The increased understanding that physical and mental

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The increased understanding that physical and mental health are intrinsically linked , so a holistic approach to health care is required. This has been recognised internationally, nationally and locally. The recognition of the high mental health service needs of those with the poorest health outcomes (namely Mäori, Pacific peoples, people in rural communities and people from lower socioeconomic groups) and a commitment to improving these outcomes. The acknowledgement that mental health care is effectively delivered at the primary level, but it has not been sufficiently resourced. Evidence that early intervention and effective treatment by primary health care providers may prevent or delay the onset of more severe problems and achieve good outcomes. An increasing prevalence of some mental health disorders such as depression. Importantly, the physical health status of people with mental health problems (especially people who have especially high mental health care needs) is significantly lower and poorer than the rest of the population. This means establishing effective links between primary and secondary providers could also lead to improved physical health outcomes for those people. This toolkit was developed to assist PHOs in developing their mental health services by: summarising current thinking about the provision of primary health care services stimulating discussion about how these primary health care services might best be provided given each PHO’s circumstances providing a worksheet to help PHOs draw up a mental health plan. The toolkit is based on extensive literature reviews (see the further information section at the end of most chapters and the complete list of references at the end of the document), discussions with skilled providers and consultation with key stakeholders, including meetings specifically targeted at Mäori, Pacific peoples and NGOs. (See Appendix 1 for more information about the process used to develop this toolkit.)
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4 Primary Health Organisations: Service development toolkit for mental health services in primary health care Structure of this document As the provision of mental health services in primary health care must be considered in the context of national policy, this toolkit: overviews the prevalence of mental health disorders in New Zealand discusses the barriers to access and the provision of services outlines options for promoting wellness and preventing mental illness provides implementation options from both service and provider levels describes the links between specialist and primary providers. Each chapter provides links to the available evidence and includes local feedback and interpretation. Examples are included to illustrate each chapter, but they should not be regarded as definitive models, guidelines or practices.
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  • Fall '19
  • primary health care, Primary Health Organisations

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