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with system changes to help ensure adequate treatment and follow-up. (See section 13.) Prompts What screening could be used to meet the needs of your enrolled population? How will you take cultural considerations into account? What are the provider constraints on implementing the proposed screening programme? What are the organisational constraints when implementing screening? What will happen to people identified by the screening process? Further information Agency for Healthcare Research and Quality. 2002. Screening for depression: Recommendations and rationale. URL: . Arroll B, Khin N, Kerse N. 2003. Screening for depression in primary care with two verbally asked questions: cross sectional study. British Medical Journal 327: 1144–6.
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Primary Health Organisations: 29 Service development toolkit for mental health services in primary health care Editorial. 2003. How many conditions can a GP screen for? British Medical Journal 327: 1117. Gilbody S, House A, Sheldon T. 2001. Routinely administered questionnaires for depression and anxiety: systematic review. British Medical Journal 322: 406–9. Pignone MP, Gaynes BN, Rushton JL, et al. 2002. Screening for depression in adults: a summary of the evidence for the US. Preventative Services Task Force. Annals of Internal Medicine 136: 10, 765–76. Williams J, Pigonone M, Ramirez G, et al. 2002. Identifying depression in primary care: a literature synthesis of case-finding instruments. General Hospital Psychiatry 24(4): 225– 37. Laing AJ, Stein MB. 2002. Screening for anxiety in primary care: why bother? General Hospital Psychiatry 24(6): 365–6. Pincus HA, Pechura CM, Elinson L, et al. 2001. Depression in primary care: linking clinical and system strategies. General Hospital Psychiatry 23(6): 311–18. World Health Organization Collaborative Report. 2002. Report on Alcohol and Primary Health Care . World Health Organization.
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30 Primary Health Organisations: Service development toolkit for mental health services in primary health care 10 Assessment and Management in Primary Health Care Introduction Improving mental health outcomes in primary health care will require a number of different responses from a PHO and its practitioners. Changes will need to occur on multiple levels, as single changes such as implementing a screening programme or provider education are unlikely to lead to improved outcomes. A PHO will need to make sure its practitioners understand their roles so that the question ‘Who does what to whom and when?’ is answered clearly. The answer will depend on: the skill and interests of the practitioners within the primary health care team the resources available the characteristics of the mental health issue identified. Over the last 10 years, research within primary health care has been undertaken to determine what needs to happen to improve the mental health outcomes for people.
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  • Fall '19
  • primary health care, Primary Health Organisations

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