Child and Youth Mental Health Service Referrals: Physicians' Knowledge of Mental Health Services and Perceptions of a Centralized Intake Model

Knowledge and Attitude of Family Doctors Regarding the Provision of Psychological Health Care in Primary Health Care Centers in Baghdad Al-Karkh

“…There is insufficient time to provide mental health services to children, adolescents, and their families in PHCC this could be due to the crowding of patients in the PHCC and the shortage of family physicians at the same time. This result is similar to Cloutier et al, (17) who found that 72.8% of respondents that have reported the same views toward this issue, and to Goldfracht et al, (18) study where 85% of participants stated that lack of time was a factor that interferes with the care of mental health problems in primary care practice. Furthermore, Stephen et al, (19) reported that where the majority of GPs give patients with psychological problems a longer consultation time, and also in Falloon et al (20), where 79% of general practitioners considered that they have insufficient time to manage patient.…”

Using lived experiences to help identify needed mental health services changes

“…6 Even family physicians are frustrated by wait times for mental health referrals, feedback regarding their clients, and overall knowledge of services available. 7 However, unlike my experience, many people are only able to access services within their area. It is therefore important to realize that if someone only experiences something in one way, how can he or she know to ask for something different?…”

Caring for Children and Youth with Ongoing Mental Health Problems: Perspectives of Family Physicians, Nurse Practitioners, Social Workers and Psychologists in Primary Health Care

“…The inclusion of specialized MH providers, such as social workers and psychologists, into PHC teams has been an important step in improving access to MH care (Brown, Ryan, & Thorpe, 2016). However, the variability in training and/or confidence to provide CMH appears to contribute to issues with access to care (Cloutier, Cappelli, Glennie, Charron, & Thatte, 2010;. This is an issue that has previously been identified, with organizations such as the REACH institute (http://www.thereachinstitute.org) developing CMH continuing education programs that have been demonstrated to successfully improve PCP self-reported knowledge and comfort, reduce referrals to emergency services, and increase more appropriate referrals (Burka, Van Cleve, Shafer, & Barkin, 2014;McCaffrey, Chang, Farrelly, Rahman, & Cawthorpe, 2017).…”