Initiation and cessation of mental healthcare after mental health screening in primary care: a prospective cohort study

Geyti, Christine; Dalsgaard, Else-Marie; Sandbæk, Annelli; Maindal, Helle Terkildsen; Christensen, Kaj Sparle

doi:10.1186/s12875-018-0864-9

Cited by 24 publications

(6 citation statements)

References 27 publications

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“…Therefore, we believe that our results only reveal the tip of the iceberg; the most vulnerable populations were probably not reached by our study. Health authorities should take adequate measures to train health professionals on screening and identifying these disorders in both general and primary healthcare settings, and refer them for specialized medical management ( Geyti et al, 2018 ). Moreover, improving access to psychiatric care is also recommended, taking the example of developed countries.…”

Section: Discussionmentioning

confidence: 99%

Mental Health Outcomes of the COVID-19 Pandemic and a Collapsing Economy: Perspectives from a Developing Country

Salameh

Hajj

Badro

et al. 2020

Psychiatry Research

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Highlights Mental health issues are frequently underestimated in developing countries, although they are expected to be highly prevalent, particularly in the context of a severe socio-economic crisis and political instability. Fear of COVID-19 and fear of poverty were independently associated with higher stress and anxiety, while family satisfaction and financial wellness were linked to lower stress. Combined fear of COVID-19 and financial distress were associated with further stress and anxiety.

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Section: Discussionmentioning

confidence: 99%

Mental Health Outcomes of the COVID-19 Pandemic and a Collapsing Economy: Perspectives from a Developing Country

Salameh

Hajj

Badro

et al. 2020

Psychiatry Research

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“…We have previously shown that 7% of participants of the Check Your Health who completed parts of the health survey did not get an MCS score. 61 These SF-12 non-respondents were more likely to have disadvantaged socioeconomic characteristics, 61 and a fair proportion of this group may suffer from mental distress. 5 Initiation of mental healthcare Additional factors could have influenced initiation of mental healthcare, such as the individual's health literacy Open access and attitudes towards handling of mental health problems.…”

Section: National Registersmentioning

confidence: 99%

Factors associated with non-initiation of mental healthcare after detection of poor mental health at a scheduled health check: a cohort study

et al. 2020

Self Cite

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IntroductionPoor mental health is an important public health concern, but mental health problems are often under-recognised. Providing feedback to general practitioners (GPs) on their patients’ mental health status may improve the identification of cases in need of mental healthcare.ObjectivesTo investigate the extent of initiation of mental healthcare after identification of poor mental health and to identify factors associated with non-initiation.DesignProspective cohort study with 1-year follow-up.SettingIn a population-based health preventive programme, Check Your Health, we conducted a combined mental and physical health check in Randers Municipality, Denmark, in 2012–2015 in collaboration with local GPs.ParticipantsParticipants were 350 individuals aged 30–49 years old with screen-detected poor mental health who had not received mental healthcare within the past year. The cohort was derived from 14 167 randomly selected individuals of whom 52% (n=7348) participated. Mental health was assessed by the mental component summary score of the 12-item Short-Form Health Survey.OutcomeThe outcome was initiation of mental healthcare. Mental healthcare included psychometric testing by GP, talk therapy by GP, contact with a psychologist, contact with a psychiatrist and psychotropic medication.ResultsWithin 1 year, 22% (95% CI 18 to 27) of individuals with screen-detected poor mental health initiated mental healthcare. Among individuals who initiated mental healthcare within follow-up, one in six had visited their GP once or less in the preceding year. Male sex (OR: 0.49 (95% CI 0.28 to 0.86)) and less impaired mental health (OR: 0.93 (95% CI 0.89 to 0.98)) were associated with non-initiation of mental healthcare. We found no overall association between socioeconomic factors and initiating mental healthcare.ConclusionSystematic provision of mental health test results to GPs may improve the identification of cases in need of mental healthcare, but does not translate into initiation of mental healthcare. Further research should focus on methods to improve initiation of mental healthcare, especially among men.Trial registration numberNCT02028195.

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“…Screening programs are implemented with the goal of improving the identification of mental health disorders, facilitating referral to treatment, increasing treatment initiation, and improving outcomes. Though evidence on the benefits of population-based screening remains inconclusive, there is some indication that positive mental health screens are associated with treatment initiation, while negative screens are associated with treatment cessation (Geyti et al, 2018; Panaite et al, 2018). Further validation and wider implementation of screening tools for adjustment disorders are important as it may impact treatment initiation and treatment outcomes for individuals with adjustment disorders.…”

Section: Discussionmentioning

confidence: 99%

Adjustment disorders: A research gaps analysis.

Morgan¹,

Kelber²,

Workman³

et al. 2022

Psychological Services

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Adjustment disorders are among the most commonly diagnosed mental health disorders in both civilian and military clinical settings. Despite their high prevalence, adjustment disorders have received little research attention. The many gaps in our understanding of this group of disorders hinder the development of adequate, evidence-based treatment protocols. This study utilizes a systematic methodology to identify and prioritize research gaps in adjustment disorders. We used authoritative source reports to identify gaps in research domains from foundational science to services research. Subject-matter experts conducted literature searches to substantiate and refine research gaps, and stakeholders assessed the importance and impact of this work for researchers and policy-makers. We identified 254 possible research-needs statements, which were ultimately reduced to 11 final, prioritized research gaps. Two gaps addressed prevention and screening and three addressed treatment and services research. Six gaps addressed foundational science, epidemiology, and etiology research domains, highlighting the need for basic research. Until some of the basic science questions are resolved (e.g., diagnostic clarity, valid screening, and assessment measures) about adjustment disorders, we may not be able to develop adequate evidencebased interventions for the disorders, and it will be difficult to understand the trajectory of these disorders throughout treatment. Impact StatementConsiderable gaps in the knowledge on adjustment disorders hinder the development of evidence-based treatments and impact practices of clinicians, policy-makers, and researchers involved in organized care settings. The current effort synthesizes existing research and distills 254 research-needs statements into 11 high-priority gaps in the adjustment disorders literature. Findings highlight the need for targeted screening and assessment tools so that evidence-informed prevention and interventions can be developed.

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Initiation and cessation of mental healthcare after mental health screening in primary care: a prospective cohort study

Cited by 24 publications

References 27 publications

Mental Health Outcomes of the COVID-19 Pandemic and a Collapsing Economy: Perspectives from a Developing Country

Mental Health Outcomes of the COVID-19 Pandemic and a Collapsing Economy: Perspectives from a Developing Country

Factors associated with non-initiation of mental healthcare after detection of poor mental health at a scheduled health check: a cohort study

Adjustment disorders: A research gaps analysis.

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