200 results match your criteria Mental health in family medicine[Journal]


Life Course Challenges Faced by Siblings of Individuals with Schizophrenia May Increase Risk for Depressive Symptoms.

Ment Health Fam Med 2016;12(1):147-151

Columbia University School of Social Work, 1255 Amsterdam Ave., New York, USA.

Background: Research suggests siblings of individuals with schizophrenia are at a heightened risk for depressive symptomatology. Research has not yet examined whether the strains of growing up with a brother or sister with schizophrenia contribute to this risk. This study examined whether early life course burdens associated with an emerging mental illness, and current objective and subjective caregiver burden predicted depressive symptoms in siblings of individuals with schizophrenia. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4862204PMC
January 2016
4 Reads

"Someone's got to do it" - Primary care providers (PCPs) describe caring for rural women with mental health problems.

Ment Health Fam Med 2013 Dec;10(4):191-202

Medicine and Public Health Sciences, The Pennsylvania State University College of Medicine, Hershey, PA,

Objective: Little is known about how primary care providers (PCPs) approach mental health care for low-income rural women. We developed a qualitative research study to explore the attitudes and practices of PCPs regarding the care of mood and anxiety disorders in rural women.

Method: We conducted semi-structured interviews with 19 family physicians, internists, and obstetrician-gynecologists (OBGYNs) in office-based practices in rural central Pennsylvania. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4306261PMC
December 2013
37 Reads

Ten ways to improve the treatment of depression and anxiety in adults.

Ment Health Fam Med 2013 Sep;10(3):175-81

Associate Professor, Department of Family and Preventive Medicine, Emory University School of Medicine, and Emory School of Nursing, Atlanta, GA.

Complaints of depression and anxiety are very common among adult patients seeking treatment in primary care settings, and primary care providers prescribe the majority of medications for these conditions. Psychiatrists are often asked to evaluate and manage patients with major depression or anxiety disorders who have not improved after treatment in primary care. We highlight ten frequently overlooked aspects of the care of patients who present with depression and anxiety in primary care. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822665PMC
September 2013
5 Reads

Research in general practice: a survey of incentives and disincentives for research participation.

Ment Health Fam Med 2013 Sep;10(3):163-73

Professor of General Practice, Faculty of Health and Medicine, University of Newcastle, Callaghan, Australia.

Background Recruitment rates of general practitioners (GPs) to do research vary widely. This may be related to the ability of a study to incorporate incentives for GPs and minimise barriers to participation. Method A convenience sample of 30 GPs, ten each from the Sydney intervention and control groups Ageing in General Practice 'Detection and Management of Dementia' project (GP project) and 10 GPs who had refused participation, were recruited to determine incentives and barriers to participating in research. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822664PMC
September 2013
5 Reads

Bereavement in the elderly: the role of primary care.

Ment Health Fam Med 2013 Sep;10(3):159-62

Lecturer and Specialist, Department of Psychiatry University Kebangsaan Malaysia Medical Centre, Malaysia.

Bereavement in the elderly is a concern to primary care physicians (PCPs) as it can lead to psychological illness such as depression. Most people are able to come to terms with their grief without any intervention, but some people are not. This case highlights the importance of early recognition of bereavement-related depressive illness in elderly people. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822663PMC
September 2013
11 Reads

Improving quality of care: focus on liaison old age psychiatry.

Ment Health Fam Med 2013 Sep;10(3):153-8

Psychiatrist, Clinical Head Psychogeriatric Unit, Department of Psychiatry, Coimbra University Hospital Centre, Portugal.

Introduction Elderly patients occupy up to 65% of acute hospital beds and a significant proportion of them present with a comorbid psychiatric condition such as depression, delirium or dementia. Liaison old age psychiatry (LOAP) services have been developed to provide psychiatric consultation in medical and surgical settings, improving at the same time the knowledge and expertise of general ward staff. Objective The aim of this study is to evaluate clinical characteristics across different psychiatric disorders among elderly patients in medical wards. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822662PMC
September 2013
6 Reads

Optimising primary care for people with dementia.

Ment Health Fam Med 2013 Sep;10(3):143-51

Professor of General Practice Research, Primary Care Sciences Research Centre, Keele University, Keele, UK.

