scholarly journals Promotoras as Mental Health Practitioners in Primary Care: A Multi-Method Study of an Intervention to Address Contextual Sources of Depression

2010 ◽  
Vol 36 (2) ◽  
pp. 316-331 ◽  
Author(s):  
Howard Waitzkin ◽  
Christina Getrich ◽  
Shirley Heying ◽  
Laura Rodríguez ◽  
Anita Parmar ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Practitioners ◽  
Health Practitioners

Effect of Mental Health Screening and Integrated Mental Health on Adolescent Depression–Coded Visits

2019 ◽  
Vol 58 (4) ◽  
pp. 437-445
Author(s):  
Michael L. Rinke ◽  
Miguelina German ◽  
Bridget Azera ◽  
Moonseong Heo ◽  
Nicole M. Brown ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Confidence Interval ◽  
Adolescent Depression ◽  
Health Screening ◽  
Mental Health Screening ◽  
Mental Health Practitioners ◽  
Odds Ratios ◽  
Health Practitioners ◽  
Integrated Mental Health

Adolescent depression causes morbidity and is underdiagnosed. It is unclear how mental health screening and integrated mental health practitioners change adolescent depression identification. We conducted a retrospective primary care network natural cohort study where 10 out of 19 practices implemented mental health screening, followed by the remaining 9 practices implementing mental health screening with less coaching and support. Afterward, a different subset of 8 practices implemented integrated mental health practitioners. Percentages of depression-coded adolescent visits were compared between practices (1) with and without mental health screening and (2) with and without integrated mental health practitioners, using difference-in-differences analyses. The incidence of depression-coded visits increased more in practices that performed mental health screening (ratio of odds ratios = 1.22; 95% confidence interval =1.00-1.49) and more in practices with integrated mental health practitioners (ratio of odds ratios = 1.58; 95% confidence interval = 1.30-1.93). Adolescent mental health screening and integrated mental health practitioners increase depression-coded visits in primary care.

Bipolar disorder: Managing the peaks and valleys

2020 ◽  
Vol 55 (5) ◽  
pp. 349-356
Author(s):  
W Michael Johnson ◽  
Scott A Fields ◽  
Ellen Bluett
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Bipolar Disorder ◽  
Psychiatric Illness ◽  
Treatment Options ◽  
Evidence Base ◽  
Mental Health Practitioners ◽  
Primary Care Clinics ◽  
Health Practitioners

Bipolar disorder is a psychiatric illness that is relatively common among patients presenting for treatment in primary care clinics. Physicians in primary care often face difficult decisions about how and when to intervene when a patient is experiencing depressive, manic, or hypomanic episodes consistent with bipolar disorder. This article reviews the literature on how to assess and diagnose bipolar disorder in primary care, and how to choose from the array of treatment options that exist. The psychotherapy and pharmacotherapy evidence base provides guidance on how to help patients effectively manage this ailment. Collaboration among health and mental health practitioners is key in helping manage the “peaks and valleys” of bipolar disorder. Special considerations need to be made to routinely assess for impulsivity, suicidality, and patient progress throughout the course of treatment.

Case study: Head injury

1997 ◽  
Vol 3 (3) ◽  
pp. 154-159 ◽  
Author(s):  
Helen Matthews
Keyword(s):  
Mental Health ◽  
Head Injury ◽  
Mental Health Practitioners ◽  
Head Injured ◽  
Health Practitioners

This study is presented to encourage recognition of the contribution mental health practitioners can make to the care of head-injured people.

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