+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Mental health in primary care: applying psychiatric knowledge to primary care or a whole different practice?



Mental health in primary care: applying psychiatric knowledge to primary care or a whole different practice?



Sante Mentale au Quebec 42(1): 411-424



In Canada and several other countries, large cohorts of patients who used to be followed in psychiatric clinics are now steered toward primary care. To support this new reality, measures have been taken and investments made in service organization, collaborative work arrangements, and teaching geared toward primary care clinicians. However, these initiatives were implemented when little was known about GPs' needs. Using a qualitative approach, we analyzed the content of GPs' statements to explore when, why, and for what concerns GPs are inclined to collaborate with or seek advice from psychiatrists. The results provide an innovative understanding of their practice and its boundaries and suggest that the management of patients with mental health problems in primary care is actually very different from what is done in psychiatry. Uncertainty about the broad spectrum of what is normal, the longitudinal aspect of the relationship, and the proximity of the soma are among the specificities we found that could be helpful in organizing care and educating primary care clinicians and medical students more coherently and efficiently.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 059958920

Download citation: RISBibTeXText

PMID: 28792580


Related references

Mental health problems in primary care before and after sectorization of psychiatric care a study of patients utilizing both primary health care and psychiatric care. Scandinavian Journal of Primary Health Care 9(4): 292-296, 1991

Mental health training for primary health care workers and implication for success of integration of mental health into primary care: evaluation of effect on knowledge, attitude and practices (KAP). International Journal of Mental Health Systems 11: 63, 2017

Lists of patient-declared primary care physicians: a new tool to support health care and the production of critical primary care knowledge for practice?. Sante Publique 22(5): 489-491, 2010

Initiation of Primary Care-Mental Health Integration programs in the VA Health System: associations with psychiatric diagnoses in primary care. Medical Care 48(9): 843-851, 2010

How should primary care address the problem of psychiatric disorders? Demand-side analysis of mental health services in primary care. Behavioral Healthcare Tomorrow 5(5): 48 51 54, 1996

Mental health actions in primary care knowledge of nurses about the psychiatric reform. 2013

The psychiatric-primary care nurse practitioner: a futuristic model for advanced practice psychiatric-mental health nursing. Archives of Psychiatric Nursing 11(1): 2-12, 1997

Primary Care And Mental Health || Social Psychiatry In Clinical Practice: The Primary-Care Setting. International Journal of Mental Health 8(2): 49-57, 1979

Patients with mental illness in primary health care. A long-term follow-up of health care utilization and contact patterns with psychiatric care. Scandinavian Journal of Primary Health Care 15(3): 129-133, 1997

Mental Health Care in Developing Countries || Factors Influencing The Integration Of Psychiatric Care Into Primary Health Care In Botswana. International Journal of Mental Health 12(3): 107-122, 1983

On-site mental health workers delivering psychological therapy and psychosocial interventions to patients in primary care: effects on the professional practice of primary care providers. Cochrane Database of Systematic Reviews 2009(1): Cd000532, 2009

Continuation of care following an initial primary care visit with a mental health diagnosis: differences by receipt of VHA Primary Care-Mental Health Integration services. General Hospital Psychiatry 35(1): 66-70, 2013

Substitution of psychiatric care by primary care physicians: impact of the Iowa Medicaid managed mental health care plan. Administration and Policy in Mental Health 26(5): 369-371, 1999

The guide to mental health for nurses in primary care The guide to mental health for nurses in primary care Elizabeth Armstrong The Guide to Mental Health for Nurses in Primary Care Radcliffe Medical Press 159pp £17.95 1 85775 435 2 1857754352 [Formula: see text. Nursing Standard 1987) 16(29): 29-29, 2002

Managing child and adolescent mental health problems in primary care: taking the leap from knowledge to practice. Primary Health Care Research and Development 12(4): 301-309, 2011