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Primary care mental health integration

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https://www.readbyqxmd.com/read/29777967/rates-and-correlates-of-disordered-eating-among-women-veterans-in-primary-care
#1
Laura J Buchholz, Paul R King, Laura O Wray
Rates of disordered eating may be higher among women veterans than civilians, and are associated with co-occurring mental health (MH) conditions, such as depression, post-traumatic stress disorder (PTSD), and alcohol misuse. Although evidence suggests that these conditions are common in primary care settings, limited research has examined symptoms of disordered eating among women veterans in primary care. This study used a cross-sectional design to examine rates and MH correlates of disordered eating among women veterans treated in a primary care setting...
May 16, 2018: Eating Behaviors
https://www.readbyqxmd.com/read/29777491/-effects-of-an-integrated-neighborhood-approach-on-older-people-s-health-related-quality-of-life-and-well-being
#2
Hanna M van Dijk, Jane M Cramm, Erwin Birnie, Anna P Nieboer
Integrated neighborhood approaches (INAs) are increasingly advocated to support community-dwelling older people; their effectiveness however remains unknown. We evaluated INA effects on older people's (health-related) quality of life (HRQoL) and well-being in Rotterdam. We used a matched quasi-experimental design comparing INA with "usual" care and support. Community-dwelling people (aged ≥70) and control subjects (n = 186 each) were followed over a one-year period (measurements at baseline, 6 and 12 months)...
May 18, 2018: Tijdschrift Voor Gerontologie en Geriatrie
https://www.readbyqxmd.com/read/29771555/the-quality-of-assessments-for-childhood-psychopathology-within-a-regional-medical-center
#3
Adam F Sattler, Jarrod M Leffler, Nicole L Harrison, Ewa D Bieber, Joseph J Kosmach, Leslie A Sim, Stephen P H Whiteside
Accurate assessment is essential to implementing effective mental health treatment; however, little research has explored child clinicians' assessment practices in applied settings. The current study thus examines practitioners' use of evidence-based assessment (EBA) instruments (i.e., self-report measures and structured interviews), specificity of identified diagnoses (i.e., use of specific diagnostic labels vs. nonstandardized labels, not otherwise specified [NOS] diagnoses, and adjustment disorder diagnoses), and documentation of Diagnostic and Statistical Manual of Mental Disorders (4th ed...
May 17, 2018: Psychological Services
https://www.readbyqxmd.com/read/29762799/integrated-behavioral-health-care-in-family-medicine-residencies-a-cera-survey
#4
Christine Jacobs, Jay A Brieler, Joanne Salas, Renée M Betancourt, Peter F Cronholm
BACKGROUND AND OBJECTIVES: Behavioral health integration (BHI) in primary care settings is critical to mental health care in the United States. Family medicine resident experience in BHI in family medicine residency (FMR) continuity clinics is essential preparation for practice. We surveyed FMR program directors to characterize the status of BHI in FMR training. METHODS: Using the Council of Academic Family Medicine Educational Research Alliance (CERA) 2017 survey, FMR program directors (n=478, 261 respondents, 54...
May 2018: Family Medicine
https://www.readbyqxmd.com/read/29749288/changes-in-quality-of-life-among-enrollees-in-hennepin-health-a-medicaid-expansion-aco
#5
Katherine D Vickery, Nathan D Shippee, Laura M Guzman-Corrales, Cindy Cain, Sarah Turcotte Manser, Tom Walton, Jessica Richards, Mark Linzer
Despite limited program evaluations of Medicaid accountable care organizations (ACOs), no studies have examined if cost-saving goals negatively affect quality of life and health care experiences of low-income enrollees. The Hennepin Health ACO uses an integrated care model to address the physical, behavioral, and social needs of Medicaid expansion enrollees. As part of a larger evaluation, we conducted semistructured interviews with 35 primary care using Hennepin Health members enrolled for 2 or more years...
May 1, 2018: Medical Care Research and Review: MCRR
https://www.readbyqxmd.com/read/29748951/integration-of-mental-health-into-primary-health-care
#6
(no author information available yet)
No abstract text is available yet for this article.
May 3, 2018: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/29748943/integration-of-mental-health-into-primary-healthcare-perceptions-of-stakeholders-in-pakistan
#7
Syed S Hussain, Murad Khan, Raisa Gul, Nargis Asad
Background: In Pakistan, there is high prevalence of mental health disorders, but mental health services to address these are not well developed. To provide effective mental health services, the World Health Organization emphasizes the integration of mental health into primary health care (PHC). Objectives: This study aimed to assess the views of key stakeholders about integration of mental health into PHC in Karachi, Pakistan. Methods: A qualitative, exploratory study was conducted between June and September 2013 among 15 decision-making (from the Department of Health) and implementation-level stakeholders (mental health and public health professionals and primary care staff) from both the public and private sectors...
