TY - JOUR
T1 - Improving collaboration between primary care and mental health services
AU - Kates, Nick
AU - Arroll, Bruce
AU - Currie, Elizabeth
AU - Hanlon, Charlotte
AU - Gask, Linda
AU - Klasen, Henrikje
AU - Meadows, Graham
AU - Rukundo, Godfrey
AU - Sunderji, Nadiya
AU - Ruud, Torleif
AU - Williams, Mark
PY - 2019/11/26
Y1 - 2019/11/26
N2 - Objective: Previous guidelines and planning documents have identified the key role primary care providers play in delivering mental health care, including the recommendation from the WHO that meeting the mental health needs of the population in many low and middle income countries will only be achieved through greater integration of mental health services within general medical settings. This position paper aims to build upon this work and present a global framework for enhancing mental health care delivered within primary care. Methods: This paper synthesizes previous guidelines, empirical data from the literature and experiences of the authors in varied clinical settings to identify core principles and the key elements of successful collaboration, and organizes these into practical guidelines that can be adapted to any setting. Results: The paper proposes a three-step approach. The first is mental health services that any primary care provider can deliver with or without the presence of a mental health professional. Second is practical ways that effective collaboration can enhance this care. The third looks at wider system changes required to support these new roles and how better collaboration can lead to new responses to respond to challenges facing all mental health systems. Conclusions: This simple framework can be applied in any jurisdiction or country to enhance the detection, treatment, and prevention of mental health problems, reinforcing the role of the primary care provider in delivering care and showing how collaborative care can lead to better outcomes for people with mental health and addiction problems.
AB - Objective: Previous guidelines and planning documents have identified the key role primary care providers play in delivering mental health care, including the recommendation from the WHO that meeting the mental health needs of the population in many low and middle income countries will only be achieved through greater integration of mental health services within general medical settings. This position paper aims to build upon this work and present a global framework for enhancing mental health care delivered within primary care. Methods: This paper synthesizes previous guidelines, empirical data from the literature and experiences of the authors in varied clinical settings to identify core principles and the key elements of successful collaboration, and organizes these into practical guidelines that can be adapted to any setting. Results: The paper proposes a three-step approach. The first is mental health services that any primary care provider can deliver with or without the presence of a mental health professional. Second is practical ways that effective collaboration can enhance this care. The third looks at wider system changes required to support these new roles and how better collaboration can lead to new responses to respond to challenges facing all mental health systems. Conclusions: This simple framework can be applied in any jurisdiction or country to enhance the detection, treatment, and prevention of mental health problems, reinforcing the role of the primary care provider in delivering care and showing how collaborative care can lead to better outcomes for people with mental health and addiction problems.
KW - collaborative care
KW - mental health service
KW - Primary care
KW - WFSBP Position paper
UR - http://www.scopus.com/inward/record.url?scp=85048754515&partnerID=8YFLogxK
U2 - 10.1080/15622975.2018.1471218
DO - 10.1080/15622975.2018.1471218
M3 - Review Article
C2 - 29722600
AN - SCOPUS:85048754515
SN - 1562-2975
VL - 20
SP - 748
EP - 765
JO - The World Journal of Biological Psychiatry
JF - The World Journal of Biological Psychiatry
IS - 10
ER -