Journal ArticleDOI
Integrating mental health services within primary care settings: the Hamilton Family Health Team.
TLDR
The evolution of the Hamilton Family Health Team Mental Health Program is reviewed and the changes made by practices with key lessons learnt are reviewed.Abstract:
For 16 years, the Hamilton Family Health Team Mental Health Program has successfully integrated mental health counselors, addiction specialists, child mental health professionals, and psychiatrists into 81 offices of 150 family physicians in Hamilton, Ontario. Maximising the potential of a "shared care" model requires changes within the primary care setting, to support the addition of mental health and addiction professionals, active involvement of primary care staff in managing mental health problems of patients, and collaborative practice. This coordinated effort allow mental health treatment through onsite support from a mental health team and supplants the need to refer most patients to the mental health setting. This article reviews the evolution of the program and the changes made by practices with key lessons learnt.read more
Citations
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Journal ArticleDOI
Brazilian multicentre study of common mental disorders in primary care: rates and related social and demographic factors
Daniel Almeida Gonçalves,Jair de Jesus Mari,Peter Bower,Linda Gask,Christopher Dowrick,Luís Fernando Tófoli,Mônica Rodrigues Campos,Flávia Batista Portugal,Dinarte Ballester,Sandra Fortes +9 more
TL;DR: Prevalence proportions of mental problems were especially common for females, the unemployed, those with less education and those with lower incomes, in the context of the Brazilian government's moves towards developing primary health care and reorganizing mental health policies.
Journal ArticleDOI
From Medical Home to Health Neighborhood: Transforming the Medical Home into a Community-Based Health Neighborhood
TL;DR: This poster presents a probabilistic procedure to assess whether a child’s risk of serious adverse events, such as septicaemia, is determined by the parents and not the child themselves.
Journal ArticleDOI
Interprofessional Collaboration in Ontario’s Family Health Teams: A Review of the Literature
TL;DR: Examination of current knowledge regarding FHT team functioning in Ontario finds that collaborative team functioning, while present, has not reached its full potential and more research is needed to advance FHT functioning.
Journal ArticleDOI
Variations in Mental Health Diagnosis and Prescribing Across Pediatric Primary Care Practices
Stephanie L. Mayne,Michelle E. Ross,Lihai Song,Banita McCarn,Jennifer Steffes,Weiwei Liu,Benyamin Margolis,Romuladus E. Azuine,Edward Gotlieb,Robert W. Grundmeier,Laurel K. Leslie,Russell Localio,Richard C. Wasserman,Alexander G. Fiks +13 more
TL;DR: The prevalence of mental health diagnosis and psychotropic medication prescribing varies substantially across practices and is only partially explained by psychiatrist availability.
Journal ArticleDOI
Evaluation of a mental health training intervention for multidisciplinary teams in primary care in Brazil: a pre- and posttest study.
Daniel Almeida Gonçalves,Sandra Fortes,Mônica Rodrigues Campos,Dinarte Ballester,Flávia Batista Portugal,Luís Fernando Tófoli,Linda Gask,Jair de Jesus Mari,Jair de Jesus Mari,Peter Bower +9 more
TL;DR: Although instabilities in the local context may have contributed to the lack of effects, wider changes in the system of care may be required to augment training and encourage reliable changes in behavior, and more specific educating models are necessary.
References
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Integrating mental health into primary care: a global perspective.
TL;DR: Some of the debates reminded me about themes I had been taking for granted and reminded me that family medicine is an emancipated field of medicine and no longer needed to debate this position.
Journal Article
Better practices in collaborative mental health care: an analysis of the evidence base.
Marilyn Craven,Roger C. Bland +1 more
TL;DR: A body of experimental literature evaluating the impact of enhanced collaboration on patient outcomes-primarily in depressive disorders-now exists and better practices in collaborative mental health care are beginning to emerge.
Reference EntryDOI
Effectiveness and cost effectiveness of counselling in primary care
Peter Bower,Nancy Rowland +1 more
TL;DR: Counselling is associated with modest improvement in short-term outcome compared to 'usual care', but provides no additional advantages in the long-term; patients are satisfied with counselling, and it may not be associated with increased costs.
Journal ArticleDOI
Shared mental health care in Canada.
Nick Kates,Marilyn Craven,Joan Bishop,Theresa Clinton,Danny Kraftcheck,Ken LeClair,John Leverette,Lynn Nash,Ty Turner +8 more
TL;DR: The family physician already plays an extensive role as a provider of mental health care in almost every community in Canada, but too often family physicians and psychiatrists fail to establish the collaborative working relationships that would strengthen the role of the family physician, enhance the consultative role of, and improve the quality of care their patients receive.
Journal ArticleDOI
Integrating mental health services within primary care: A Canadian program
TL;DR: The program made mental health care more available and accessible, increased continuity of care, provided additional support for the family physician, offered new opportunities for continuing education, and led to a reduced and more efficient use of other mental health services.
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Better practices in collaborative mental health care: an analysis of the evidence base.
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