Primary care has been dubbed the“de facto”mental health system of the United States since the 1970s.Since then,various forms of mental health delivery models for primary care have proven effective in improving patie...Primary care has been dubbed the“de facto”mental health system of the United States since the 1970s.Since then,various forms of mental health delivery models for primary care have proven effective in improving patient outcomes and satisfaction and reducing costs.Despite increases in collaborative care implementation and reimbursement,prevalence rates of major depression in the United States remain unchanged while anxiety and suicide rates continue to climb.Meanwhile,primary care task forces in countries like the United Kingdom and Canada are recommending against depression screening in primary care altogether,citing lack of trials demonstrating improved outcomes in screened vs unscreened patients when the same treatment is available,high false-positive results,and small treatment effects.In this perspective,a primary care physician and two psychiatrists address the question of why we are not making headway in treating common mental health conditions in primary care.In addition,we propose systemic changes to improve the dissemination of mental health treatment in primary care.展开更多
Many key organizations have called attention to the importance of addressing workplace mental health.In this Open Forum piece,two academic psychiatrists present recommendations from their experiences providing psychia...Many key organizations have called attention to the importance of addressing workplace mental health.In this Open Forum piece,two academic psychiatrists present recommendations from their experiences providing psychiatric care in a corporate setting.A literature review using the PubMed database was performed.The search found no peer review articles that discuss the topic of employersponsored mental health services outside of traditional employee assistant programs.Based on first-hand experience,the authors of this forum describe key issues and best practices to ensure employer-sponsored mental health services are a successful treatment for patients and mental health providers alike.展开更多
基金National Institute of Mental Health Agency for Healthcare Research and Quality(AHRQ),No.R01HS025198(to Moise N).
文摘Primary care has been dubbed the“de facto”mental health system of the United States since the 1970s.Since then,various forms of mental health delivery models for primary care have proven effective in improving patient outcomes and satisfaction and reducing costs.Despite increases in collaborative care implementation and reimbursement,prevalence rates of major depression in the United States remain unchanged while anxiety and suicide rates continue to climb.Meanwhile,primary care task forces in countries like the United Kingdom and Canada are recommending against depression screening in primary care altogether,citing lack of trials demonstrating improved outcomes in screened vs unscreened patients when the same treatment is available,high false-positive results,and small treatment effects.In this perspective,a primary care physician and two psychiatrists address the question of why we are not making headway in treating common mental health conditions in primary care.In addition,we propose systemic changes to improve the dissemination of mental health treatment in primary care.
文摘Many key organizations have called attention to the importance of addressing workplace mental health.In this Open Forum piece,two academic psychiatrists present recommendations from their experiences providing psychiatric care in a corporate setting.A literature review using the PubMed database was performed.The search found no peer review articles that discuss the topic of employersponsored mental health services outside of traditional employee assistant programs.Based on first-hand experience,the authors of this forum describe key issues and best practices to ensure employer-sponsored mental health services are a successful treatment for patients and mental health providers alike.
