary care staff. This paper describes an exploratory evaluation of a partnership approach to help existing staff adapt their practice to support early intervention. Policies and procedures of the service described were compared systematically with national policy guidance. Structured interviews with 53 primary care and mental health staff were used to explore changes in their knowledge, attitudes and professional practice. The service model complied with most UK national policy requirements for early intervention. There was increased awareness and knowledge of early psychosis and improved detection, assessment and intervention practice on the part of primary and secondary care staff. It appears possible to influence the practice of existing staff to deliver early intervention using an economical service model.
Mental health services in primary care: a review of recent developments in London
- Authors:
- ROSEN Rebecca, JENKINS Clare
- Publisher:
- King's Fund
- Publication year:
- 2003
- Pagination:
- 58p.
- Place of publication:
- London
This working paper aims to revisit findings from the 1997 King's Fund Inquiry on Mental Health and to examine the extent to which primary care mental health services have developed in line with recommendations made at that time. It takes a narrow view of 'primary care' as relating to general practice. Other community-based mental health services are addressed in other papers being produced as part of the Inquiry. The main focus of this paper is on general practice-based services for people with common mental health problems, and the role of PCTs in developing them. Findings are presented from a postal questionnaire of a 20% sample of London GP practices and a telephone survey of mental health leads in London PCTs.
Drug and alcohol misuse among in-patients with psychotic illnesses in three inner-London psychiatric units
- Authors:
- PHILLIPS Prashant, JOHNSON Sonia
- Journal article citation:
- Psychiatric Bulletin, 27(6), June 2003, pp.217-220.
- Publisher:
- Royal College of Psychiatrists
Ward staff were asked to rate whether in-patients with a diagnosis of functional psychotic illness also met criteria for a diagnosis of alcohol or drug misuse or dependence during the preceding 6 months. Those who demonstrated such evidence were then asked to report the nature and extent of their substance use and whether they continued to use as in-patients. 264 in-patients with psychotic illness were screened for evidence of recent or current alcohol or drug misuse. According to staff reports, 127 (48.9%) met the criteria for substance misuse or dependence. The mean age of those with 'dual diagnosis' was 34.7 years and 72% were male. Eighty-three (83%) of those with a history of current or recent alcohol or drug misuse reported that they had continued to use alcohol and/or illicit drugs in the in-patient wards during their current admission. It appears difficult to prevent in-patients with drug or alcohol misuse problems from continuing to use substances in hospital. Further consideration and investigation of how best to manage this group is therefore required.
Targeting services to meet need: a tired approach to mental health care
- Author:
- MAUNDER Lesley
- Journal article citation:
- Mental Health and Learning Disabilities Care, 4(11), July 2001, pp.366-369.
- Publisher:
- Pavilion
Faced with ever-increasing and often conflicting demands Northumberland's health and social services have developed a structured framework to ensure patients with mental health problems receive the level of care appropriate to their needs. The Northumberland tiered approach has meant that primary care practitioners receive training and support to treat patients with more common mental health problems while secondary and specialist services are able to focus their resources on those with more disabling conditions. Describes the evolution and operation of the framework.