Pathways to psychiatric care in Eastern Europe

Gater, Richard; Jordanova, Vesna; Maric, Nadja P.; Alikaj, V.; Bajs, Maja; Cavic, T.; Dimitrov, Hristo; Iosub, Diana; Mihai, Adriana; Szalontay, Andreea Silvana; Helmchen, Hanfried; Sartorius, Norman

doi:10.1192/bjp.186.6.529

Cited by 88 publications

(112 citation statements)

References 8 publications

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“…The findings of this study indicated the major service providers in these countries were consulting GPs (62%), hospital doctors (12%) and psychiatric services (16%) (Gater et al 2005). In addition to the major pathways, a few cases used different pathways: 10% of patients went to religious healers as the first entry, 6% to priests and 3% to the police.…”

Section: Pathways To Carementioning

confidence: 99%

“…In different studies the referral route depends on a number of different factors. According to the study done in Eastern Europe (Gater et al 2005) it was found that the choice of referral depended on the diagnosis and on the setting. Patients with psychotic disorders were more likely to be referred for psychiatric services, whereas those with social or material problems were more U n i v e r s i t y o f C a p e T o w n 6 likely to be referred to social workers.…”

Section: Pathways To Carementioning

confidence: 99%

“…In addition to the major pathways, a few cases used different pathways: 10% of patients went to religious healers as the first entry, 6% to priests and 3% to the police. Then, following these pathways, most proceed via either GPs or hospital doctors to reach psychiatric services, with few of them following the primary entry directly to the psychiatric centre (Gater et al 2005). …”

Section: Pathways To Carementioning

confidence: 99%

See 2 more Smart Citations

Pathways to child and adolescent psychiatric care in the division of child and adolescent psychiatry at Red Cross children's hospital

Hurrissa

Lund

2012

Neuropsychiatrie de l'Enfance et de l'Adolescence

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Section: Pathways To Carementioning

confidence: 99%

Section: Pathways To Carementioning

confidence: 99%

Section: Pathways To Carementioning

confidence: 99%

See 1 more Smart Citation

Pathways to child and adolescent psychiatric care in the division of child and adolescent psychiatry at Red Cross children's hospital

Hurrissa

Lund

2012

Neuropsychiatrie de l'Enfance et de l'Adolescence

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“…42 Psychiatrists, psychologists, and even the lay community have also been noted in the literature as making the initial identification. [43][44][45] Although conspicuously absent from the literature on the initial identification of schizophrenia, physical therapists are in a position to be important first-contact care providers who can make the initial identification of schizophrenia, and other psychiatric disorders, through effective patient interviews. Although labelling patients as having a psychiatric disorder is outside physical therapists' scope of practice, the diagnostic process is not exclusive to any one profession.…”

Section: Schizophrenia and Primary Carementioning

confidence: 99%

Case Report: Schizophrenia Discovered during the Patient Interview in a Man with Shoulder Pain Referred for Physical Therapy

Shah

Nakamura²

2010

Physiotherapy Canada

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Purpose: The purpose of this case report is to demonstrate the importance of a thorough patient interview. The case involves a man referred for physical therapy for a musculoskeletal dysfunction; during the patient interview, a psychiatric disorder was recognized that was later identified as schizophrenia. A secondary purpose is to educate physical therapists on the recognizable signs and symptoms of schizophrenia. Client description: A 19-year-old male patient with chronic shoulder, elbow, and wrist pain was referred for physical therapy. During the interview, the patient reported that he was receiving signals from an electronic device implanted in his body. Measures and outcome: The physical therapist's initial assessment identified a disorder requiring medical referral. Further management of the patient's musculoskeletal dysfunction was not appropriate at this time. Intervention: The patient was referred for further medical investigation, as he was demonstrating signs suggestive of a psychiatric disorder. The patient was diagnosed with schizophrenia by a psychiatrist and was prescribed Risperdal. Implications: This case study reinforces the importance of a thorough patient interview by physical therapists to rule out non-musculoskeletal disorders. Patients seeking neuromusculoskeletal assessment and treatment may have undiagnosed primary or secondary psychiatric disorders that require recognition by physical therapists and possible medical referral.Key Words: patient interview, physical therapy assessment, psychiatric disorder, referral source, schizophrenia Shah N, Nakamura Y. Case report: schizophrenia discovered during the patient interview in a man with shoulder pain referred for physical therapy. Physiother Can. 2010;62:308-315 RÉ SUMÉObjectif : L'objectif de cette é tude de cas consiste à dé montrer l'importance de ré aliser des entrevues en profondeur avec les patients. Le cas é tudié concerne un homme dirigé vers la physiothé rapie en raison d'une dysfonction musculosquelettique. Au cours de l'entrevue avec ce patient, un problè me psychiatrique a é té dé celé ; par la suite, de la schizophré nie a é té diagnostiqué e. Le deuxiè me objectif de cette é tude de cas est d'é duquer et de sensibiliser les physiothé rapeutes aux signes et aux symptô mes aisé ment reconnaissables de la schizophré nie. Description du client : Le patient est un jeune homme de 19 ans qui souffre de douleurs chroniques à l'é paule, au coude et au poignet et qui avait é té dirigé en physiothé rapie. Au cours de l'entrevue, le patient a dé claré qu'il recevait des signaux provenant d'un appareil é lectronique implanté dans son corps. Mesures et ré sultats : L'é valuation pré liminaire du physiothé rapeute a permis d'identifier un problè me qui né cessitait que le patient soit redirigé vers un mé decin. Une gestion plus poussé e de la dysfonction musculosquelettique de ce patient a é té jugé e inapproprié e à cette é tape. Intervention : Le patient a é té dirigé vers une investigation mé dicale plus approfondie, puisqu'il m...

