This means that a pho needs to consider the current

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practitioners will be able to deliver all the necessary components of this service. This means that a PHO needs to consider: the current capacity and capability of its practitioners what relationships currently exist and what need to be developed between its primary health care practitioners and other primary providers. Primary health care practitioners delivering GP services to Mäori populations often provide a variety of additional services including budgeting, social services, education and income support services. These services may be delivered in a range of settings; for example, traditional healthcare clinics, marae and community venues. These realities need to be considered when determining the most appropriate method of service delivery. Specialist mental health and addiction service providers This toolkit concentrates on the provision of mental health services in primary health care. As the majority of people who access these services will not require referral to specialist mental health services, we have not included a detailed discussion of these. However, we have included a consideration of the close working relationship that is necessary between primary health care and specialist mental health services in chapter 10, ‘Interface between primary health care and specialist mental health services’. Further information National Institute for Mental Health in England. 2003. Fast-forwarding Primary Care Mental Health: Best practice guidance . London: Department of Health.
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16 Primary Health Organisations: Service development toolkit for mental health services in primary health care 6 Prevalence of Mental Health Problems in New Zealand Prevalence in the community The major, community-based survey of the prevalence of mental health problems in New Zealand was undertaken in Christchurch in 1986 and published three years later (Oakley-Brown et al 1990). The results from this survey are broadly comparable with other countries that have done similar studies. From this survey, we can conclude that about a third of all New Zealanders will have experienced a diagnosable mental disorder at some stage in their lifetime. The most commonly encountered mental health problems are alcohol abuse/dependency, depression and anxiety disorders. These have lifetime prevalence rates of 19 percent, 13 percent and 31 percent respectively. Women have higher rates of depression and anxiety disorders and lower rates of alcohol abuse/dependency than men. Table 1: Rates of common disorders in the community Problem Six-month prevalence Depression The six-month prevalence for males is about 6% and females 12%. Alcohol One in six adults do not drink within safe limits. Six-month prevalence of abuse/dependency of 14% for men and 4% for women. Anxiety Six-month prevalence of around 5% for men and 12% for women. Dementia There is an 8% prevalence rate of dementia for all people over the age of 65.
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  • Fall '19
  • primary health care, Primary Health Organisations

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