This review considers key areas in primary care regarding the diagnosis of dementia. Issues surrounding assessment, policy and incentives are considered. In addition, the relevance of non-medication approaches for dementia in primary care, which aim to enhance or maintain quality of life by maximising psychological and social function in the context of existing disabilities, is deliberated. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822661PMC
September 2013
8 Reads

Dementia care in rural China.

Ment Health Fam Med 2013 Sep;10(3):133-41

Public Health School, Central South University, Changsha, China.

Dementia is a major cause of disability and has immense cost implications for the individual suffering from the condition, family caregivers and society. Given the high prevalence of dementia in China with its enormous and rapidly expanding population of elderly adults, it is necessary to develop and test approaches to the care for patients with this disorder. The need is especially great in rural China where access to mental healthcare is limited, with the task made more complex by social and economic reforms over the last 30 years that have transformed the Chinese family support system, family values and health delivery systems. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822660PMC
September 2013
4 Reads

End-of-life care issues in advanced dementia.

Ment Health Fam Med 2013 Sep;10(3):129-32

Chairman, Alzheimer's Disease International, London, UK.

Appropriate management of advanced dementia requires it to be recognised as a terminal condition that needs palliative care. Interventions during this stage should be carefully chosen to ensure the improvement or maintenance of the quality of life of the person with dementia. Advanced care planning is an important aspect of dementia care. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822659PMC
September 2013
10 Reads

Mental health and wellbeing of older people: opportunities and challenges.

Ment Health Fam Med 2013 Sep;10(3):125-7

Editor-in-chief Mental Health in Family Medicine ; Medical Director, Waltham Forest Community and Family Health Services; President Elect, World Federation for Mental Health (WFMH).

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822658PMC
September 2013
3 Reads

'I need help': caregivers' experiences of caring for their relatives with mental illness in Jamaica.

Ment Health Fam Med 2013 Jun;10(2):113-21

Professor of Educational Leadership, School of Graduate Studies, Research and Entrepreneurship, University of Technology, Kingston, Jamaica.

The findings reported here form part of a larger research project that examined non-compliance with medication among the mentally ill patients attending public clinics in a specific parish in Jamaica. The aim of the research was to explore the perceptions of caregivers about caring for the mentally ill at two outpatient psychiatric clinics. Caregivers involved in looking after their relatives with mental illness played a vital role in mental health promotion. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822642PMC
June 2013
4 Reads

Making sense of medically unexplained symptoms in general practice: a grounded theory study.

Authors:
Louise Stone

Ment Health Fam Med 2013 Jun;10(2):101-11

General Practice Education and Training Ltd, Canberra, ACT, Australia.

Background General practitioners often encounter patients with medically unexplained symptoms. These patients share many common features, but there is little agreement about the best diagnostic framework for describing them. Aims This study aimed to explore how GPs make sense of medically unexplained symptoms. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822641PMC
June 2013
7 Reads

Exploring core competencies for mental health and addictions work within a Family Health Team setting.

Ment Health Fam Med 2013 Jun;10(2):89-100

Centre for Addiction and Mental Health, Toronto, Ontario, Canada.

Approximately 200 Family Health Teams (FHTs) have been implemented in Ontario to improve access to primary healthcare, including mental health and addiction. The objectives of this project were to examine, through a focus group and qualitative methodology with three FHTs, the profile of patients' mental health and addiction-related needs and to identify the implications for the development of core competencies in these innovative organisations. A spectrum of needs and service trajectories was identified, as well as the importance of a wide range of clinical skills and knowledge. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822640PMC
June 2013
4 Reads

Somatoform disorders among patients attending walk-in clinics in Trinidad: prevalence and association with depression and anxiety.

Ment Health Fam Med 2013 Jun;10(2):81-8

House Officers, Trinidad healthcare system.

Objectives Somatoform disorders are common in international primary care settings, but have been little studied in the developing world. The objective of this study was to determine the prevalence of severe undifferentiated somatoform disorder, and its relationship to depression and anxiety, among patients attending walk-in clinics in Trinidad. Methods The study participants, who were all aged 18 years or older and attending walk-in clinics at 16 randomly selected health centres, were surveyed between May and August 2007 using the PRIME-MD questionnaire. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822639PMC
June 2013
4 Reads

What do patients with medically unexplained physical symptoms (MUPS) think? A qualitative study.

Ment Health Fam Med 2013 Jun;10(2):67-79

Department of Family Medicine, Faculty of Medical Sciences, New University of Lisbon, Lisbon, Portugal.

