Download or read book Primary Care written by Institute of Medicine and published by National Academies Press. This book was released on 1996-09-05 with total page 411 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.

Download or read book Common Mental Health Disorders written by National Collaborating Centre for Mental Health (Great Britain) and published by RCPsych Publications. This book was released on 2011 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.

Download or read book Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2021-01-30 with total page 123 pages. Available in PDF, EPUB and Kindle. Book excerpt: Behavioral health conditions, which include mental health and substance use disorders, affect approximately 20 percent of Americans. Of those with a substance use disorder, approximately 60 percent also have a mental health disorder. As many as 80 percent of patients with behavioral health conditions seek treatment in emergency rooms and primary care clinics, and between 60 and 70 percent of them are discharged without receiving behavioral health care services. More than two-thirds of primary care providers report that they are unable to connect patients with behavioral health providers because of a shortage of mental health providers and health insurance barriers. Part of the explanation for the lack of access to care lies in a historical legacy of discrimination and stigma that makes people reluctant to seek help and also led to segregated and inhumane services for those facing mental health and substance use disorders. In an effort to understanding the challenges and opportunities of providing essential components of care for people with mental health and substance use disorders in primary care settings, the National Academies of Sciences, Engineering, and Medicine's Forum on Mental Health and Substance Use Disorders convened three webinars held on June 3, July 29, and August 26, 2020. The webinars addressed efforts to define essential components of care for people with mental health and substance use disorders in the primary care setting for depression, alcohol use disorders, and opioid use disorders; opportunities to build the health care workforce and delivery models that incorporate those essential components of care; and financial incentives and payment structures to support the implementation of those care models, including value-based payment strategies and practice-level incentives. This publication summarizes the presentations and discussion of the webinars.

Download or read book Improving the Quality of Health Care for Mental and Substance Use Conditions written by Institute of Medicine and published by National Academies Press. This book was released on 2006-03-29 with total page 528 pages. Available in PDF, EPUB and Kindle. Book excerpt: Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.

Download or read book Treating and Preventing Adolescent Mental Health Disorders written by Dwight L. Evans and published by Oxford University Press. This book was released on 2017 with total page 921 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume reviews the latest information about the treatment and prevention of major mental disorders that emerge during adolescence. It should be a primary resource for both clinicians and researchers, with special attention to gaps in our knowledge.

Download or read book Addressing Mental Health Concerns in Primary Care written by American Academy of Pediatrics and published by Amer Academy of Pediatrics. This book was released on 2010-01-14 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Addressing Mental Health Concerns in Primary Care: A Clinician's Toolkit is a resource designed to help primary care clinicians in implementing algorithms to help guidance in enhancing mental health care. Addressing Mental Health Concerns in Primary Care brings together a myriad of ready-to-use resources and tools on one instant-access CD-ROM. Look here for screening and assessment instruments...quick-reference care management advice...step-by-step care plans...time-saving documentation and referral tools...coding aids...billing and payment tips...parent handouts...community resource guides...and much more. Algorithm-based guidance, indexed to CPT codes, outlines a process for care and billing. Succinct clinical tools provide step-by-step decision support for assessment and care of children with the most common mental health symptoms: anxiety, depression, disruptive behavior and aggression, inattention and impulsivity, substance use, learning difficulties, and social-emotional problems in young children. Tools and resources can be printed and distributed as needed. Many will be continuously refreshed through Web-based updates. This toolkit is intended to enhance the quality of mental health care children and adolescents receive, whether in the medical home itself or through the medical home.

Download or read book Psychiatry for Primary Care Physicians written by Larry S. Goldman and published by American Medical Association Press. This book was released on 2004 with total page 508 pages. Available in PDF, EPUB and Kindle. Book excerpt: Guide helps primary care physicians treat the whole patient. As the main point of contact between patients and the medical system, primary care physicians represent the first line of defense in recognizing patients' mental health problems. But while an estimated 25 percent of primary care patients suffer from significant mental disorders, most primary care physicians are not prepared to deal with these types of problems. Psychiatry for Primary Care Physicians, Second Edition, provides a practical resource to integrate essential psychiatric care into the clinical primary care setting. This easy-to-use guide addresses the most common adult mental health problems in primary care, covering assessment, diagnosis, treatment, and prevention of psychiatric conditions. Logically organized by condition, each chapter is co-written by a psychiatrist and a practicing primary care physician so you get a specialist's knowledge tailored to your actual practice climate. Filled with tables, case studies, and checklists, most chapters cover relevant epidemiology, differential diagnosis, and referral issues. Special sections also explain various diagnostic models and screening tools. Building on the strengths that made the first edition a Brandon/Hill selection and one of DPI's "250 Best Books of the Year," Psychiatry for Primary Care Physicians, Second Edition, has added new chapters on psychological frameworks, development, emergencies in psychiatry, childhood disorders, women's health disorders, geropsychiatry, and resources in psychiatric care. This revised and updated second edition responds to the heightened awareness of the number of significant psychiatric conditions seen in primary care settings and the additional pressure on the primary care practitioner (PCP) to assess and manage them. Chapters cover relevant epidemiology, differential diagnosis, management strategies to be employed by the PCP, and specific criteria for patient refe

