Evaluation of knowledge and attitudes among primary care physicians in Cavan–Monaghan as ‘gatekeepers‐in‐waiting’ for the introduction of Carepath for Overcoming Psychosis Early (COPE)

Abstract

As 'gatekeepers-in-waiting', these general practitioners will have a vital role in effective implementation of the early intervention service for psychosis. However, their knowledge needs improvement, through regular educational sessions, and this service must be responsive to their needs. In addition, general practitioners' concerns regarding the potential for increased workload must be adequately addressed in order to maintain enthusiasm and collaboration at the interface between primary care and mental health services, particularly in the context of early intervention.

Patterns of Primary Care Use Prior to a First Diagnosis of Nonaffective Psychotic Disorder in Ontario, Canada: Modèles d’utilisation des soins de première ligne avant un premier diagnostic de trouble psychotique non affectif en Ontario, Canada

“…45 People with early psychosis use a range of mental health services for a wide array of psychiatric conditions prior to first diagnosis of psychosis, 5,16,46 and this generalized presentation often makes for a complex diagnostic process. 22,[47][48][49][50] Additionally, more than 1 consultation may be needed to gather sufficient information to make a diagnosis. [48][49][50] Our findings may also suggest that the family physician may be conservative in assigning a diagnosis of psychotic disorder due to the gravity and consequences for the patient.…”

“…22,[47][48][49][50] Additionally, more than 1 consultation may be needed to gather sufficient information to make a diagnosis. [48][49][50] Our findings may also suggest that the family physician may be conservative in assigning a diagnosis of psychotic disorder due to the gravity and consequences for the patient. 51 These patterns may also reflect an absence of partnership with early psychosis intervention programs and other mental health services, as family physicians may have difficulty connecting the person with specialized care.…”

Early intervention services for psychosis in Ireland: are we there yet?

“…Ireland's first EIP service, DETECT, was set up in 2005 in south county Dublin by the late Prof. Eadbhard O'Callaghan (Omer et al 2010) with a focus on early detection and access into services. A second EIP service, Cavan/Monaghan Overcoming Psychosis Early (COPE), opened in the more rural setting of Cavan/Monaghan from a modified community rehabilitation team (Nkire et al 2015). Both services were supported by grants and high-quality research initiatives.…”

Estudio psicométrico de un cuestionario sobre las actitudes de los médicos de atención primaria hacia la salud mental: Cuestionario MAPSAM-14.

“…The first group includes the communication and quality of the collaboration between primary care and the mental health services (Aragones, Piñol, LopezCortacans, Hernández & Caballero, 2011;Carr et al, 2004;Jones, Vahia, Cohen, Hindi & Nurhussein, 2009;Meadows, Harvey, Joubert, Barton & Bedi, 2007;Oud, Schuling, Slooff & Meyboom-de Jong, 2007;Verdoux, Cougnard, Grolleau, Besson & Delcroix, 2006). In a second group we can find those that encompass the beliefs and attitudes of GPs towards mental illness (McCab & Leas, 2008;Nkire et al, 2015;Oud et al, 2007). And lastly there is a third group that includes the understanding of the role of the GP in the treatment of patients with mental illnesses (Carr et al, 2004;Dowrick, Gask, Perry, Dixon & Usherwood, 2000;Latorre Postigo, Lopez-Torres Hidalgo, Montañez Rodriguez & Parra Delgado, 2005;Simon, Lauber, Ludewig, Braun-Scharm & Umbricht, 2005).…”