Context Medically unexplained physical symptoms (MUPS) are frequently encountered in family medicine, and lead to disability, discomfort, medicalisation, iatrogenesis and economic costs. They cause professionals to feel insecure and frustrated and patients to feel dissatisfied and misunderstood. Doctors seek answers for rather than with the patient. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822638PMC
June 2013
5 Reads

Thought for the day: the philosophical challenge of medically unexplained syndromes.

Authors:
Anthony Stern

Ment Health Fam Med 2013 Jun;10(2):65-6

Assistant Clinical Professor, Department of Family and Social Medicine and Department of Psychiatry, Albert Einstein College of Medicine, New York, USA.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822637PMC
June 2013
2 Reads

Bodily distress syndrome (BDS): the evolution from medically unexplained symptoms (MUS).

Ment Health Fam Med 2013 Jun;10(2):63-4

Professor Emeritus and Fellow, King's College, London.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822636PMC
June 2013
3 Reads

Evaluation of a primary care adult mental health service: Year 2.

Ment Health Fam Med 2013 Jan;10(1):53-9

Principal Psychologist Manager, Roscommon Service Area, HSE West, Ireland.

Aims This study aimed to examine the effectiveness of a primary care adult mental health service operating within a stepped care model of service delivery. Methods Supervised by a principal psychologist manager, psychology graduate practitioners provided one-to-one brief cognitive behavioural therapy (CBT) to service users. The Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) was used to assess service user treatment outcomes. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822673PMC
January 2013
5 Reads

Use of standardised patients in the evaluation of a residency mood disorders curriculum: a brief report.

Ment Health Fam Med 2013 Jan;10(1):45-51

Department of Family Medicine, Oregon Health and Science University, Portland, OR, USA.

Background and objectives The purpose of this paper is to describe the use of resident performance on an observed structured clinical examination (OSCE) as a tool to refine a mood disorders curriculum, and to disseminate a mood disorders OSCE for use in other residency settings. Methods A depression-focused OSCE and a direct observation evaluation tool were developed and implemented. A total of 24 first-year family medicine residents (PGY1) participated in the OSCE, and their performance was used to direct changes in a mood disorders curriculum. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822672PMC
January 2013
3 Reads

Polypharmacy in the management of patients with schizophrenia on risperidone in a tertiary-care hospital in Malaysia.

Ment Health Fam Med 2013 Jan;10(1):37-43

Head of Department of Psychiatry and Senior Consultant, Hospital Tengku Ampuan Rahimah, Klang Selangor, Malaysia.

The present study was conducted primarily to determine the occurrence of polypharmacy in patients with schizophrenia on risperidone. The secondary aim was to ascertain the incidence of inappropriate prescribing with anticholinergics. A retrospective review of the medical records of all patients who were being followed up at the out-patient clinic of a tertiary-care hospital in Malaysia was conducted. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822671PMC
January 2013
3 Reads

Improving blood and ECG monitoring among patients prescribed regular antipsychotic medications.

Ment Health Fam Med 2013 Jan;10(1):29-36

Specialist Registrar, South London and Maudsley NHS Foundation Trust, Lambeth Hospital, London, UK.

Aims and methods It is now well established that antipsychotic medications are associated with adverse effects such as metabolic dysfunction, hyperprolactinaemia and cardiac arrhythmias. We completed an audit cycle between 2008 and 2010 to assess whether the implementation of a high-visibility prompt and an educational programme would improve monitoring rates among patients prescribed regular antipsychotics admitted to a 59-bedded psychiatric hospital in West Sussex. Results There was an improvement in monitoring rates for most audit standards. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822670PMC
January 2013
3 Reads

Barriers and errors in the implementation of community psychiatry in Slovenia.

Ment Health Fam Med 2013 Jan;10(1):23-8

Professor, Department of Family Medicine, Faculty of Medicine, University Ljubljana, Ljubljana, Slovenia.

Background Slovenian psychiatry is predominantly hospital based. A programme for the development of general community psychiatric services was proposed to improve access to and quality and comprehensiveness of psychiatric care according to the modern standards of delivery of psychiatric services. Aim The aim of the paper is to present the programme for developing community services that was proposed to the Slovenian government, and to describe the barriers to its implementation that were encountered, as well as the errors made by the programme authors, that contributed to the rejection of the programme last year. Read More

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http://www.mhfmjournal.com/mental-health/barriers-and-errors
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822669PMC
January 2013
5 Reads

Patient's weight 6 months after depression treatment is not affected by either clinical remission or enrolment in collaborative care management.