Download or read book Basics of Behavior Change in Primary Care written by Patricia J. Robinson and published by Springer Nature. This book was released on 2020-06-02 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt: Emerging policy changes are encouraging adoption of a team-based approach to healthcare, yet most healthcare professionals receive little training in how to practice integrated care. Basics of Behavioral Health in Primary Care is a playbook for mental health and medical professionals to share in addressing behavioral health concerns in primary care. Concise and practical, this clinically-focused book addresses the needs of a diverse group of healthcare providers, as well as students preparing for careers in the rapidly changing landscape of healthcare.

Download or read book Psychiatric and Mental Health Essentials in Primary Care written by Lee Ann Hoff and published by Routledge. This book was released on 2010-11-05 with total page 513 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychiatric and Mental Health Essentials in Primary Care addresses key mental health concepts and strategies for time-pressured practitioners in various healthcare settings serving diverse populations. It offers theoretically sound and succinct guidelines for compassionate, efficient, and effective service to people in emotional and physical pain and distress, capturing the essentials of mental health care delivered by primary care providers. The text provides a theoretical overview, discussing mental health assessment, crisis care basics, alternative therapies, and vulnerable groups such as children, adolescents and older people. It includes chapters that focus on the following topics in Primary Care Practice: Suicide and Violence Anxiety Mood disorders Schizophrenia Substance Abuse Chronic illness and mental health. This invaluable text is designed for primary care providers in either graduate student or practice roles across a range of primary care practice, including nurse practitioners and physician assistants.

Download or read book Essentials of Global Mental Health written by Samuel O. Okpaku and published by Cambridge University Press. This book was released on 2014-02-27 with total page 469 pages. Available in PDF, EPUB and Kindle. Book excerpt: Defines an approach to mental healthcare focused on achieving international equity in coverage, options and outcomes.

Download or read book The Social Determinants of Mental Health written by Michael T. Compton and published by American Psychiatric Pub. This book was released on 2015-04-01 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Determinants of Mental Health aims to fill the gap that exists in the psychiatric, scholarly, and policy-related literature on the social determinants of mental health: those factors stemming from where we learn, play, live, work, and age that impact our overall mental health and well-being. The editors and an impressive roster of chapter authors from diverse scholarly backgrounds provide detailed information on topics such as discrimination and social exclusion; adverse early life experiences; poor education; unemployment, underemployment, and job insecurity; income inequality, poverty, and neighborhood deprivation; food insecurity; poor housing quality and housing instability; adverse features of the built environment; and poor access to mental health care. This thought-provoking book offers many beneficial features for clinicians and public health professionals: Clinical vignettes are included, designed to make the content accessible to readers who are primarily clinicians and also to demonstrate the practical, individual-level applicability of the subject matter for those who typically work at the public health, population, and/or policy level. Policy implications are discussed throughout, designed to make the content accessible to readers who work primarily at the public health or population level and also to demonstrate the policy relevance of the subject matter for those who typically work at the clinical level. All chapters include five to six key points that focus on the most important content, helping to both prepare the reader with a brief overview of the chapter's main points and reinforce the "take-away" messages afterward. In addition to the main body of the book, which focuses on selected individual social determinants of mental health, the volume includes an in-depth overview that summarizes the editors' and their colleagues' conceptualization, as well as a final chapter coauthored by Dr. David Satcher, 16th Surgeon General of the United States, that serves as a "Call to Action," offering specific actions that can be taken by both clinicians and policymakers to address the social determinants of mental health. The editors have succeeded in the difficult task of balancing the individual/clinical/patient perspective and the population/public health/community point of view, while underscoring the need for both groups to work in a unified way to address the inequities in twenty-first century America. The Social Determinants of Mental Health gives readers the tools to understand and act to improve mental health and reduce risk for mental illnesses for individuals and communities. Students preparing for the Medical College Admission Test (MCAT) will also benefit from this book, as the MCAT in 2015 will test applicants' knowledge of social determinants of health. The social determinants of mental health are not distinct from the social determinants of physical health, although they deserve special emphasis given the prevalence and burden of poor mental health.

