Systematic review of the effect of on-site mental health professionals on the clinical behaviour of general practitioners

Bower, Peter; Sibbald, Bonnie

doi:10.1136/bmj.320.7235.614

Cited by 41 publications

(27 citation statements)

References 20 publications

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“…3 So far, efforts to integrate mental and physical health care have focused on patients appearing in a primary care setting. 4,5 However, many patients with coexisting physical and mental health problems fail to appear in primary health care systems, increasing the risk of poorer health outcomes. Barriers to accessing primary care include inadequate skills or experience to negotiate the health care system, poor support networks, and transportation difficulties.…”

mentioning

confidence: 99%

Connections to Primary Medical Care after Psychiatric Crisis

Griswold

Servoss²,

Leonard³

et al. 2005

The Journal of the American Board of Family Medicine

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Background: Patients presenting with a psychiatric emergency face a unique set of challenges in connecting to primary care.Objectives: We tested the hypothesis that, in contrast to usual care, case management will result in higher rates of connection to primary care. We examined variables affecting primary care entry, including insurance status, hospital admission, and concurrent linkages to mental health care.Research Design/Methods: This article reports on a preliminary outcome of an ongoing randomized controlled trial conducted with 101 patients presenting in an urban psychiatric setting. Patients were randomized to a case management team or to usual care. The need for medical care was assessed by documenting medical comorbidity.Results: Average age of the sample was 37.5; 65% were male, and 78% had low income; 37% were African American and 9% were Hispanic. Within 3 months of study enrollment, 57% of the intervention group was successfully linked to primary care compared with 16% of the usual care group, a difference that was statistically significant (P < .001). Associated positive predictors for linkage to primary care included mental health care visits and success in obtaining health insurance. Inpatient hospital stay at the time of psychiatric crisis was negatively associated with later attendance at primary care.

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confidence: 99%

Connections to Primary Medical Care after Psychiatric Crisis

Griswold

Servoss²,

Leonard³

et al. 2005

The Journal of the American Board of Family Medicine

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“…The benefits (mostly for GP practices) of on-site collaboration between primary care physicians and mental health professionals have a Age-adjusted mean score (SEM); b P < 0.05 for the differences between the categories of demographic and practice characteristics; c P < 0.001 for the differences between GPs and psychiatrists been reported (23,42,43). However, GPs-and especially psychiatrists in this survey-did not agree with psychiatrists moving their consultation practices to primary care settings or even visiting such settings periodically.…”

Section: Discussionmentioning

confidence: 99%

Strategies of Collaboration between General Practitioners and Psychiatrists: A Survey of Practitioners' Opinions and Characteristics

et al. 2002

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“…Les auteurs soulèvent l'hypothèse qu'une intervention plus rapide diminue le temps nécessaire pour le traitement en prévenant une détérioration de la situation. Une autre étude montre une diminution significative du nombre de prescriptions de psychotropes lorsque des professionnels en santé mentale en première ligne 2 sont impliqués (Bower et Sibbald, 2000).…”

Section: Soins Concertés Et Santé Mentale Jeunesseunclassified

Évaluation préliminaire d’un projet de soins concertés en santé mentale jeunesse à Montréal : faire face à l’incertitude institutionnelle et culturelle

Nadeau

Rousseau

Séguin

et al. 2009

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Cet article décrit un projet de soins concertés en santé mentale jeunesse dans un milieu pluriethnique de Montréal. Les auteurs examinent les ajustements à apporter au modèle prévalent pour répondre aux enjeux culturels et de coopération de services destinés à une population pluriethnique. Une évaluation qualitative préliminaire du projet révèle les nombreuses sources d’incertitude auxquelles sont confrontés les intervenants. Enfin, les auteurs formulent l’hypothèse selon laquelle les incertitudes, si elles génèrent malaise et confusion, permettent aussi une ouverture à l’innovation et à l’altérité.This article describes a collaborative mental health care project for youths, implemented in Montreal in a multiethnic setting. The authors examine the adjustments needed in the shared-care model to address the complexity of cultural and cooperation issues raised in the provision of services to a multiethnic population. A preliminary qualitative evaluation of the project shows how first-line workers face many uncertainties, stemming from both the institutional context and the multicultural reality of the population served. Results from this study advance the hypothesis that although uncertainties may generate discomfort and confusion, they may also open a space for innovation and acceptance of otherness.Este artículo describe un proyecto de cuidados multidisciplinarios en salud mental para la juventud en un medio pluriétnico de Montreal. Los autores examinan los ajustes a realizar al modelo prevaleciente para responder a los aspectos culturales de los servicios destinados a una población pluriétnica. Una evaluación cualitativa preliminar del proyecto revela las numerosas fuentes de incertidumbre a las que se enfrentan los interventores. Finalmente, los autores formulan la hipótesis según la cual la incertidumbre, si bien genera malestar y confusión, permite también la apertura a la innovación y a la alteridad.Este artigo descreve um projeto de atenções concertadas em saúde mental da criança e do adolescente em um meio multiétnico de Montreal. Os autores examinam os ajustes a fazer ao modelo prevalente para atender às questões culturais dos serviços destinados a uma população multiétnica. Uma avaliação qualitativa preliminar do projeto revela as numerosas fontes de incerteza às quais são confrontados os intervenientes. Finalmente, os autores formulam a hipótese segundo a qual as incertezas, se geram desconforto e confusão, permitem também uma abertura à inovação e à alteridade

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Systematic review of the effect of on-site mental health professionals on the clinical behaviour of general practitioners

Abstract: Objectives To review the published literature concerning the effects of on-site mental health professionals on general practitioners' management of mental health.

Cited by 41 publications

References 20 publications

Connections to Primary Medical Care after Psychiatric Crisis

Connections to Primary Medical Care after Psychiatric Crisis

Strategies of Collaboration between General Practitioners and Psychiatrists: A Survey of Practitioners' Opinions and Characteristics

Évaluation préliminaire d’un projet de soins concertés en santé mentale jeunesse à Montréal : faire face à l’incertitude institutionnelle et culturelle

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