5 the new zealand guidelines group has developed

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5. The New Zealand Guidelines Group has developed clinical guidelines for a variety of mental health issues in primary care. These can be accessed on the website: . 6. The Rochester Health Commission’s Guidelines 2002 for the Identification and Treatment of Major Depression in Primary Care in Adults provides a comprehensive and up-to-date series of diagnostic and treatment algorithms: . 7. The MacArthur Initiative on Depression and Primary Care at Dartmouth and Duke have excellent checklists and clinical memory aids in both the assessment and management of patients, along with copies of patient handouts and references to other patient information websites.
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Primary Health Organisations: 33 Service development toolkit for mental health services in primary health care Prompts How does the care provided within individual practices currently match this active follow-up approach? How will the PHO allow providers to use evidence-based treatment options with its enrolled population? How will the different management needs of Mäori and Pacific peoples be addressed? Organisational changes There are a number of ways in which organisations are able to change in order to build capability. These are: 1. additional new workforce: adding a new skill or competency to the primary health care team (eg, psychologist, community mental health nurse and nurse practitioners, counsellor, community support worker) 2. workforce development: strengthening the existing primary health care team with additional training, and supporting the development of a well-functioning, multi-disciplinary team within that existing team 3. structural changes that reinforce and facilitate the roles of the many participants. Additional new workforce Enhancing the mental health care provided to people who do not require specialist services may mean that additional workforce resources are required. It is our view, supported by existing literature, that these additional skills should be located within the existing practitioner structures rather than in standalone primary mental health services. This means that PHOs need to identify those additional skills that are required and then look within the community at where they might be available. For example, a PHO may require cognitive behavioural therapy capability or closer liaison with social agencies. The literature provided several examples where professional groups have been used to supplement the existing workforce. To establish the additional workforce requirements, a PHO needs to consider: the identified needs of the population the plan it has to address the needs of its population the skills currently within the individual practice teams evidence about what is effective the availability of the skills that are required in the community the capacity of the current providers.
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34 Primary Health Organisations: Service development toolkit for mental health services in primary health care Prompts How much do you know about your workforce capability?
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  • Fall '19
  • primary health care, Primary Health Organisations

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