Download or read book Future Research Needs for the Integration of Mental Health Substance Abuse and Primary Care written by U. S. Department of Health and Human Services and published by Createspace Independent Pub. This book was released on 2013-05-14 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mental health problems are among the most common problems encountered by primary care providers. Half of the care for common mental disorders in the United States is delivered in general medical settings. Primary care providers commonly diagnose and manage conditions such as dysthymia, major depressive disorder, problem drinking, and anxiety disorders. Multiple challenges exist in delivering high-quality mental health care in primary care settings. The quality of the care delivered in the primary care setting may vary: providers may have difficulty making referrals when needed to mental health professionals; the supply of mental health professionals may be inadequate in some areas; and patients may be reluctant to see a second provider. Patients with serious and persistent mental illness such as schizophrenia are often seen predominantly in specialty mental health settings yet often have substantial unmet general health needs including obesity, diabetes, and cardiac risk factors, sometimes exacerbated by medication treatment of their mental illness. “Integrated care” is one approach to addressing these currently unmet needs. In integrated care models, there is systematic linkage of mental health and primary care providers requiring communication or coordination between providers to meet both the mental and general health needs of the patients. The exact nature of the consultation and collaboration varies greatly across models, and may include telephonic or information technology. Often, a mental health professional is placed, permanently or intermittently, in the primary care practice. A key difference is that the integration implies a much closer and more coordinated system of care than prior consultation or referral models. Also key is the involvement of a second health care professional, which distinguishes integrated care from interventions that train primary care providers to treat patients with mental health conditions without the involvement of a mental health professional. In 2008, the Agency for Healthcare Research and Quality (AHRQ), working with the University of Minnesota Evidence-based Practice Center (EPC), conducted a systematic review of the literature evaluating the integration of mental health and substance abuse treatment with primary care. The review addressed six key questions. The Minnesota EPC authors found 33 trials examining the impact of integrating mental health specialists into primary care; 26 trials addressed depression. The studies reported positive results for symptom severity, treatment response, and achievement of remission when compared with usual care. The level of care integration did not seem to be related to treatment outcomes. The EPC authors also reported that the level of integration did not appear to be related to outcomes. Most of the studies addressed the integration of mental health professionals into primary care; few examined the integration of primary care into mental health. A majority of the studies have involved older patients, and some positive studies, having found improved outcomes with integrated care, have been largely composed of minority populations. The main barriers identified to a broader use of integrated care include programmatic costs, insurance coverage, and relationships with multiple payers. The VA was felt to offer a good model of a sustained program. Key elements of successful models included active support at all levels of the organization and specific funding.

Download or read book Primary Care Mental Health written by Linda Gask and published by Cambridge University Press. This book was released on 2018-09-20 with total page 529 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive guide to this emerging field, fully updated to cover clinical, policy, and practical issues with a user-centred approach.

Download or read book Innovative Approaches to Addressing Pediatric Mental Health in Primary Care an Issue of Pediatric Clinics of North America written by Robert T. Ammerman and published by Elsevier. This book was released on 2024-12-28 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this issue of Pediatric Clinics of North America, guest editors Drs. Robert T. Ammerman and Craig Erickson bring their considerable expertise to the topic of Innovative Approaches to Addressing Pediatric Mental Health in Primary Care. Pediatric primary care is at the forefront of identification and referral to treatment for mental health problems in children and adolescents, and has recently taken a leading role in prevention and treatment of mental health problems. This issue covers the range of new strategies and interventions for pediatricians and pediatric health care professionals to support behavioral health in children and adolescents. Contains 12 relevant, practice-oriented topics including mental health screening and measurement in children and adolescents; pediatric mental health prevention programs in primary care; trauma-informed strategies in pediatric primary care; suicide prevention in children and adolescents; digital technologies in pediatric primary care; and more. Provides in-depth clinical reviews on innovative approaches to addressing pediatric mental health in primary care, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Download or read book Pediatric Mental Health for Primary Care Providers written by Sarah Y. Vinson and published by Springer. This book was released on 2018-09-28 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this book is to provide a children’s mental health resource tailored to the needs of physicians working with children. There are currently no such texts, despite the fact that there are patient care, healthcare systems, and workforce factors that indicate a strong need for such a resource. Approximately 1 in 5 children are diagnosed with a mental illness by the age of 18. Additionally, mental health conditions, including Attention Deficit Hyperactivity Disorder, are consistently among the most common chronic conditions in pediatric clinical populations. Delays in both diagnosis and treatment increase the morbidity associated with these conditions. These delays expose the child to negative ramifications of his/her illness and can impact rates of poor academic performance, substance use disorders and criminal justice system involvement – potentially impacting long-term life trajectories. Early identification of mental illness and appropriate intervention is critical to the healthy development of youth, though physicians in primary care and pediatrics are seldom trained to detect and treat such illnesses. The importance of recognizing mental illness is reflected in practice guidelines for pediatric primary care providers as well as in how service delivery is being structured, but this does not offer in-depth clinical guidelines. Additionally, integrated care and medical home models include mental health as key components, though yet again physicians are often not trained to work with these models. While clearly indicated clinically, these requirements do not come with significant increases in reimbursement and are added to an already demanding schedule. Increasingly, providers are also expected to use evidence based screening instruments without exposure to this body of literature. Some guidance on using those instruments in context will help them to use those tools more effectively. Finally, primary care providers and even some adult psychiatrists and psychologists are operating in a healthcare system with a severe, nationwide shortage of child and adolescent psychiatrists and mental healthcare providers. While a text certainly cannot single-handedly compensate for such a workforce shortage, it could potentially help to mitigate the negative impact on patients by facilitating early identification and treatment in the primary care setting. Additionally, with more effective treatment in pediatric settings, less complex cases may be addressed before specialty care is needed, and the expertise of child and adolescent psychiatrists can be more effectively used for more complex cases. Pediatric Psychiatry in Primary Care is the ultimate resource for clinicians working with children, including pediatricians, family physicians, general psychiatrists, psychologists, early career child psychiatrists, social workers, nurses, school counselors, and all clinical professionals who may encounter children struggling with psychiatric disorders.

