The development of a clear management plan formed in

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The development of a clear management plan formed in conjunction with the person and their whänau. This plan should identify individuals and the agencies involved in their management as well as a process for reviewing progress. Knowledge and availability of evidence-based practice treatments . Flexible intensity of follow-up: more rigorous when a problem is acute and less when things are more settled. Monitoring of progress and a person’s response to treatment, as well as any apparent barriers to progress and ways to overcome these (this may include an early team review if necessary).
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32 Primary Health Organisations: Service development toolkit for mental health services in primary health care A variety of follow-up methods to best fit with the lifestyle of the person. For example, follow-up could include telephone consultation, email interactions and text messaging. Advocating on behalf of the person and their family/whänau. This may be done within the practice team, but could also utilise community agencies. Ensuring that those individuals and agencies involved in the management are the right ones. For instance, there is no reason why other professional skills that currently exist in the primary health care sector could not be utilised (eg, pharmacists for medication education, monitoring compliance and active reviewing of side-effects, and traditional healers and church elders). Examples of personal health care management approaches 1. Gilbody et al 2003 reviewed educational and organisational interventions to improve the management of depression in primary care . Strategies that improved patient outcome were generally complex interventions that incorporated clinician education, an enhanced role for primary health care nursing (nurse care management) and a better degree of liaison between primary health care and specialist mental health services. 2. Hunkeler et al 2000 showed that a programme of practice nurse phone calls improved clinical outcomes in primary health care patients treated with antidepressants. Patient satisfaction ratings were high and the authors commented that the programme fitted well into busy primary health care settings. 3. Watkins et al 2003 reviewed the use of the chronic care model to improve treatment of alcohol use disorders in primary health care settings. The paper explains the benefits a chronic care model developed from the delivery of physical health care might have for the management of alcohol use disorders, given their often chronic nature. 4. Unutzer et al 2002 found that by adopting a collaborative care management approach for those suffering depression in later life, outcomes were significantly better than for usual care. A depression care manager (usually a specially trained nurse) was assigned to provide education and support to patients, to track symptoms and side effects associated with changes in antidepressant treatment and to provide counselling.
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  • Fall '19
  • primary health care, Primary Health Organisations

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