Integrated Care: High-Impact Mental Health–Primary Care Research for Patients With Multiple Comorbidities

Azrin, Susan T.

doi:10.1176/appi.ps.201300537

Cited by 10 publications

(2 citation statements)

References 8 publications

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“…Enhancing patient participation and increasing patient self-efficacy are two key components of implementing effective treatment for primary care patients with complex illnesses such as bipolar disorder (26). Patients with mood instability have previously reported a strong preference for patient-centered care, in terms of having a more reciprocal and trusting relationship with clinicians, feeling listened to, receiving explanations for why symptoms occur, and enhancing their self-care (27).…”

Section: Discussionmentioning

confidence: 99%

Collaborative care psychiatrists’ views on treating bipolar disorder in primary care: a qualitative study

Cerimele

Halperin

Spigner

et al. 2014

General Hospital Psychiatry

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Objective To understand collaborative care psychiatric consultants’ views and practices on making the diagnosis of and recommending treatment for bipolar disorder in primary care using collaborative care. Method We conducted a focus group at the University of Washington in December 2013 with nine psychiatric consultants working in primary care-based collaborative care in Washington State. A grounded theory approach with open coding and the constant comparative method revealed categories where emergent themes were saturated and validated through member checking, and a conceptual model was developed. Results Three major themes emerged from the data including the importance of working as a collaborative care team, the strengths of collaborative care for treating bipolar disorder, and the need for psychiatric consultants to adapt specialty psychiatric clinical skills to the primary care setting. Other discussion topics included gathering clinical data from multiple sources over time, balancing risks and benefits of treating patients indirectly, tracking patient care outcomes with a registry, and effective care. Conclusion Experienced psychiatric consultants working in collaborative care teams provided their perceptions regarding treating patients with bipolar illness including identifying ways to adapt specialty psychiatric skills, developing techniques for providing team-based care, and perceiving the care delivered through collaborative care as high quality.

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Section: Discussionmentioning

confidence: 99%

Collaborative care psychiatrists’ views on treating bipolar disorder in primary care: a qualitative study

Cerimele

Halperin

Spigner

et al. 2014

General Hospital Psychiatry

View full text Add to dashboard Cite

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“…Despite the professional and, indeed, growing public awareness of the potentials of psychotherapeutic treatments for many health conditions (Kendall-Tackett, 2009; Woltmann et al, 2012), along with evidence suggesting the significant prevalence of primary care patients presenting with concurrent mental health conditions (Arbus et al, 2014; Azrin, 2014; Olfson, Kroenke, Wang, & Blanco, 2014; Petterson, Miller, Payne-Murphy, & Phillips, 2014; Stein et al, 2004), there is still a considerable absence of ill people seeking mental health treatment. Many individuals instead opt to seek “pure” medical-based assistance.…”

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confidence: 99%

The application of psychodynamic psychotherapy within a preexisting primary care assessment and treatment approach.

Tasso

2017

Psychoanalytic Psychology

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This article aims to demonstrate the utility of psychodynamic treatment approaches within primary care medical settings. First, I provide an overview of the basic integrative care principles, followed by a discussion of a widely used primary care assessment and intervention method (The 5 As: assess, advise, agree, assist, and arrange). I then review specific psychoanalytic perspectives and techniques that are effective in dealing with shorter term, circumscribed conditions. Next, I offer a discussion of the value of a psychoanalytic framework within primary care settings, with a specific focus on the integration of psychodynamic techniques within the 5As approach. This article concludes with a clinical vignette demonstrating the applicability of psychodynamic techniques for a patient presenting in a medical setting.

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Mapping the literature on primary care research reporting: a scoping review

Phillips¹,

Louden

Sturgiss

2021

Family Practice

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Background Despite broad efforts to improve the reporting of biomedical research, no reporting guideline exists for primary care (PC) research. Little is known about current reporting practices or how well reports meet the needs of varied users in PC. Objective To map the published literature on PC research reporting: quality, strengths and weaknesses, recommendations and efforts to improve reporting. Methods Scoping review of literature across seven major databases and search engines to identify all articles on PC research reporting published in English, 2000–20. An additional secondary search of references of these 25 articles and consideration of expert panel suggestions. Structured data extraction by multiple reviewers using a predetermined form. Results Search yielded 2847 unique titles, of which 126 underwent full-text review and 25 met inclusion criteria. Publications included opinion pieces (9), systematic reviews (5), methods articles (2), literature reviews (4), qualitative studies (4) and surveys (1). Studies focussed on a variety of topics and research methods. All publications identified the need for improved reporting and recommended items to include in reports. Most commonly, publications cited the need for more detailed reporting on the context of study interventions, clinical settings and health care systems. Most publications endorsed the use of reporting guidelines and recognized the unique needs of PC research reporting. Conclusions Published research and opinion identify unique needs for PC research reports and support new guidance to improve the validity, generalizability and application of study findings.

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Integrated Care: High-Impact Mental Health–Primary Care Research for Patients With Multiple Comorbidities

Cited by 10 publications

References 8 publications

Collaborative care psychiatrists’ views on treating bipolar disorder in primary care: a qualitative study

Collaborative care psychiatrists’ views on treating bipolar disorder in primary care: a qualitative study

The application of psychodynamic psychotherapy within a preexisting primary care assessment and treatment approach.

Mapping the literature on primary care research reporting: a scoping review

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