Depression in Primary Care: What More Do We Need to Know?

Kendrick, Tony

doi:10.1177/070674371305800801

Cited by 5 publications

(9 citation statements)

References 22 publications

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“…To promote treatment of CMDs in primary care we need to consider how the 6 types of disincentives may be working individually or in combination to prevent that from happening. Simply educating primary care physicians about the identification and treatment of CMDs has not been successful to change practices 55. The influence of incentives and disincentives may help to explain why primary care physicians experience such difficulties when attempting to implement practice changes to better manage CMDs 56…”

Section: Resultsmentioning

confidence: 99%

Incentives and Disincentives for the Treatment of Depression and Anxiety: A Scoping Review

et al. 2014

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Objective:There is widespread support for primary care to help address growing mental health care demands. Incentives and disincentives are widely used in the design of health care systems to help steer toward desired goals. The absence of a conceptual model to help understand the range of factors that influence the provision of primary mental health care inspired a scoping review of the literature. Understanding the incentives that promote and the disincentives that deter treatment for depression and anxiety in the primary care context will help to achieve goals of greater access to mental health care.Method:A review of the literature was conducted to answer the question, how are incentives and disincentives conceptualized in studies investigating the treatment of common mental disorders in primary care? A comprehensive search of MEDLINE, PsycINFO, CINAHL, and Google Scholar was undertaken using Arksey and O’Malley’s 5-stage methodological framework for scoping reviews.Results:We identified 27 studies. A range of incentives and disincentives influence the success of primary mental health care initiatives to treat depression and anxiety. Six types of incentives and disincentives can encourage or discourage treatment of depression and anxiety in primary care: attitudes and beliefs, training and core competencies, leadership, organizational, financial, and systemic.Conclusions:Understanding that there are 6 different types of incentives that influence treatment for anxiety and depression in primary care may help service planners who are trying to promote improved mental health care.

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Section: Resultsmentioning

confidence: 99%

Incentives and Disincentives for the Treatment of Depression and Anxiety: A Scoping Review

et al. 2014

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“…Individuals experiencing mental health conditions represent the largest portion of individuals on disability support programs across Canada (CMHA, 2015). The treatment of depression and anxiety has been proven to be more effective through case management and use of a collaborative care team (Kendrick, 2013). Although there is an increased up front cost to more collaborative care models in primary health care settings, if effective treatment is provided, the result will ideally be fewer individuals on social supports, as well as less use of costly emergency health services.…”

Section: Primary Mental Health Carementioning

confidence: 99%

“…Traditional treatment of common mental disorders has been heavily reliant on pharmaceuticals. There is growing evidence however in the benefits of expanding non-drug treatment options, based partly on self-help, and focusing on social support (Kendrick, 2013). Addressing positive mental health promotion concerns means aligning services with a holistic notion of health, and mental health.…”

Section: Primary Mental Health Carementioning

confidence: 99%

“…Concerns regarding the attitudes and comfort levels of primary health care workers toward mental health is another significant barrier to overcome in providing optimal mental health care (WHO, 2007). There is a tendency among family physicians to understand depression as being reactive or internal, resulting in uncertainty as to treatment direction when derived from negative life events or difficulties (Kendrick, 2013). There are presently relatively low rates of detection and treatment for common mental disorders.…”

Section: Attitudes and Comfort Levelsmentioning

confidence: 99%

“…However, despite this increased focus and initiatives to enhance mental health care (CMHA, 2015;CIHI, 2009;CAMH, CHP, CMHA, Health Nexus, OPHA, 2008), there is still a general dissatisfaction amongst family physicians with the quality of mental health care they are able to provide (Clatney, MacDonald, & Shah, 2008;Whitebird et al, 2013). For example, treatment of common mental disorders within primary health care settings has proven to be significantly more time consuming relative to the treatment of other health concerns (Culpepper et al, 2006), which is more costly to manage and has been challenging for family physicians who have an excess of daily clinical demands (Kendrick, 2013).…”

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confidence: 99%

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Establishing Optimal Mental Health Care for Common Mental Disorders in Primary Health Care

Kennedy

2017

J Stud Res

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Various definitions of health and mental health exist, however there is a generally persistent inclusion and acknowledgement of the importance of holistic elements such as environment and relationships. Integration of the physical, social, and mental aspects of an individual, through the social determinants of health is an important component in establishing the effective delivery of optimal mental health care. With increasing numbers of collaborative care teams, and mental health promotion strategies, primary health care is increasingly building its capacity to help respond to these holistic mental health care needs, with increased and more purposeful attention to the social determinants of health. Despite these steps in the right direction, a gap continues to exist in the delivery of mental health care and many people continue to struggle in accessing adequate treatment. In order to determine how best to proceed, it is important to understand what mental health is, what mental health care in primary health care looks like, what the existing challenges to the delivery of mental health care in primary health care are, and what other models have been successful in integrating the social determinants of health and mental health into the primary health care system.

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Examining the delivery of mental health services in primary care and public health collaborations using a population health framework

Chau¹

2017

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Depression in Primary Care: What More Do We Need to Know?

Cited by 5 publications

References 22 publications

Incentives and Disincentives for the Treatment of Depression and Anxiety: A Scoping Review

Incentives and Disincentives for the Treatment of Depression and Anxiety: A Scoping Review

Establishing Optimal Mental Health Care for Common Mental Disorders in Primary Health Care

Examining the delivery of mental health services in primary care and public health collaborations using a population health framework

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