May 3, 2018: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/29743217/strategies-for-addressing-the-challenges-of-patient-centered-medical-home-implementation-lessons-from-oregon
#8
Sherril Gelmon, Nicole Bouranis, Billie Sandberg, Shauna Petchel
BACKGROUND: Patient-centered medical homes (PCMHs) are at the forefront of the transformation of primary care as part of health systems reform. Despite robust literature describing implementation challenges, few studies describe strategies being used to overcome these challenges. This article addresses this gap through observations of exemplary PCMHs in Oregon, where the Oregon Health Authority supports and recognizes Patient-Centered Primary Care Homes (PCPCH). METHODS: Twenty exemplary PCPCHs were selected using program scores, with considerations for diversity in clinic characteristics...
May 2018: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29739735/effectiveness-of-a-blended-multidisciplinary-intervention-for-patients-with-moderate-medically-unexplained-physical-symptoms-parasol-protocol-for-a-cluster-randomized-clinical-trial
#9
Paula Elisabeth van Westrienen, Martijn F Pisters, Suze Aj Toonders, Marloes Gerrits, Cindy Veenhof, Niek J de Wit
BACKGROUND: Medically unexplained physical symptoms are an important health problem in primary care, with a spectrum from mild to chronic. The burden of chronic medically unexplained physical symptoms is substantial for patients, health care professionals, and society. Therefore, early identification of patients with moderate medically unexplained physical symptoms is needed in order to prevent chronicity. The preventive screening of medically unexplained physical symptoms (PRESUME) screening method was developed using data from the electronic medical record of the patients' general practitioner and demonstrated its prognostic accuracy to identify patients with moderate medically unexplained physical symptoms...
May 8, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29733401/innovations-in-primary-care-behavioral-health-a-pilot-study-across-the-u-s-air-force
#10
Ryan R Landoll, Matthew K Nielsen, Kathryn K Waggoner, Elizabeth Najera
Integrated primary care services have grown in popularity in recent years and demonstrated significant benefits to the patient experience, patient health, and health care operations. However, broader systems-level factors for health care organizations, such as utilization, access, and cost, have been understudied. The current study reviews the results of quality improvement project conducted by the U.S. Air Force, which has practiced integrated primary care behavioral health for over 20 years. This study focuses on exploring how shifting the access point for behavioral from specialty mental health clinics to primary care, along with the use of technicians in patient care, can improve a range of health outcomes...
May 4, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29722600/improving-collaboration-between-primary-care-and-mental-health-services
#11
Nick Kates, Bruce Arroll, Elizabeth Currie, Charlotte Hanlon, Henrikje Klasen, Graham Meadows, Godfrey Rukundo, Nadia Sunderji, Torleif Ruud, Mark Williams
In almost any country - whether high, middle or low income - primary care providers play major roles in delivering mental health care. Indeed, the World Health Organization has recognized that in many low and middle-income countries, meeting the mental health needs of the population can only be achieved through greater integration of mental health services within primary care settings. Other guidelines and planning documents have reached similar conclusions and made suggestions as to how to achieve this. This position paper builds upon this work and synthesizes their ideas and recommendations into a framework for enhancing mental health care delivered within primary care settings...
May 3, 2018: World Journal of Biological Psychiatry
https://www.readbyqxmd.com/read/29719986/linking-the-medical-and-educational-home-to-support-children-with-autism-spectrum-disorder-practice-recommendations
#12
Jeffrey D Shahidullah, Gazi Azad, Katherine R Mezher, Maryellen Brunson McClain, Laura Lee McIntyre
Children with autism spectrum disorder (ASD) present with complex medical problems that are often exacerbated by a range of other intellectual and psychiatric comorbidities. These children receive care for their physical and mental health from a range of providers within numerous child-serving systems, including their primary care clinic, school, and the home and community. Given the longitudinal nature in which care is provided for this chronic disorder, it is particularly necessary for services and providers to coordinate their care to ensure optimal efficiency and effectiveness...
May 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29718082/integration-of-neuropsychological-services-in-a-va-hiv-primary-care-clinic
#13
Moira C Dux, Terry Lee-Wilk
The Department of Veteran Affairs (VA) is the largest health care provider for individuals with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS), with >28,000 Veterans with HIV/AIDS enrolled in care. Advances in medical treatment have improved the life-limiting effects of the disease, though many chronic symptoms persist. Comprehensive care is critical to manage the diverse constellation of symptoms. However, many patients face challenges to receiving optimal care due to limited resources, mistrust of health care providers, and/or co-occurring medical, psychiatric, and substance use disorders...
May 1, 2018: Archives of Clinical Neuropsychology: the Official Journal of the National Academy of Neuropsychologists
https://www.readbyqxmd.com/read/29718079/the-integrated-care-team-approach-of-the-department-of-veterans-affairs-va-geriatric-primary-care
#14
Donna Rasin-Waters, Valerie Abel, Lisa K Kearney, Antonette Zeiss
Historically, integrated mental and behavioral healthcare in the Department of Veterans Affairs (VA) commenced with initiatives in geriatrics. Innovation and system-wide expansion has occurred over decades and culminated in a unified vision for training and practice in the VA medical home model: Patient Aligned Care Team or PACT approach. In one VA hospital, the integration of neuropsychological services in geriatric primary care is pivotal and increases access for patients, as well as contributing to timely and effective care on an interprofessional team...