Ment Health Fam Med 2013 Jan;10(1):15-21

Department of Family Medicine, Mayo Clinic Health System-Austin, Austin, MN, USA.

Objective The primary aim of this study was to determine whether enrolment in collaborative care management (CCM) for treatment of major depression would have a significant impact on 6-month changes in weight compared with patients treated by their primary care provider with usual care. The secondary aim was to determine whether clinical remission would also affect 6-month weight changes. Design A retrospective chart review study included 1550 patients who had been diagnosed with major depression or dysthymia and who had a Patient Health Questionnaire (PHQ-9) score of ≥ 10 with follow-up data (PHQ-9 score and weight) at 6 months. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822668PMC
January 2013
3 Reads

Sense of coherence in people with and without type 2 diabetes mellitus: an observational study from Greece.

Ment Health Fam Med 2013 Jan;10(1):3-13

Clinic of Social and Family Medicine, School of Medicine, University of Crete, Heraklion, Crete, Greece.

Background Antonovsky's concept of sense of coherence (SOC) has been suggested to relate to health, especially mental health and preventive health behaviours. Psychological distress has been identified as a risk factor for pre-diabetes and type 2 diabetes mellitus. The study of SOC and diabetes has not received much attention in Greece. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822667PMC
January 2013
5 Reads

Loneliness and the elderly: opportunities for health promotion.

Authors:
Gabriel Ivbijaro

Ment Health Fam Med 2013 Jan;10(1):1-2

Editor-in-Chief Mental Health in Family Medicine and Vice President (Europe), World Federation for Mental Health.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822666PMC
January 2013
6 Reads

Factors associated with maternal depressive symptoms among low-income, African American smokers enrolled in a secondhand smoke reduction programme.

Ment Health Fam Med 2012 Dec;9(4):275-87

Health Behavior Research Center, Department of Public Health, Philadelphia, PA, USA.

Introduction Maternal depressive symptoms increase the risk of poor maternal and child health outcomes, and are a primary barrier to health behaviour change. Social cognitive theory can guide our understanding of risk factors that may have an impact on maternal depressive symptoms. The aim of this paper was to understand the correlates of maternal depressive symptoms among low-income African American smokers completing a 16-week intervention trial to reduce young children's second-hand smoke exposure (SHSe). Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3721921PMC
December 2012
3 Reads

A feasibility study of a telephone-supported self-care intervention for depression among adults with a comorbid chronic physical illness in primary care.

Ment Health Fam Med 2012 Dec;9(4):257-73

Department of Epidemiology, Biostatistics and Occupational Health, McGill University; St Mary's Research Centre, Montreal, Canada.

Objective We assessed the feasibility and acceptability to patients of a telephone-supported self-care intervention for depression among adults aged 40 years or over with one of six targeted chronic physical illnesses and comorbid depressive symptoms in family practice settings. Methods An open, uncontrolled trial (feasibility study) was conducted among patients treated in Montreal family practices. Eligible patients were aged 40 years or over, had one or more of the targeted chronic physical illnesses for at least 6 months (arthritis, hypertension, diabetes, heart disease, asthma and chronic obstructive pulmonary disease) and were evaluated as having at least mild depressive symptoms (a score of ≥ 5 on the 9-item Patient Health Questionnaire, PHQ-9). Read More

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http://www.qualaxia.org/fdownload.php?fn=2013-01-Feasibility
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3721920PMC
December 2012
3 Reads

Supportive family relationships and adolescent health in the socio-cultural context of Iran: a qualitative study.

Ment Health Fam Med 2012 Dec;9(4):251-6

Assistant Professor, Department of Midwifery, Nursing and Midwifery Faculty, Mazandaran University of Medical Sciences, Sari, Iran.

Parents have a critical role in adolescent health. The association of adolescents' perceptions of family relationships with adolescent health was investigated using a sample of 67 female adolescents who participated in eight focus group discussions, utilising a purposeful sampling method. All tape-recorded data were fully transcribed and content analysis was performed. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3721919PMC
December 2012
4 Reads

Does consanguinity increase the risk of schizophrenia? Study based on primary health care centre visits.

