Depression sometimes found that the primary health

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depression sometimes found that the primary health care capacity to manage the subsequent additional workload was limited. The required frequency for screening for most common psychological problems is uncertain. The management of people with known mental health problems should take priority over screening to identify new cases of mental health problems. The MaGPIe data concluded that about a third of all people who consulted a GP in the previous 12 months had a diagnosable mental health problem (MaGPIe Research Group 2003). Therefore, one suggestion of people to screen for mental health problems is new and infrequent primary health care attendees. Other possibilities for screening include: all new mothers in the post partum period at the time of their baby’s immunisations (for post partum depression) all people enrolled in chronic care management programmes for depression those people with a previously recorded diagnosis of depression or alcohol abuse when they routinely present to their primary health care practitioner. Choosing a screening tool When deciding which screening tool to use, a PHO may wish to consider: the identified needs of the enrolled population the resources available, for example assessment and treatment services the effectiveness of a screening how the PHO will manage screening (along the whole screening pathway).
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28 Primary Health Organisations: Service development toolkit for mental health services in primary health care Examples of screening tools 1. AUDIT – Alcohol Use Disorders Identification Test: This is a tool designed to identify early, risky and problematic use of alcohol with the aim of reducing subsequent morbidity, mental health risks and social costs. It can be administered by a range of trained practitioners and its use needs to be combined with brief intervention. Training is available through the TADS (Tobacco, Alcohol and Drug) Training programme undertaken by the Goodfellow Unit, Auckland University (World Health Organization Collaborative Report 2002). 2. The MIST (Multi-item Screening Tool) Lifestyle questionnaire: This tool has been developed by Auckland University for use in primary health care to screen for lifestyle and mental health risk factors. It aims to identify a range of early, harmful behaviours and the interactive impact of these on mental health. A brief, opportunistic intervention needs to be provided to any person identified as having an emerging harmful behaviour. 3. Arroll et al 2003: The approach described outlines a screening process for depression that requires the health practitioner to ask two questions verbally. The questions were brief and showed reasonable validity, in that they detected most cases of depression. 4. A comprehensive review of case-finding instruments (ie, screening tools) for depression in primary health care is available at 5. Pignone et al 2002 summarised the evidence for screening for depression in adults . They conclude that screening can improve the outcome when combined with system changes to help ensure adequate treatment and follow-up.
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  • Fall '19
  • primary health care, Primary Health Organisations

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