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Public Health Rep. 1985 May-Jun; 100(3): 294–300.
PMCID: PMC1424754

Improving mental health practices in primary care: findings from recent research.


This paper reviews restraints on the provision of mental health services in primary health care under the broad categories of physician profile, patient behavior, the nature of psychiatric illness as presented in primary care, and service system characteristics. An extensive research agenda is proposed toward improving mental health care in primary care settings. Research recommendations focus on the following types of issues: seeking a better understanding of the clinical decision making process when confronted with psychological or emotional problems, designing more focused mental health training for primary care physicians and nurses, providing patient education to encourage communication of psychosocial problems to medical providers, clarifying the nature and course of psychiatric disorder in primary care, designing innovative clinical interventions applicable to primary care, and examining organizational models for better coordination of health and mental health services.

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Selected References

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  • Regier DA, Goldberg ID, Taube CA. The de facto US mental health services system: a public health perspective. Arch Gen Psychiatry. 1978 Jun;35(6):685–693. [PubMed]
  • Marks JN, Goldberg DP, Hillier VF. Determinants of the ability of general practitioners to detect psychiatric illness. Psychol Med. 1979 May;9(2):337–353. [PubMed]
  • Burns BJ, Scott JE, Burke JD, Jr, Kessler LG. Mental health training of primary care residents: a review of recent literature (1974-1981). Gen Hosp Psychiatry. 1983 Sep;5(3):157–169. [PubMed]
  • Pincus HA, Strain JJ, Houpt JL, Gise LH. Models of mental health training in primary care. JAMA. 1983 Jun 10;249(22):3065–3068. [PubMed]
  • Harding TW, de Arango MV, Baltazar J, Climent CE, Ibrahim HH, Ladrido-Ignacio L, Murthy RS, Wig NN. Mental disorders in primary health care: a study of their frequency and diagnosis in four developing countries. Psychol Med. 1980 May;10(2):231–241. [PubMed]
  • Climent CE, Diop BS, Harding TW, Ibrahim HH, Ladrido-Ignacio L, Wig NN. Mental health in primary health care. WHO Chron. 1980 Jun;34(6):231–236. [PubMed]
  • Linn LS, Yager J. The effect of screening, sensitization, and feedback on notation of depression. J Med Educ. 1980 Nov;55(11):942–949. [PubMed]
  • Essex B. A problem-oriented approach to management of mental illness in developing countries. J R Coll Gen Pract. 1980 Nov;30(220):648–655. [PMC free article] [PubMed]
  • Hull J. Psychiatric referrals in general practice. Arch Gen Psychiatry. 1979 Apr;36(4):406–408. [PubMed]
  • Nicklason JH, Donaldson MS, Ott JE. HMO members and clinicians rank health education needs. Public Health Rep. 1983 May-Jun;98(3):222–226. [PMC free article] [PubMed]
  • Hankin JR, Locke BZ. The persistence of depressive symptomatology among prepaid group practice enrollees: an exploratory study. Am J Public Health. 1982 Sep;72(9):1000–1007. [PubMed]
  • Barrett JE, Hurst MW. Short-term symptom change in outpatient psychiatric disorders. Arch Gen Psychiatry. 1982 Jul;39(7):849–854. [PubMed]
  • Eastwood MR, Trevelyan MH. Relationship between physical and psychiatric disorder. Psychol Med. 1972 Nov;2(4):363–372. [PubMed]
  • Kessler LG, Tessler RC, Nycz GR. Co-occurrence of psychiatric and medical morbidity in primary care. J Fam Pract. 1983 Feb;16(2):319–324. [PubMed]
  • Longabaugh R, Fowler DR, Stout R, Kriebel G., Jr Validation of a problem-focused nomenclature. Arch Gen Psychiatry. 1983 Apr;40(4):453–461. [PubMed]
  • Goldman HH, Burns BJ, Burke JD., Jr Integrating primary health care and mental health services: a preliminary report. Public Health Rep. 1980 Nov-Dec;95(6):535–539. [PMC free article] [PubMed]
  • Coleman JV, Patrick DL. Integrating mental health services into primary medical care. Med Care. 1976 Aug;14(8):654–661. [PubMed]
  • Corney RH. Factors affecting the operation and success of social work attachment schemes to general practice. J R Coll Gen Pract. 1980 Mar;30(212):149–157. [PMC free article] [PubMed]
  • Regier DA, Goldberg ID, Burns BJ, Hankin J, Hoeper EW, Nycz GR. Specialist/generalist division of responsibility for patients with mental disorders. Arch Gen Psychiatry. 1982 Feb;39(2):219–224. [PubMed]
  • Eaton WW, Regier DA, Locke BZ, Taube CA. The Epidemiologic Catchment Area Program of the National Institute of Mental Health. Public Health Rep. 1981 Jul-Aug;96(4):319–325. [PMC free article] [PubMed]
  • Sartorius N. The research component of the WHO mental health programme. Psychol Med. 1980 Feb;10(1):175–185. [PubMed]
  • Eisenberg JM. Sociologic influences on decision-making by clinicians. Ann Intern Med. 1979 Jun;90(6):957–964. [PubMed]
  • Greist JH, Klein MH, Erdman HP. Routine on-line psychiatric diagnosis by computer. Am J Psychiatry. 1976 Dec;133(12):1405–1408. [PubMed]

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