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Primary Care

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1996-09-05

Total Pages: 411

ISBN-13: 0309175690

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.

Common Mental Health Disorders

Author: National Collaborating Centre for Mental Health (Great Britain)

Publisher: RCPsych Publications

Published: 2011

Total Pages: 316

ISBN-13: 9781908020314

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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.

Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2021-01-30

Total Pages: 123

ISBN-13: 0309682681

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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.

Addressing Mental Health Concerns in Primary Care

Author: American Academy of Pediatrics

Publisher: Amer Academy of Pediatrics

Published: 2010-01-14

Total Pages:

ISBN-13: 9781581103489

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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.

Improving the Quality of Health Care for Mental and Substance-Use Conditions

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2006-03-29

Total Pages: 528

ISBN-13: 0309133661

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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.

Treating and Preventing Adolescent Mental Health Disorders

Author: Dwight L. Evans

Publisher: Oxford University Press

Published: 2017

Total Pages: 921

ISBN-13: 0199928169

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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.

Primary Care Mental Health

Author: Linda Gask

Publisher: Cambridge University Press

Published: 2018-09-20

Total Pages: 529

ISBN-13: 1911623028

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A comprehensive guide to this emerging field, fully updated to cover clinical, policy, and practical issues with a user-centred approach.

Collaborative Medicine Case Studies

Author: Rodger Kessler

Publisher: Springer Science & Business Media

Published: 2008-03-11

Total Pages: 428

ISBN-13: 0387768947

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This timely and important work looks at the collaborative health care model for the delivery of mental health care in a primary care setting. This has become the ideal model for the treatment of comorbid medical and psychiatric or psychological disorders. There is also an increased awareness that pharmacological intervention, the most frequently delivered intervention for psychological disorders, is often of limited effectiveness without concurrent specific psychological intervention. The book includes more than two dozen case studies, co-written by clinical psychologists and primary care physicians. It is essential reading for any psychology practitioner in a clinical setting, as well as for health care administrators.