Download or read book Pediatric Mental Health for Primary Care Providers written by Sarah Y. Vinson and published by Springer. This book was released on 2018-09-12 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this book is to provide a children’s mental health resource tailored to the needs of physicians working with children. There are currently no such texts, despite the fact that there are patient care, healthcare systems, and workforce factors that indicate a strong need for such a resource. Approximately 1 in 5 children are diagnosed with a mental illness by the age of 18. Additionally, mental health conditions, including Attention Deficit Hyperactivity Disorder, are consistently among the most common chronic conditions in pediatric clinical populations. Delays in both diagnosis and treatment increase the morbidity associated with these conditions. These delays expose the child to negative ramifications of his/her illness and can impact rates of poor academic performance, substance use disorders and criminal justice system involvement – potentially impacting long-term life trajectories. Early identification of mental illness and appropriate intervention is critical to the healthy development of youth, though physicians in primary care and pediatrics are seldom trained to detect and treat such illnesses. The importance of recognizing mental illness is reflected in practice guidelines for pediatric primary care providers as well as in how service delivery is being structured, but this does not offer in-depth clinical guidelines. Additionally, integrated care and medical home models include mental health as key components, though yet again physicians are often not trained to work with these models. While clearly indicated clinically, these requirements do not come with significant increases in reimbursement and are added to an already demanding schedule. Increasingly, providers are also expected to use evidence based screening instruments without exposure to this body of literature. Some guidance on using those instruments in context will help them to use those tools more effectively. Finally, primary care providers and even some adult psychiatrists and psychologists are operating in a healthcare system with a severe, nationwide shortage of child and adolescent psychiatrists and mental healthcare providers. While a text certainly cannot single-handedly compensate for such a workforce shortage, it could potentially help to mitigate the negative impact on patients by facilitating early identification and treatment in the primary care setting. Additionally, with more effective treatment in pediatric settings, less complex cases may be addressed before specialty care is needed, and the expertise of child and adolescent psychiatrists can be more effectively used for more complex cases. Pediatric Psychiatry in Primary Care is the ultimate resource for clinicians working with children, including pediatricians, family physicians, general psychiatrists, psychologists, early career child psychiatrists, social workers, nurses, school counselors, and all clinical professionals who may encounter children struggling with psychiatric disorders.

Download or read book Integrated Behavioral Health in Primary Care written by Stephanie B. Gold and published by Springer. This book was released on 2018-11-01 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides an evidence-based guide for primary care physicians seeking to integrate behavioral health into their practice. This is grounded in the underlying notion that integrating behavioral health and primary care is not an adjustment to practice but a reconstruction of how primary health care is defined and delivered. While some aspects (billing and financing) will be specific to the policy context in the United States, much of the book will contain universal lessons for an approach to integration from a primary care perspective that may be relevant across the globe. This guide is organized to follow a comprehensive approach, derived from lessons learned by early adopters of integration. Dividing the book in this manner creates a unique and natural flow from the “why” of integrating care to a step-by-step approach to achieve integration in a practice. The book includes the case for why integrating behavioral health is important; what integration looks like in practice; and how to transform a practice and grow a team of clinicians to work together to address mental, emotional, and behavioral problems. Each chapter starts with a short preamble to introduce the stage of integration. Each chapter and subchapter would end with a summary box of key messages and a short list of resources (articles, websites, etc) for further information for each topic. Where relevant, chapters additionally include a brief section on application for specific populations (pediatrics, geriatrics, etc). This is an ideal guide for primary care physicians and their medical and administrative teams interested in integrating behavioral health in their practice.