The Hidden Mental Health Network

Schurman, Rachel; Krämer, Peter; Mitchell, Janet B.

doi:10.1001/archpsyc.1985.01790240091010

Cited by 302 publications

(33 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Nearly 60% of care for mental illness episodes is provided exclusively by general medical providers (Regier et al, 1978;Schurman, Kramer, & Mitchell, 1985). The elderly, poor, female, nonwhite and more seriously physically ill patients are more likely to receive psychiatric care from nonpsychiatric physicians than psychiatrists (Schulberg & Burns, 1988).…”

Section: Improving Diagnostic Techniques In Primary Care Settingsmentioning

confidence: 99%

Mental health services for rural elderly: Innovative service strategies

Chalifoux

Neese²,

Buckwalter³

et al. 1996

Community Ment Health J

View full text Add to dashboard Cite

This paper reviews issues in planning and delivering mental health services to rural dwelling elderly. First, comparative data on the prevalence of mental illness among rural elderly, and the availability and accessibility of mental health services in rural areas are presented to provide a basis for subsequent discussion. Next, several strategies for improving the development and delivery of geriatric mental health services to rural areas are discussed. These include: increasing the number and quality of rural mental health providers; adapting or developing diagnostic techniques to improve case identification among rural elderly; providing culturally sensitive mental health services; strengthening informal and formal care linkages in rural communities; developing innovative service delivery models building upon the strengths of rural settings; and emphasizing fluidity as well as continuity in treatment models.

show abstract

Section: Improving Diagnostic Techniques In Primary Care Settingsmentioning

confidence: 99%

Mental health services for rural elderly: Innovative service strategies

Chalifoux

Neese²,

Buckwalter³

et al. 1996

Community Ment Health J

View full text Add to dashboard Cite

show abstract

“…27 Although treatment is commonly initiated in the primary care setting, the literature demonstrates inconsistent practitioner approaches to address mental health conditions. [28][29][30][31] Most patients who are identified as having mental health issues including depression receive inadequate treatment in primary care offices. 32 Patients may have to overcome many barriers to access mental health treatment across service settings including limited access to care because of location, lack of transportation or mental health insurance, and issues related to low socioeconomic status.…”

Section: Integrated Care Models In Culturally Diverse Populationsmentioning

confidence: 99%

Patient and Practitioner Perspectives on Culturally Centered Integrated Care to Address Health Disparities in Primary Care

Wrenn

Kasiah

Belton

et al. 2017

TPJ

View full text Add to dashboard Cite

Introduction: Addressing the multifaceted health and mental health needs of ethnically and culturally diverse individuals is a challenge within the current health care system. Integrated care provides a promising approach to improve mental health treatment-seeking disparities; however, adaptation of care models to impact African Americans is lacking. Although resources to support engagement of diverse populations in depression care exist, little has been developed to tailor patient preferences in accessing and engaging mental health services that are integrated into primary care.Objective: Our research seeks to add a cultural focus to the existing literature concerning integrated health care models to help address depression and selected co-occurring chronic health conditions in primary care settings.Methods: Thirty-two adult patients of an integrated primary care clinic participated in focus groups discussing their individual health experiences. Nine health care practitioners/administrators from five different integrated practice settings in the Atlanta, GA, area participated in key informant interviews.Main Outcome Measures: Transcripts were analyzed for key themes related to depression care, perceived unmet cultural needs, and desired adaptations.Results: Common themes emerged such as the importance of peer-support and community engagement as areas of patient interest. Participants had good knowledge in recognizing depressive symptoms but were less knowledgeable about treatment options and expectations of treatment. The administrative and practitioner perspective suggests that patient preferences are valued and perceived as valid.Conclusion: It is critical that strategies and models are developed to improve health care among underserved minorities because current models offer variable efficacy among this population.

show abstract

“…They are particularly common in pri mary care, where about 30% of attenders have significant psychiatric disturbance [9][10][11][12]. The most frequent mental disorders in general practice are depression and anxiety [9][10][11] and more than half of the patients given one or both of these diagnoses present with somatic rather than with psychological complaints [9][10][11][12], Somatizing patients tend to be heavy users of medical care and hence contribute to its high cost [13][14][15], They con stitute a major medical, social, and eco nomic problem.…”

Section: Somatization As a Clinical Problemmentioning

confidence: 99%

Somatization: The Experience and Communication of Psychological Distress as Somatic Symptoms

Lipowski¹

1987

Psychother Psychosom

View full text Add to dashboard Cite

Somatization implies a tendency to experience and communicate psychological distress in the form of somatic symptoms and to seek medical help for them. So defined, it is neither a disorder nor a diagnostic category but a generic term for a set of experiential, cognitive, and behavioral characteristics of patients who complain of physical symptoms in the absence of relevant medical findings. Such patients are ubiquitous in all medical care settings, pose difficult diagnostic and management problems, and overutilize health care thus contributing to its cost. Somatization may be transient or persistent, and may or may not be associated with a diagnosable medical or psychiatric disorder. The most common concurrence of somatization is with affective and anxiety disorders, and, to a lesser degree, the somatoform disorders. Persistent somatization poses a serious clinical, social, and economic problem and hence early identification of potential chronic somatizers should be attempted to avoid its development. Pain, fatigue, dizziness, and dyspnea are the commonest symptoms. Etiology of somatization is multifactorial and so should be its management.

show abstract

The Hidden Mental Health Network

Cited by 302 publications

References 11 publications

Mental health services for rural elderly: Innovative service strategies

Mental health services for rural elderly: Innovative service strategies

Patient and Practitioner Perspectives on Culturally Centered Integrated Care to Address Health Disparities in Primary Care

Somatization: The Experience and Communication of Psychological Distress as Somatic Symptoms

Contact Info

Product

Resources

About