Psychiatry and Primary Care as Neighbors: From the Promethean Primary Care Physician to Multidisciplinary Clinic

Abstract

Making psychiatry accessible at the front line of primary care enhances delivery of care and does not detract from any service.

Late‐life suicide and depression in the primary care setting

“…Callahan and his colleagues (1994) reported on a randomized controlled trial designed to assess the effect of a physician-targeted intervention to improve recognition and treatment by primary care providers and found little improvement in depression or disability severity among older patients. From this study and other reports, mental health specialists have questioned the effectiveness of educating primary care providers only and have proposed that integration of specialty care with primary care may be more effective (Meyers, 1996;Paulsen, 1996;Wulsin, 1996). Katon and his associates (1 996, 1997) tested several versions of "collaborative care" models in randomized controlled treatment trials in which psychiatrists and psychologists worked with the primary care physician.…”

Psychiatry and primary care: Two cultures divided by a common cause

“…What is not clear is how the various modern practice mixes of mental health and generalist practitioners will work out with regard to care outcomes and patient acceptability (Paulsen, 1996). Clearly, funders want least-cost practitioners to care for mental disorders, but this is often unpopular with the public.…”

‘Shared Care – Shared Dream’: Model of shared care in rural Australia between mental health services and general practitioners

“…[4][5][6][7][8][9][10][11] GPs identify the paucity of communication and accessibility of psychiatrists as some of the important gaps in shared care. [12][13][14] This is a descriptive study of a model of care between GPs and an area mental health service in Victoria. This mental health service identified some of the systemic issues in the process of care, and addressed them.…”