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“…For example, in some countries patients have a direct access to mental health specialists (21), whereas in others they require prior referral by a general practitioner (22). As evidenced by an international WHO study, about one third of GP consultations have a direct and explicit psychological component (e.g.…”

Section: The General Practitioners and Their Needsmentioning

confidence: 99%

How many categories in a classification of psychiatric disorders do we need?

Sartorius¹,

Marić²

2017

Med podmladak

Self Cite

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Communication among physicians requires a commonly accepted classification of diseases, which make it possible for them to undertake action that might prevent or control them. The psychiatric classifications, with over 300 different psychiatric disorders listed, are providing clinicians throughout the world with a free and accessible classification system that can be used with relative ease by mental health clinicians and scientists. However, such a classification will neither be used nor useful to other stakeholders, for example judges, policemen, patients family members, public health authorities, etc. All of them deal with the same diseases but from a different perspective. They will all develop their classifications of diseases, in harmony with the actions which they will have to take. This paper will attempt to make it clear that classifications -of objects, of concepts and of all other items with which we have to deal -will depend on their users. Understanding what classifications and diagnostic terms are used by others who see mentally ill people, will enable physicians to communicate with them and to create alliances, which will make it possible to provide adequate help to those who are ill, as well as their families, general population and all these who could influence the government to search for the best ways of implementing health care policies. Key words:Diagnosis, Classification, Mental Health, Psychiatry Sartorius N. How many categories in a classification of psychiatric disorders do we need?. MedPodml 2017, 68(2):1-7Medicinski podmladak / Medical Youth 2 SAŽETAK U međusobnoj komunikaciji lekara nužno je da postoji zajednički sistem klasifikovanja bolesti, na osnovu čega se preduzimaju odgovarajuće aktivnosti radi njihovog sprečavanja ili lečenja. Psihijatrijska klasifikacija, sa preko 300 postojećih dijagnoza, obezbeđuje kliničarima širom sveta slobodnu i dostupnu platformu koja je laka za primenu i, kao takva, služi svima koji se bave lečenjem ili proučavanjem mentalnih poremećaja. Takve klasifikacije će teško, međutim, koristiti ostalima, koji neretko imaju kontakt sa osobama sa mentalnim smetnjama, a nisu medicinari (na primer sudijama, policajcima, članovima porodica obolelih, različitim telima zaduženim za zdravstvenu zaštitu i slično) i koji u situacijama kada imaju kontakt sa mentalnim poremećajima njima pristupaju iz sasvim različitih pozicija u odnosu na zdravstvene radnike. Svaka od pomenutih grupa imaće potrebu da razvije svoju klasifikaciju bolesti, a ta klasifikacija biće, pre svega, uslovljena postupcima koje će oni morati da preduzimaju. Namera ovog rada je pojašnjenje činjenice da klasifikovanje objekata, koncepata i svega onoga što zahteva delovanje zavisi od pozicije iz koje je potrebno delovati. Kada se bude razumelo kako klasifikaciju i terminologiju dijagnoza razumeju i koriste svi oni koji na određeni način imaju kontakt sa osobama sa mentalnim smetnjama, lekarima će se značajno olakšati komunikacija. Kvalitetna komunikacija je neophodna da bi se uspostavila terapijs...

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Pathways to psychiatric care in Eastern Europe

Abstract: Findings highlight areas that require attention if aspirations for community-oriented mental health care are to be realised, particularly integration of mental health into primary care.

Cited by 88 publications

References 8 publications

Pathways to child and adolescent psychiatric care in the division of child and adolescent psychiatry at Red Cross children's hospital

Pathways to child and adolescent psychiatric care in the division of child and adolescent psychiatry at Red Cross children's hospital

Case Report: Schizophrenia Discovered during the Patient Interview in a Man with Shoulder Pain Referred for Physical Therapy

How many categories in a classification of psychiatric disorders do we need?

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