Ment Health Fam Med 2012 Dec;9(4):241-8

Department of Medical Statistics and Epidemiology, Hamad General Hospital, Hamad Medical Corporation, Department of Public Health, Weill Cornell Medical College, Doha, Qatar; and Dept. Evidence for Population Health Unit, School of Epidemiology and Health Sciences, University of Manchester, Manchester, UK.

Background Consanguinity has been suggested as a risk factor for the development of schizophrenia in offspring in some Middle Eastern countries. Aim The purpose of this study was to review the frequency, pattern of parental consanguinity, and family history of schizophrenia among schizophrenia patients in Qatar, and to determine their impact on the associated risk factors. Design This is a cross-sectional study which was conducted between January 2009 and December 2010, in the setting of primary health care (PHC) centres of the Supreme Council of Health, State of Qatar. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3721918PMC
December 2012
8 Reads

The Northampton Physical Health and Wellbeing Project: the views of patients with severe mental illness about their physical health check.

Ment Health Fam Med 2012 Dec;9(4):233-40

Nurse Consultant, Park Avenue Medical Centre, University of Northampton, UK.

Background Annual health checks are recommended for people with severe mental illness, as they are at high risk of cardiovascular disease. We trained practice nurses from six primary care centres in Northampton, in the UK, how to deliver health checks for this population. Aims The purpose of this study was to examine patients' views about the physical health check delivered by a nurse trained in the Northampton Physical Health and Wellbeing (PhyHWell) project. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3721917PMC
December 2012
5 Reads

Attitudes and sexual behaviours of unmarried people with HIV/AIDS living in the Niger Delta region of Nigeria.

Ment Health Fam Med 2012 Dec;9(4):225-32

Department of Psychiatry.

Background Increasing morbidity and mortality associated with HIV/AIDS may be attributable to the lifestyle of individuals. Appropriate sexual behaviour and lifestyle modification may be helpful strategies for prevention and control of HIV/AIDS in many countries. Aim The study was designed to assess the impact of attitudes and sexual behaviour on control of HIV/AIDS among unmarried people living with HIV/AIDS in Uyo, a community in the Niger Delta region of Nigeria. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3721916PMC
December 2012
4 Reads

Vitamin D and the perinatal period in women suffering from schizophrenia.

Ment Health Fam Med 2012 Dec;9(4):215-7

Dudley and Walsall Mental Health Partnership Trust, Dudley, UK.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3721914PMC
December 2012
3 Reads

Mental and physical health parity: not a luxury but a necessity.

Authors:
Gabriel Ivbijaro

Ment Health Fam Med 2012 Dec;9(4):213-4

Editor-in-Chief Mental Health in Family Medicine and Vice President (Europe), World Federation for Mental Health.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3721913PMC
December 2012
3 Reads

Communication and mental health in general practice: physicians' self-perceived learning needs and self-efficacy.

Ment Health Fam Med 2012 Sep;9(3):201-9

PhD Student.

Background General practitioners (GPs) often see patients presenting with mental health problems, but their training regarding mental health treatment varies. GPs' communication skills are of particular importance in these consultations, and communication skills training of GPs has been found to improve patients' mental health. To tailor a communication skills training by basing it on GPs' learning needs and self-efficacy, thereby maximising learning, we conducted a questionnaire study. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3622912PMC
September 2012
5 Reads

The feasibility and effectiveness of mindfulness-based cognitive therapy for mixed diagnosis patients in primary care: a pilot study.

Ment Health Fam Med 2012 Sep;9(3):191-200

Research Officer.

Background Mindfulness-based cognitive therapy (MBCT) is an intervention developed for the prevention of recurrent depression which is now being applied to widening numbers of clinical populations. Despite evidence for its effectiveness in preventing relapse in depression, less is known about its efficacy within routine clinical practice for groups of patients with more varied mental health problems, despite this being a potentially promising context for its application. Aims This pilot study aimed to investigate whether MBCT would be feasible and effective when delivered in a primary care context for patients who are vulnerable to recurrent depression and anxiety. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3622911PMC
September 2012
6 Reads

Primary healthcare practitioners' screening practices and attitudes towards women survivors of child abuse.

Ment Health Fam Med 2012 Sep;9(3):181-9

DPsych (Clin) Candidate, School of Psychology and Psychiatry, Monash University Australia and Senior Research Officer, Alfred Psychiatry Research Centre and Department of General Practice, Monash University, Australia.

