Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.

The understanding of how to reduce risk factors for mental disorders has expanded remarkably as a result of recent scientific advances. This study, mandated by Congress, reviews those advances in the context of current research and provides a targeted definition of prevention and a conceptual framework that emphasizes risk reduction. Highlighting opportunities for and barriers to interventions, the book draws on successful models for the prevention of cardiovascular disease, injuries, and smoking. In addition, it reviews the risk factors associated with Alzheimer's disease, schizophrenia, alcohol abuse and dependence, depressive disorders, and conduct disorders and evaluates current illustrative prevention programs. The models and examination provide a framework for the design, application, and evaluation of interventions intended to prevent mental disorders and the transfer of knowledge about prevention from research to clinical practice. The book presents a focused research agenda, with recommendations on how to develop effective intervention programs, create a cadre of prevention researchers, and improve coordination among federal agencies.

A comprehensive guide to this emerging field, fully updated to cover clinical, policy, and practical issues with a user-centred approach.

According to David Satcher, M.D., Ph.D., the 16th U.S. Surgeon General, we know a great deal more about treating mental illnesses than about preventing them and promoting mental health. In his foreword to Clinical Manual of Prevention in Mental Health, Dr. Satcher applauds this guide as timely and vital, as it provides new and emerging research on the importance of prevention in mental health. Clinical Manual of Prevention in Mental Health was conceived through discussions within the Prevention Committee of the Group for the Advancement of Psychiatry (GAP), and features contributions from 30 highly regarded clinicians and researchers who are experienced in the treatment and prevention of specific types of mental illnesses. Clinical Manual of Prevention in Mental Health will help you move toward widespread adoption of mental illness prevention in your own practice setting. This important new reference provides practical suggestions to help you work toward preventing, or implementing preventive measures in the treatment of Mood disorders Anxiety disorders Schizophrenia Substance use disorders Suicidality Family violence Conduct disorder and other adolescent disorders Late-life depression, dementia, and mild cognitive impairment Physical illnesses in psychiatric settings Cigarette smoking Compared with other areas of medicine, such as the prevention of infectious disease, our understanding of the prevention of mental illnesses remains in a relatively nascent state, especially in terms of how prevention can be incorporated into routine clinical practice. The authors of the various chapters have endeavored to balance reviewing the available research knowledge with providing guidance for practicing clinicians on how such knowledge can be incorporated into everyday practice. Clinical Manual of Prevention in Mental Health urges clinicians everywhere to inquire about risk factors and protective factors in patients' lives in addition to focusing on the presenting problem. It is the authors' intent to provide mental health professionals with the knowledge and practical applications necessary to be prevention-minded in all of their interactions with patients, families, and the community.

This international survey defines mental health as a basic human right, and tracks the emergence of mental health prevention and promotion as a global priority. Locating mental illness within a cycle of negative causes and effects affecting human quality of life, the editors identify modern policy barriers to promotion/prevention initiatives, particularly the favoring of the biomedical health model by major stakeholders. The book’s selection of successful programs from diverse countries displays a lifespan approach, emphasizing the centrality of interdisciplinary educational settings in providing primary and secondary prevention and promotion interventions, and the ongoing fight against missing financial investigations, discrimination and stigma. Together, these papers make a forceful argument for rights- based responses to worldwide mental health needs as part of the commitment toward global human rights and long-term development goals. Included in the coverage: · Mental health priorities around the world. · Social determinants of mental health. · Mental health and stigma: aspects of anti-stigma interventions. · Promoting social and emotional wellbeing and responding to mental health problems in schools. · The promotion and delivery of mental health services in primary care settings. · Economic evaluation of mental health promotion and mental illness prevention. Bringing to the fore public health concerns that are too often marginalized, Global Mental Health is necessary reading for health professionals, health and clinical psychologists, psychiatrists, medical sociologists, and policymakers.

To establish prevention of mental illness and promotion of mental health firmly in primary care many practical issues need to be addressed. Drawing on the extensive experience of outstanding, international authors, this unique volume presents an evaluation of action programs to date. It illustrates the significance of primary care in mental health promotion and the way in which it optimizes the resources of the community to serve best the wide range of mental health problems. No other volume covers the topics prevention of mental health illness and promotion of mental health in such detail, with descriptions of: * Universal strategies * Application in primary care * Guidelines for practice * Education of the primary care team and the community * Early identification-case findings and screening instruments * Specific areas for attention This book addresses a medical area that is experiencing rapid expansion and will, therefore, be of value to all academics and practising health and social care professionals in primary care.

Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.

Behavioral health conditions, which include mental health and substance use disorders, affect approximately 20 percent of Americans. Of those with a substance use disorder, approximately 60 percent also have a mental health disorder. As many as 80 percent of patients with behavioral health conditions seek treatment in emergency rooms and primary care clinics, and between 60 and 70 percent of them are discharged without receiving behavioral health care services. More than two-thirds of primary care providers report that they are unable to connect patients with behavioral health providers because of a shortage of mental health providers and health insurance barriers. Part of the explanation for the lack of access to care lies in a historical legacy of discrimination and stigma that makes people reluctant to seek help and also led to segregated and inhumane services for those facing mental health and substance use disorders. In an effort to understanding the challenges and opportunities of providing essential components of care for people with mental health and substance use disorders in primary care settings, the National Academies of Sciences, Engineering, and Medicine's Forum on Mental Health and Substance Use Disorders convened three webinars held on June 3, July 29, and August 26, 2020. The webinars addressed efforts to define essential components of care for people with mental health and substance use disorders in the primary care setting for depression, alcohol use disorders, and opioid use disorders; opportunities to build the health care workforce and delivery models that incorporate those essential components of care; and financial incentives and payment structures to support the implementation of those care models, including value-based payment strategies and practice-level incentives. This publication summarizes the presentations and discussion of the webinars.

Preventive Medical Care in Psychiatry: A Practical Guide for Clinicians was written for psychiatrists in training and in clinical practice, as well as other health care providers who wish to learn an evidence-based and user-friendly approach to prevent commonly encountered, treatable, and potentially deadly illnesses in their patients. The poor health and early mortality of people with serious mental illnesses has been well documented: People who have serious mental illness have increased general medical comorbid conditions, receive minimal preventive medical services, and have a reduced life span of as much as thirty years when compared to the general population. In addition, there is now extensive data showing bidirectional interactions between chronic medical illnesses and mental disorders. Clearly, treating the whole person, instead of the disorder in isolation, is critical to improving outcomes and reducing suffering. The book's logical structure makes it easy to use, with sections devoted to general principles of preventive psychiatry, cardiovascular and pulmonary disorders, endocrine and metabolic disorders, infections disorders, and oncologic disorders. In addition, the volume: Provides evidence-based approaches to care across the prevention spectrum, from primary prevention (how to keep people healthy), to secondary prevention (how to detect early signs of common illnesses), through tertiary prevention (how to prevent disability and adverse outcomes once patients develop medical problems). Informs clinicians about how to more effectively interface with general medical practitioners, and instructs them in providing screening for common medical problems, as well as ensuring that preventive measures, such as vaccinations, are performed. Covers, in a section addressing "special topics," child, adolescent, and geriatric populations, as well as strategies for assessing and managing chronic pain. Concludes with an appendix that features a health questionnaire, Preventive Medicine in Psychiatry (PMAP), for use in screening and follow-up, and a handy summary of age based preventive medicine recommendations, references to which clinicians will return repeatedly. The Affordable Care Act has provided mental health practitioners with new opportunities to develop integrated models of care that better serve patients and populations, furthering the existing trend of treating the whole patient. Preventive Medical Care in Psychiatry: A Practical Guide for Clinicians is a critical resource which will prove indispensable to clinicians dedicated to improving the quality of life and longevity for patients who suffer from serious mental illness. Twenty-five percent of royalties help support Resident-Fellow Members (RFM) within the California Psychiatric Association.

This handbook is a comprehensive, authoritative and up-to-date source on prevention technologies specifically for integrated care settings. It covers general issues related to prevention including the practical issues of financing, and staffing, and a general introduction to the advantages of prevention efforts. It covers a range of behavioral health disorders using an approach that is most relevant to the practitioner: it provides basic definitions, and describes the specific roles of both the primary care provider (PCP) and the behavioral care provider (BCP) as well as specific resources presented in a stepped care model. Stepped care has been used sucessfully in medical settings. Adapted to behavioral health settings, It allows the clinician and the patient to choose treatments that are tailored to specific levels of intensity. This handbook is an interdisciplinary resource useful for classes in integrated care as well as for clinicians employed in in these settings.