Improving quality of care for mental illness in an uninsured, low-income primary care population

Mauksch, Larry B.; Reitz, Randall; Tucker, Suzanne; Hurd, Steve; Russo, Joan; Katon, Wayne

doi:10.1016/j.genhosppsych.2007.04.002

Cited by 7 publications

(7 citation statements)

References 56 publications

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“…Mauksch et al conducted a study into low income and uninsured populations presenting in primary care. They found the most common health problem patients wanted to discuss with the care provider was a problem with mood (29%); however, only a third of these concerns were elicited by providers 66.…”

Section: Resultsmentioning

confidence: 99%

Screening for distress and depression in cancer settings: 10 lessons from 40 years of primary‐care research

2011

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Objective: There has been at least 40 years of active research on screening for depression and distress in primary care. Both successes and failures have been documented. The purpose of this focussed narrative review was to summarise this research and present the key lessons for clinicians and researchers working in psychosocial oncology.Methods: We searched for studies assessing the utility of screening in primary care in seven electronic bibliographic databases (CENTRAL, CINAHL, Embase, HMIC, Medline, PsycINFO, Web of Knowledge) from inception to December 2010. Results were reviewed and summarised into key areas.Results: We found that research could be distilled into the following key learning points. Conclusions: Primary care has shown largely what does not work in relation to screening. Namely relying on clinicians' unassisted judgement without infrastructural support, using overcomplex scales with low acceptability, looking for depression alone, using screening without linked treatment, treating in the absence of follow-up and failing to engage patients in their own care. These pitfalls can and should be avoided in psychosocial oncology.

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Section: Resultsmentioning

confidence: 99%

Screening for distress and depression in cancer settings: 10 lessons from 40 years of primary‐care research

2011

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“…Most naturalistic studies of depression treatment in primary care, as cited above, have not examined the patterns of care specifically in practices where co-located care is available. Mauksch and colleagues (Mauksch et al, 2007) did report that rates of mental health visits in general (not specific to depression) increased from before to after a quality improvement program (including integrated mental health care) was initiated at a low-income primary care clinic.…”

Section: Introductionmentioning

confidence: 99%

Treatment of depression in a low-income primary care setting with colocated mental health care.

Uebelacker¹,

Smith²,

Lewis³

et al. 2009

Families, Systems, & Health

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Objective-To characterize depression treatment-as-usual in a large primary care practice in the U.S. with co-located mental health care, and to examine predictors of receiving any treatment and receiving adequate treatment.Methods-Primary care patients were systematically approached in waiting rooms. Those with a minimum level of depression symptoms (n = 91) were asked to participate in a study in which they completed assessments of mental health service use, depression symptoms, and related problems.

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Section: The Collaborative Care Modelmentioning

confidence: 99%

“…Efforts to disseminate collaborative care have been undertaken by several large, resourced systems of care, including the Veterans Administration, Kaiser Permanente, and the Bureau of Primary Care's clinic system (Katon & Unu¨tzer, 2006). There have been a limited number of reports of collaborative care models that have been implemented in settings that serve low-income, uninsured populations (Little, 2009;Mauksch et al, 2007). Mauksch et al (2007) completed a review of charts before and after the implementation of a collaborative care program in a private, nonprofit primary care clinic that serves low-income, uninsured patients and found that the quality of mental health care improved with the implementation of the collaborative care program.…”

Section: The Collaborative Care Modelmentioning

confidence: 99%

“…There have been a limited number of reports of collaborative care models that have been implemented in settings that serve low-income, uninsured populations (Little, 2009; Mauksch et al, 2007). Mauksch et al (2007) completed a review of charts before and after the implementation of a collaborative care program in a private, nonprofit primary care clinic that serves low-income, uninsured patients and found that the quality of mental health care improved with the implementation of the collaborative care program. However, there are few reports on the implementation and effectiveness of such models in primary care settings that serve vulnerable populations such as low-income immigrants.…”

Section: The Collaborative Care Modelmentioning

confidence: 99%

See 1 more Smart Citation

Meeting the mental health needs of low‐income immigrants in primary care: A community adaptation of an evidence‐based model.

Kaltman

Pauk

Alter

2011

American Journal of Orthopsychiatry

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Low-income, uninsured immigrants are burdened by poverty and a high prevalence of trauma exposure, and thus are vulnerable to mental health problems. Disparities in access to mental health services highlight the importance of adapting evidence-based interventions in primary care settings that serve this population. In 2005, The Montgomery Cares Behavioral Health Program (MCBHP) began adapting and implementing a collaborative care model for the treatment of depression and anxiety disorders in a network of primary care clinics that serve low-income, uninsured residents of Montgomery County, Maryland, the majority of whom are immigrants. In its 6th year now, the program has generated much needed knowledge about the adaptation of this evidence-based model. The current article describes the adaptations to the traditional collaborative care model that were necessitated by patient characteristics and the clinic environment.

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Improving quality of care for mental illness in an uninsured, low-income primary care population

Cited by 7 publications

References 56 publications

Screening for distress and depression in cancer settings: 10 lessons from 40 years of primary‐care research

Screening for distress and depression in cancer settings: 10 lessons from 40 years of primary‐care research

Treatment of depression in a low-income primary care setting with colocated mental health care.

Meeting the mental health needs of low‐income immigrants in primary care: A community adaptation of an evidence‐based model.

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