Background Child abuse survivors have an increased risk of developing various mental illnesses in adulthood, which may lead survivors to access primary healthcare services, in particular primary care mental health services. Aim To determine the frequency with which different primary care mental health practitioners encounter child abuse survivors in their practice and differences in their views about routine screening, level of importance, confidence and comfort in screening and supporting survivors, a cross-sectional study was conducted with 186 practitioners. Method The sample consisted of general practitioners (13. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3622910PMC
September 2012
6 Reads

Kabuki syndrome: diagnostic and treatment considerations.

Ment Health Fam Med 2012 Sep;9(3):171-9

Candidate for Licensure.

Kabuki syndrome (KS) is a rare genetic disorder first diagnosed in 1981. Unknown by most primary care physicians and clinicians in the mental health fields, children with KS present with unique facial characteristics, mental retardation, health problems and socio-emotional delays that are often mistaken for other diagnostic problems. Literature detailing the psychological and psychosocial features of this disorder is scant, and psychotherapeutic approaches have not been described. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3622909PMC
September 2012
5 Reads

Psychiatric distress among spouses of National Guard soldiers prior to combat deployment.

Ment Health Fam Med 2012 Sep;9(3):161-9

Staff Psychologist, Center for Chronic Disease Outcomes Research.

Background The mental health functioning of military spouses and intimate partners prior to the combat deployments of their loved ones is poorly studied. Aims Whereas service members and veterans often receive healthcare directly from the military or the Department of Veterans Affairs, family members may be more likely to present in family care settings. An understanding of mental health problems commonly occurring in this population is therefore important. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3622908PMC
September 2012
4 Reads

Investigating the use of NICE guidelines and IAPT services in the treatment of depression.

Ment Health Fam Med 2012 Sep;9(3):149-60

Doctoral Researcher.

Background There is evidence that the National Institute for Health and Clinical Excellence (NICE) guidelines for mental health disorders are used to varying degrees in primary care. A lack of access to cognitive-behavioural therapy (CBT) has been found to be a barrier to their implementation. The Improving Access to Psychological Therapies (IAPT) initiative was created in 2007 to increase the availability of NICE-recommended psychological treatments for depression and anxiety disorders within the National Health Service in England. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3622907PMC
September 2012
5 Reads

Predictors of metabolic parameter monitoring in adolescents on antipsychotics in a primary care setting.

Ment Health Fam Med 2012 Sep;9(3):137-48

Research Assistant Professor.

Objective To assess the frequency and predictors of regular monitoring of metabolic parameters as recommended by the American Diabetes Association (ADA)/American Psychiatric Association (APA) guidelines in adolescents receiving antipsychotics compared with an untreated comparison group in a primary care setting. Method A retrospective cohort study was conducted using an electronic medical record database in the USA from January 2004 to July 2009. The exposure group consisted of adolescents with a first prescription for second-generation antipsychotics (SGAs). Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3622906PMC
September 2012
13 Reads

The case for change: The Global Mental Health Action Plan 2013-2020.

Authors:
Gabriel Ivbijaro

Ment Health Fam Med 2012 Sep;9(3):135

Editor in Chief Mental Health in Family Medicine , Chair of the Wonca Working Party on Mental Health, Vice President Europe, World Federation for Mental Health, Chair Waltham Forest Clinical Commissioning Group, London, UK.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3622905PMC
September 2012
3 Reads

Standardised measures of needs, stigma and informal care in schizophrenia using a bottom-up, cross-cultural approach.

Ment Health Fam Med 2012 Jun;9(2):125-34

Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), University of Granada, Spain.

Background There is a lack of instruments to measure the needs, stigma and informal care of people with schizophrenia that take account of sociocultural variation and patients' and formal and informal carers' opinions and experiences. Aims To develop questionnaires to measure stigma, needs and informal (non-professional) care for people with schizophrenia. Method We undertook the study in seven countries and in English, Spanish and Portuguese. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3513705PMC
June 2012
14 Reads

'Can he have the test for bipolar, doctor? His dad's got it': exploring the potential of general practitioners to work with children and young people presenting in primary care with common mental health problems - a clinical initiative.

Ment Health Fam Med 2012 Jun;9(2):115-23

GP, County Durham & Darlington NHS Foundation Trust, Blackhall, UK.