May 1, 2018: Archives of Clinical Neuropsychology: the Official Journal of the National Academy of Neuropsychologists
https://www.readbyqxmd.com/read/29712551/barriers-to-mental-health-care-utilization-among-internally-displaced-persons-in-the-republic-of-georgia-a-rapid-appraisal-study
#15
Adrianna Murphy, Ivdity Chikovani, Maia Uchaneishvili, Nino Makhashvili, Bayard Roberts
BACKGROUND: There is a paucity of evidence on access to services for mental health and psychosocial support for conflict-affected populations in low- and middle-income countries. In the Republic of Georgia, rates of utilization of mental health services among internally displaced people with mental disorders are low. We set out to identify the health system barriers leading to this treatment gap. METHODS: We used rapid appraisal methods (collection and triangulation of multiple data sources) to investigate barriers to accessing mental health care services among adult IDPs in Georgia...
April 30, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29709411/-we-don-t-want-to-be-judged-perceptions-about-professional-help-and-attitudes-towards-help-seeking-among-pregnant-and-postpartum-mexican-american-adolescents
#16
Pamela Recto, Jane Dimmitt Champion
PURPOSE: The purpose of this qualitative study is to understand how depression is recognized, as well as perceptions of professional help and attitudes concerning perinatal depression among pregnant and postpartum (perinatal) Mexican-American adolescents. DESIGN AND METHODS: This qualitative descriptive study used deductive and inductive content analysis to analyze data. Categories and subcategories describing the mental health literacy of perinatal Mexican-American adolescents concerning perinatal depression are presented...
April 27, 2018: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/29697714/exploring-asian-american-attitudes-regarding-mental-health-treatment-in-primary-care-a-qualitative-study
#17
Katherine Hails, Andrea Madu, Daniel Ju Hyung Kim, Hyeouk Chris Hahm, Benjamin Cook, Justin Chen, Trina Chang, Albert Yeung, Nhi-Ha Trinh
BACKGROUND: In this exploratory study, we examined attitudes regarding mental health treatment among 10 Asian American patients in an urban primary care setting to better understand contextual barriers to care. METHODS: Ten semi-structured telephone interviews were conducted with Asian Americans recruited from primary care practices in an urban medical center. RESULTS: The study's qualitative data suggest that focusing on specific cultural concerns is essential for increasing mental health access for Asian Americans...
May 2018: Annals of Clinical Psychiatry: Official Journal of the American Academy of Clinical Psychiatrists
https://www.readbyqxmd.com/read/29691209/experiences-of-general-practitioners-and-practice-support-staff-using-a-health-and-lifestyle-screening-app-in-primary-health-care-implementation-case-study
#18
Marianne Julie Webb, Greg Wadley, Lena Amanda Sanci
BACKGROUND: Technology-based screening of young people for mental health disorders and health compromising behaviors in general practice increases the disclosure of sensitive health issues and improves patient-centered care. However, few studies investigate how general practitioners (GPs) and practice support staff (receptionists and practice managers) integrate screening technology into their routine work, including the problems that arise and how the staff surmount them. OBJECTIVE: The aim of this study was to investigate the implementation of a health and lifestyle screening app, Check Up GP, for young people aged 14 to 25 years attending an Australian general practice...
April 24, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29686733/towards-a-strategic-alignment-of-public-health-and-primary-care-practices-at-local-levels-the-case-of-severe-and-enduring-mental-illness
#19
Ricky Banarsee, Cornelius Kelly, Austen El-Osta, Paul Thomas, Chris Brophy
The rapidly increasing number of people who have long-term conditions requires a system of coordinated support for self-care throughout the NHS. A system to support self-care needs to be aligned to systems that support shared-care and community development, making it easier for the multidisciplinary teams who provide care to also help patients and populations to help themselves. Public health practitioners need to work closely with clinicians to achieve this. The best place to coordinate this partnership is a community-based coordinating hub, or local health community - a geographic area of about 50,000 population where different contributions to self-care can be aligned...
March 2018: London Journal of Primary Care
https://www.readbyqxmd.com/read/29685117/validation-of-the-posttraumatic-stress-disorder-checklist-5-pcl-5-in-a-primary-care-population-with-high-hiv-prevalence-in-zimbabwe
#20
Ruth Verhey, Dixon Chibanda, Lorna Gibson, Jonathan Brakarsh, Soraya Seedat
BACKGROUND: There is a dearth of validated tools measuring posttraumatic stress disorder (PTSD) in low and middle-income countries in sub-Saharan Africa. We validated the Shona version of the PTSD Checklist for DSM-5 (PCL-5) in a primary health care clinic in Harare, Zimbabwe. METHOD: Adults aged 18 and above attending the clinic were enrolled over a two-week period in June 2016. After obtaining written consent, trained research assistants administered the tool to eligible participants...
April 23, 2018: BMC Psychiatry
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