Mental Health in Primary Care A New Approach Oxford General Practice Series 42 1st Edition by Andrew Elder, Jeremy Holmes ISBN 0198508946 9780198508946

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ISBN 10:    0198508946
ISBN 13: 978-0198508946
Author:   Andrew Elder, Jeremy Holmes

Mental Health has finally come home to primary care, where 90% of all patients with psychological difficulties are diagnosed and treated, and where Governments increasingly see the bulk of mental health commissioning and practice as belonging. This book, whose contributors uniquely include leading figures from the world of both primary care and psychiatry, brings together the best of contemporary psychiatry with a deep understanding of the realities, challenges, and opportunities of general practice.
The book is divided into four parts. The reader is taken from the first-hand experience of the encounter with the psychiatric patient in the GP consulting room; through the stresses and strains of such work; to the wider primary care mental health team of counselling, family therapy and group dynamics; and finally to specific disorders such as psychosis, eating disorders, depression, suicide, and trauma as they present in the primary care setting. The book ends with practical guidancein the use of psychotropic drugs and psychological treatments in primary care.
The tone throughout is influenced by the editors’ background- one a GP the other a psychiatrist–in psychotherapy and ‘Balint’ group, which places the doctor’s own feelings and aspirations centre stage, no less than those of the patient. The book offers new ideas in two ways. First, in that it looks at how cutting edge psychiatry can be applied and practiced in the primary care setting, away from psychiatric institutions, and adapted to the realities of primary care, where distress does not easily fir into predetermined categories derived from secondary care. Second, because the editors, possibly unfashionably, believe that, faced with an ever-expanding, protocol-driven, standardised medical culture, the concepts and ideas of group dynamics and counter-transference need to be rediscovered if primary care is to be effective.
In sum, this book is an essential vade-mecum for all primary care mental health workers, whether GP’s, psychologists, nurses, psychiatrists, psychotherapists or counsellors. It contains practical guidance and holds onto the vision that GP, patient, family and practice team must work together.

Mental Health in Primary Care A New Approach Oxford General Practice Series 42 1st Table of contents:

• Introduction

  • The Importance of Mental Health in Primary Care
  • A New Approach to Mental Health Care in Primary Care
  • The Integration of Mental Health and Primary Care

• Mental Health in Primary Care: The Context

  • Changing Attitudes and Policy
  • The Role of the GP and Primary Care Teams in Mental Health
  • Mental Health and its Social Context
  • The Burden of Mental Illness in Primary Care

• Assessing Mental Health

  • Understanding the Mental Health Needs of Patients
  • Comprehensive Mental Health Assessments
  • Risk Assessment and Management
  • The Role of the Primary Care Team in Mental Health Assessment

• Common Mental Health Problems in Primary Care

  • Depression and Anxiety Disorders
  • Bipolar Disorder and Mood Disorders
  • Psychotic Disorders
  • Personality Disorders
  • Substance Use Disorders

• Mental Health Interventions in Primary Care

  • Psychological Interventions: Cognitive Behavioral Therapy (CBT) and Other Approaches
  • Pharmacological Treatments and Psychotropic Medications
  • The Role of Community Mental Health Services and Support

• The Integration of Mental Health and Primary Care

  • Integrated Care Models
  • Collaborative Care and the Role of the Multi-disciplinary Team
  • Enhancing Access to Mental Health Care
  • Improving Coordination of Care

• Mental Health and Special Populations

  • Mental Health in Children and Adolescents
  • Mental Health in Older Adults
  • Mental Health and Chronic Illnesses
  • Mental Health in Vulnerable Groups (e.g., Homeless, Refugees, etc.)

• Challenges and Future Directions

  • Stigma and Mental Health
  • Training and Development for Primary Care Providers
  • Policy and Structural Challenges
  • The Future of Mental Health in Primary Care

• Conclusion

  • Summary of Key Concepts
  • Recommendations for Primary Care Practices
  • The Way Forward in Mental Health Care Integration

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