Background General practitioners (GPs) play a key role in assessing and managing adult mental health problems, but this input is not seen in their management of child and adolescent mental health. Mental health problems in 5-19-year-olds are common, yet detection rates in primary care are low. The symptoms of most adult diagnoses of mental health problems are present by mid-adolescence, yet the typical time from onset to diagnosis is 5-15 years. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3513704PMC
June 2012
4 Reads

Longitudinal association of intimate partner violence and depressive symptoms.

Ment Health Fam Med 2012 Jun;9(2):107-14

Associate Professor of Medicine and Public Health Sciences, Division of General Internal Medicine, Penn State College of Medicine, Hershey, USA.

Purpose The association between intimate partner violence (IPV) and depression has been well established in cross-sectional research, but how IPV is associated with depressive symptoms over time has not been well studied. Methods Using the Central Pennsylvania Women's Health Study, a population-based longitudinal survey of women aged 18-45 (N = 1,420), we performed a two-step logistic regression analysis. In step 1, the association of recent IPV exposure at baseline with depressive symptoms 2 years later was analysed adjusting for relevant covariates; in step 2, we additionally included positive coping strategies (social support, physical activity) and negative coping strategies (binge drinking/drug use, smoking) in the model. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3513703PMC
June 2012
9 Reads

Depression remission after six months of collaborative care management: role of initial severity of depression in outcome.

Ment Health Fam Med 2012 Jun;9(2):99-106

Department of Family Medicine, Mayo Clinic, Rochester, Minnesota, USA.

Aim The impact of initial severity of depression on the rate of remission has not been well studied. The hypothesis for this study was that increased depression severity would have an inverse relationship on clinical remission at six months while in collaborative care management. Participants The study cohort was 1128 primary care patients from a south-eastern Minnesota practice and was a longitudinal retrospective chart review analysis. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3513702PMC
June 2012
15 Reads

Evaluation of collaborative models of care in the management of patients with depression: protocol and progress.

Ment Health Fam Med 2012 Jun;9(2):91-7

Research Fellow.

Introduction Depression is highly prevalent and has a considerable impact on the quality of life of affected individuals, and on healthcare resources. Evidence indicates that collaborative care models can improve patient outcomes within a primary care setting. The Primary Care Services Improvement Project (PCSIP) aims to investigate the costs and outcomes of different models of care for the management of patients with depression. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3513701PMC
June 2012
5 Reads

Collaboration between general practitioners (GPs) and mental healthcare professionals within the context of reforms in Quebec.

Ment Health Fam Med 2012 Jun;9(2):77-90

Associate Professor, Department of Psychiatry, McGill University, Douglas Mental Health University Institute Research Centre, Montreal, Canada.

Background In the context of the high prevalence and impact of mental disorders worldwide, and less than optimal utilisation of services and adequacy of care, strengthening primary mental healthcare should be a leading priority. This article assesses the state of collaboration among general practitioners (GPs), psychiatrists and psychosocial mental healthcare professionals, factors that enable and hinder shared care, and GPs' perceptions of best practices in the management of mental disorders. A collaboration model is also developed. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3513700PMC
June 2012
11 Reads

Investigating mental health risk assessment in primary care and the potential role of a structured decision support tool, GRiST.

Ment Health Fam Med 2012 Jan;9(1):57-67

Research Associate.

Aim To explore current risk assessment processes in general practice and Improving Access to Psychological Therapies (IAPT) services, and to consider whether the Galatean Risk and Safety Tool (GRiST) can help support improved patient care.Background Much has been written about risk assessment practice in secondary mental health care, but little is known about how it is undertaken at the beginning of patients' care pathways, within general practice and IAPT services.Methods Interviews with eight general practice and eight IAPT clinicians from two primary care trusts in the West Midlands, UK, and eight service users from the same region. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3487610PMC
January 2012
11 Reads

Refugees' perspectives on barriers to communication about trauma histories in primary care.

Ment Health Fam Med 2012 Jan;9(1):47-55

Research Associate, Center for Victims of Torture, Minneapolis, USA and School of Social Work.

Objective This study explores refugees' perspectives regarding the nature of communication barriers that impede the exploration of trauma histories in primary care.Method Brief interviews were conducted with 53 refugee patients in a suburban primary care clinic in the Midwest USA. Participants were asked if they or their doctors had initiated conversations about the impact of political conflict in their home countries. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3487607PMC
January 2012
4 Reads