Psychiatric disorders among the patients of general practitioners and internists

Locke, Ben Z.

doi:10.1037/e525532009-011

Cited by 8 publications

(9 citation statements)

References 11 publications

(12 reference statements)

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“…Prior studies have suggested that primary care medical practitioners diagnose the existence of mental illness in 2% to 16% of their patients (Shepherd et al, 1966;Goldberg, 1980;Hoeper et al, 1979;Eastwood, 1971;Patrick et al, 1978;Hankin et al, 1982;Locke and Gardner, 1969). Prevalence rates for diagnosable mental disorders in primary care patients range from 15% to 40% (Shepherd et al, 1966;Goldberg, 1980;Hoeper, 1979).…”

Section: Discussionmentioning

confidence: 99%

Ability of internists to recognize and manage depression in the elderly

Barsa

Toner

Gurland

et al. 1986

Int J Geriat Psychiatry

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SUMMARYSeventy-seven randomly selected elderly patients in a primary care internal medicine practice were assessed and rated by their internists for the presence and severity of depression. Management recommendations were recorded by internists in each case. On the same day, the patients were interviewed and scored using the SHORT-CARE Instrument, which includes a scale of depression. A chart review a year and a half later was made to demonstrate compliance with the internists' recommendations. Results showed that internists were quite skilled at recognizing depression and responded with specific management plans, but did not follow through with their own plans for counselling of patients or referral of patients to mental health practitioners.

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Section: Discussionmentioning

confidence: 99%

Ability of internists to recognize and manage depression in the elderly

Barsa

Toner

Gurland

et al. 1986

Int J Geriat Psychiatry

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“…The fact that those doctors who identify a deterioration in psychiatric services since the reform and those who are willing to collaborate with the services on a regular basis, both report a higher percentage of psychiatric cases, is not easy to explain as there is no objective assessment of the real prevalence of psychiatric disturbances. Various studies (8,9,15) have documented the variability of the percentage of cases identified by different general practitioners and that these differences may depend on numerous factors (15-18). It is possible that these doctors are more alert to psychiatric problems and hence identify more cases, a hypothesis which is supported by certain of the data, e.g.…”

Section: Discussionmentioning

confidence: 99%

The general practitioner and the psychiatric health service in Italy after the reform: opinions and experiences in an urban district

Rizzardo

Rovea

Magni

1986

Acta Psychiatr Scand

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This paper presents an analysis of the impact of the psychiatric reform in Italy on health care delivery by the general practitioner. In an urban district of the Veneto region a survey was made on the opinions and assessments of the general practitioner about the new status of psychiatric care, on the psychiatric cases identified, and the correspondence between these opinions and assessments and the real delivery of psychiatric care. The pessimism about the psychiatric reform that emerges among some general practitioners seems to have more to do with the slow progress in creating intermediary facilities between hospital and region rather than an a priori opposition to the reform.

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“…They discuss methodological limitations of the various studies and delineate suggestions for further research. Other authors discuss either the relationship between psychiatric and medical disorders and service utilization or how an integration of services can best be achieved (Coleman and Patrick 1976;Eastwood and Trevelyn 1972;Eisenberg 1979;Follette and Cummings 1967;Goldberg, Krantz and Locke 1970;Jacobson, Regier and Burns 1978;Locke and Gardner 1969;Meyer, Derogatis, Miller, Park and Whitemarsh 1978;Schwab, Traven and Warheit 1978; Shepherd, Cooper, Brown and Kalton 1966) .…”

Section: Awareness Of Mental Health Servicesmentioning

confidence: 96%