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provided at no charge and each fortnight a consultant-liaison service is provided by a psychiatrist. 3. Wanganui Regional PHO uses a community mental health nurse with a large primary health care practice. They work part time and provide a range of services, including a link between primary and specialist mental health services. They provide additional skills aiding primary health care management and follow up discharged patients by the community mental health team. While it has not been evaluated, all participants are very supportive. Prompts Building relationships takes time. How will this be undertaken and how will those relationships be shared across the PHO? Who will be responsible for ensuring that these working relationships are maintained? Where links with other agencies and specialist mental health services are working well, how might these be built upon? Have you identified all of the organisations that can refer to, or provide services within, your PHO? Do you have working agreements with these organisations? How can you strengthen these relationships? What processes do you have within your planning to involve people who have used mental health services?
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Primary Health Organisations: 43 Service development toolkit for mental health services in primary health care Further information Andrews G. 2001. Should depression be managed as a chronic disease? British Medical Journal 322: 419–21. Atun, RA. 2004. What are the Advantages and Disadvantages of Restructuring a Health Care System To Be More Focused on Primary Care Services? World Health Organization. Bower P, Garralda E, Kramer T, et al. 2001. The treatment of child and adolescent mental health problems in primary care: a systematic review. Family Practice 18(4): 373–82. Bower P, Sibbald B. 2000. Systematic review of the effect of on-site mental health professional on the clinical behaviour of general practitioners. British Medical Journal 320: 614–17. Bower P, Sibbald B. 2003. Effectiveness and cost effectiveness of counselling in primary care. The Cochrane Library 3. Bower P, Sibbald B. 2003. On-site mental health workers in primary care: effects on professional practice. The Cochrane Library 3. Brown C, Wakefield S, Bullock A, et al. 2003. A qualitative evaluation of the Trailblazer teaching the teachers programme (West Midlands) in mental health. Learning in Health and Social Care 2(2): 74–82. Brown JB, Shye D, McFarland BH, et al. 2000. Controlled trials of CQI and academic detailing to implement a clinical practice guideline for depression. Joint Commission Journal on Quality Improvement 26(1): 39–54. Bureau of Primary Health Care. Mental health in primary care. URL: . Canadian Psychiatric Association. 2002. The Need for Increased Collaboration between Psychiatry and Primary Care . Canadian Psychiatric Association.
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  • Fall '19
  • primary health care, Primary Health Organisations

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