Effectiveness and cost effectiveness of counselling in primary care

Bower, Peter; Rowland, Nancy

doi:10.1002/14651858.cd001025.pub2

Cited by 51 publications

(52 citation statements)

References 122 publications

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“…Therefore it is not possible to exclude the possibility that this could explain the findings, but there is little evidence that counselling is effective over the long term. 107 …”

Section: Summary Of Findingsmentioning

confidence: 99%

Clinical effectiveness and cost-effectiveness of cognitive behavioural therapy as an adjunct to pharmacotherapy for treatment-resistant depression in primary care: the CoBalT randomised controlled trial

Wiles

Thomas

Abel

et al. 2014

Health Technology Assessment

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“…Therefore it is not possible to exclude the possibility that this could explain the findings, but there is little evidence that counselling is effective over the long term. 107 …”

Section: Summary Of Findingsmentioning

confidence: 99%

Clinical effectiveness and cost-effectiveness of cognitive behavioural therapy as an adjunct to pharmacotherapy for treatment-resistant depression in primary care: the CoBalT randomised controlled trial

Wiles

Thomas

Abel

et al. 2014

Health Technology Assessment

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“…Although there seems to be no difference in cost among general practitioner care, cognitive-behavioral therapy, and nondirective counseling, 36,37 whether or not the patient possesses insurance and the type of insurance coverage seems to influence which treatment is prescribed for a depressed patient. For example, patients who had private insurance were more likely than those who did not to receive pharmacotherapy for the treatment of their depression.…”

Section: Finances and Insurancementioning

confidence: 99%

Depression Treatment in Primary Care

Robinson¹,

Geske

Prest³

et al. 2005

The Journal of the American Board of Family Medicine

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Background: Depression costs the United States $40 billion annually. Primary care physicians play a key role in the identification and treatment of depression. This study focused on the treatment options recommended by physicians and whether physicians were following the recommended treatment guidelines.Methods: We recorded treatment recommendations by examining charts for all patients with newly detected depression. The patients were from 44 family medicine practitioners and 23 general internal medicine practitioners in a Midwest university medical center setting.Results: For both medical specialties combined, pharmacotherapy was the most widely used intervention (recommended for 52% of patients), whereas psychotherapy alone was the least frequently used intervention (recommended for 4% of patients). Family medicine practitioners recommended combination treatment (pharmacotherapy and psychotherapy) more frequently than did general internal medicine practitioners (P ‫؍‬ .022), and female physicians recommended combination treatment more frequently than did male physicians (P ‫؍‬ .010).Conclusions: Pharmacotherapy was found to be the most widely used treatment despite current evidence-based recommendations. Barriers to effective treatment plan are discussed. The implications for mental health interventions, combination therapy, and cost offset are also discussed.

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“…There is evidence that GPs do not trust the graduate workers. 2 Fletcher et al 3 described how a collaborative approach would ensure the role of the graduate mental health worker was embedded into the service, but they described many problems in setting up the posts, with graduates often unsupported and the process not having managerial support. Farrand et al 4 conducted a qualitative evaluation of the role, and concluded that early difficulties were linked to inappropriate referrals and lack of clear role definition.…”

Section: A Model For Primary Mental Healthcare In Irelandmentioning

confidence: 99%