Organization of psychiatric care in anxiety and depressive disorders in primary care
https://doi.org/10.30629/2618-6667-2017-76-5-10
Abstract
The review article examines the formation of a model for integrating the provision of assistance to the population with problems in mental health in the primary health care, the appropriateness of revision of the legislative framework in Russia. The experience of different countries in diagnosing and treating certain mild mental disorders (in particular disorders of the anxiety and depressive spectrum) with the participation of primary care settings is discussed. A consultative model of psychiatric care is being negotiated, which involves a multidisciplinary approach involving internists and mental health professionals, and potentially allows for optimization of resource costs and greater access to health services.
About the Authors
Georgij Kostyuk
Psychiatric Clinical Hospital № 1 name after N.A. Alekseev, Moscow
Russian Federation
PhD, MD, professor, chief psychiatrist of the Moscow Department of Health, chief physician
Russian Federation
PhD, MD, professor, chief psychiatrist of the Moscow Department of Health, chief physician
Anton Masyakin
Psychiatric Clinical Hospital № 1 name after N.A. Alekseev, Moscow
Russian Federation
PhD, MD, candidate of medical sciences, deputy chief physician
Russian Federation
PhD, MD, candidate of medical sciences, deputy chief physician
Maria Starinskaya
FSBI «National Medical Research Center for Preventive Medicine», Moscow
Russian Federation
psychiatrist, junior researcher, laboratory of demographic aspects of public health
Russian Federation
psychiatrist, junior researcher, laboratory of demographic aspects of public health
References
1. WHO. The European Mental Health Action Plan. «Europe- an Regional Committee, 63 session»; September 16–19,2013; Chetshe, Izmir, Turkey. (In Russ.). Available at: http://psychi-atr.ru/download/1862?name=63wd11r_MentalHealth-3.pd-f&view=1#page=30&zoom=auto,-98,814. Accessed October 6, 2017.
2. WHO. The European Mental Health Action Plan. «Problems and solutions: the WHO European Ministerial Conference on Mental Health»; January 12–15, 2005; Helsinki, Finland. (In Russ.). Available at: http://c2n.biz/registration/content/ua1725/pages/f38909. pdf#page=14&zoom=auto,-178,788. Accessed October 6, 2017.
3. Kendrick T., Stevens L., Bryant A., Goddard J., Stevens A., Raferty J., Thompson C. Hampshire Depression Project: changes in the process of care and cost consequences. Br. J. Gen. Pract. 2001;51:911–913.
4. Arroll B, Macgillivray S, Ogston S, Reid I, Sullivan F, Williams B, Crombie I. Efficacy and tolerability of tricyclic antidepressants and SSRIs compared with placebo for treatment of depression in primary care: a meta-analysis. Ann. Fam. Med. 2005;3(5):449–456.
5. MacGillivray S., Arroll B., Hatcher S., Ogston S., Reid I., Sullivan F., Williams B., Crombie I. Efcacy and tolerability of selective serotonin reuptake inhibitors compared with tricyclic antidepressants in depression treated in primary care: systematic review and meta-analysis. BMJ. 2003;326(7397):1014.
6. Simon G.E., VonKorff M., Heiligenstein J.H., Revicki D.A., Grothaus L., Katon W., Wagner E.H. Initial antidepressant choice in primary care. Effectiveness and cost of fluoxetine vs tricyclic antidepressants. JAMA. 1996;275(24):1897–1902.
7. Guirguis-Blake J. Effectiveness of antidepressants compared with placebo for depression in primary care. Am. Fam. Physician. 2010; 82(1):42.
8. Linde K., Kriston L., Rücker G. et al. Efficacy and acceptability of pharmacological treatments for depressive disorders in primary care: systematic review and network meta-analysis. Ann. Fam. Med. 2015;13:69–79.
9. De Cruppe W., Hennch C., Buchholz C., Muller A., Eich W., Herzog W. Communication between psychosomatic C-L consultants and general practitioners in a German health care system. General Hospital Psychiatry. 2005;27(1):63–72.
10. Schrader G., Cheok F., Hordacre A.L., Marker J., Wade V. Effect of psychiatry liaison with general practitioners on depression severity in recently hospitalised cardiac patients: a randomised controlled trial. Medical Journal of Australia. 2005;182(6):272–276.
11. Worrall G., Angel J., Chaulk P., Clarke C., Robbins M. Effectiveness of an educational strategy to improve family physicians’ detection and management of depression: a randomized controlled trial. Canadian Medical Association Journal. 1999;161(1):37–40.
12. Hedrick S.C., Chaney E.F., Felker B., Liu C.F., Hasenberg N., Heagerty P. et al. Effectiveness of collaborative care depression treatment in Veterans’ Affairs primary care. Journal of General Internal Medicine. 2003;18(1):9–16.
13. Mbewe E.K., Uys L.R., Birbeck G.L. Detection and management of depression and/or anxiety for people with epilepsy in primary health care settings in Zambia. Seizure. 2013;22(5):401–402.
14. Krasnov V., Dovzhenko T., Bobrov A., Starostina E. Psychiatry in primary health care: a new solution to the old problem. Social and clinical psychiatry. 2013;4:5–13. (In Russ.).
15. Krasnov V. The scientific and practical program «Detection and treatment of depression in the primary medical network». Social and clinical psychiatry. 1999;9(4):5–9. (In Russ.).
16. Simon GE, Fleck M, Lucas R, Bushnell DM; LIDO Group. Prevalence and predictors of depression treatment in an international primary care study. Am. J. Psychiatry. 2004;161(9):1626–1634.
17. Toft T., Fink P., Oernboel E., Christensen K., Frostholm L., Olesen F. Mental disorders in primary care: prevalence and comorbidity among disorders. Results from the functional illness in primary care (FIP) study. Psychological Medicine. 2005;35(8):1175–1184.
18. Bourgeois J.A., Wegelin J.A., Servis M.E., Hales R.E. Psychiatric diagnoses of 901 inpatients seen by consultation-liaison psychiatrists at an academic medical center in a managed care environment. Psychosomatics. 2005;46(1):47–57.
19. Rodrigo A., Foo L., Majoor J. Have Primary Mental Health Teams lived up to their expectations? Australasian Psychiatry. 2013;21(2):127–130.
20. Ostroglazov V, Lisina M. Clinical and psychological characteristics of the contingent of psychiatric patients identifed at the therapeutic site. Zhurn. neuropathologii i psychiatrii im. S.S. Korsakova. 1990;10(12):47–51. (In Russ.)
21. Smulevich A.B. Depression in general medicine: A guide for doctors. Moscow: MIA, 2001. (In Russ.).
22. Berardi D., Menchetti M., Dragani A., Fava C., Leggieri G., Ferrari G. The Bologna Primary Care Liaison Service: first year evaluation. Community Mental Health Journal. 2002;38(6):439–445.
23. Bower P., Gilbody S. Managing common mental health disorders in primary care: conceptual models and evidence base. BMJ. 2005;330:839–842.
24. Ruddy R, House A. Metareview of highquality systematic reviews of interventions in key areas of liaison psychiatry. British Journal of Psychiatry. 2005;187:109–120.
25. Gunn W.B., Blount A. Primary care mental health: a new frontier for psychology. Journal of Clinical Psychology. 2009;65(3):235–252.
26. McNamara P., Bryant J., Forster J., Sharrock J., Happell B. Exploratory study of mental health consultation-liaison nursing in Australia: Part 2. Preparation, support and role satisfaction. International Journal of Mental Health Nursing. 2008;17(3):189–196.
27. Huyse F.J., Herzog T., Lobo A., Malt U.F., Opmeer B.C., Stein B. et al. European consultation-liaison services and their user populations: the European Consultation-Liaison Work group Collaborative Study. Psychosomatics. 2000;41(4):330–338.
28. Ilchef R. Diamonds in the coalface: new research in consultation-liaison psychiatry. Current Opinion in Psychiatry. 2006;19(2): 175–179.
29. Sved-Williams A., Poulton J. Primary care mental health consultation-liaison: a connecting system for private psychiatrists and general practitioners. Australasian Psychiatry. 2010;18(2):125–129.
30. Younes N., Passerieux C., Hardy-Bayle M.C., Falissard B., Gasquet I. Long term GP opinions and involvement after a consultation-liaison intervention for mental health problems. BMC Family Practice. 2008;9:41.
31. Bambling M., Kavanagh D., Lewis G., King R., King D., Sturk H. et al. Challenges faced by general practitioners and allied mental health services in providing mental health services in rural Queensland. Australian Journal of Rural Health. 2007;15(2):126–130.
32. Hilty D.M., Yellowlees P.M., Cobb H.C., Bourgeois J.A., Neufeld J.D., Nesbitt T.S. Models of telepsychiatric consultationliaison service to rural primary care. Psychosomatics. 2006;47(2):152–157.
33. Vythilingum B., Chiliza B. Consultation liaison psychiatry in Africa — essential service or unaffordable luxury? African Journal of Psychiatry. 2011;14(4):257.
34. Emmanuel J.S., McGee A., Ukoumunne O.C., Tyrer P. A randomised controlled trial of enhanced key-worker liaison psychiatry in general practice. Social Psychiatry & Psychiatric Epidemiology. 2002;37(6):261–266.
35. Gilbody S., Whitty P., Grimshaw J., Thomas R. Educational and organizational interventions to improve the management of depression in primary care: a systematic review. JAMA. 2003; 289(23):3145–3151.
36. Kisely S, Campbell L.A. Taking consultation-liaison psychiatry into primary care. International Journal of Psychiatry in Medicine. 2007; 37(4):383–391.
37. Broome M.R., Woolley J.B., Johns L.C., Valmaggia L.R., Tabraham P., Gafoor R. et al. Outreach and support in south London (OASIS): implementation of a clinical service for prodromal psychosis and the at risk mental state. European Psychiatry: the Journal of the Association of European Psychiatrists. 2005;20(5–6):372–378.
38. Tovey A., Harvey L. A nurse-led service to identify and treat depression in primary care. Professional Nurse. 2004;19(8):424–425.
Review
For citations:
Kostyuk G., Masyakin A., Starinskaya M. Organization of psychiatric care in anxiety and depressive disorders in primary care. Psychiatry (Moscow) (Psikhiatriya). 2017;(76):5-11. (In Russ.) https://doi.org/10.30629/2618-6667-2017-76-5-10
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