Open access

Looking for Help: Primary Care Providers’ Need for Collaboration to Deliver Primary Mental Healthcare Services

Publication: Canadian Journal of Community Mental Health
16 November 2017

Abstract

Primary care providers deliver the majority of mental health care to individual Canadians. Researchers suggest that these practitioners are not prepared to deliver these services and require collaboration with mental health specialists to better meet patients’ needs. This study describes family physicians’ and nurse practitioners’ perceptions of the need for consultation and collaboration from mental healthcare specialists. The theme, Looking for Help, is explained by three categories: My Comfort Zone, I Lack the Education, and Not Enough Time. Findings from this study may inform future collaborative mental healthcare initiatives and primary care networks.

Résumé

La majorité des Canadiens qui ont un problème de santé mentale sont traités par des prestataires de soins de santé primaires. La recherche suggère que ces praticiens ne sont pas bien préparés pour offrir ces services, et qu’il est nécessaire qu’ils aient la collaboration de spécialistes en santé mentale pour mieux répondre aux besoins des patients. Dans cette étude, l’auteure décrit ce que les médecins de famille et les infirmières praticiennes invoquent quand ils parlent de leurs besoins de consultation et de collaboration de la part des spécialistes en santé mentale. Le thème principal qui s’en dégage, « Je cherche de l’aide », se décline en trois sous-thèmes : « Ma zone de confort », « Je manque de formation » et « Je n’ai pas assez de temps ». Les résultats de cette étude peuvent nous aider à mieux comprendre les besoins des prestataires de soins de santé primaires en matière de consultation et collaboration de la part des spécialistes de soins de santé mentale, et fournissent des pistes pour consolider la prestation de soins de santé mentale collaboratifs.

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References

Anthony J. S., Baik S., Bowers B. J, Tidjani B., Jacobson C. J., and Susman J. 2010 Conditions that influence a primary care clinician’s decision to refer patients for depression care Rehabilitation Nursing 35 3 113 -122
Benzer J. K., Beehler S., Miller C., Burgess J. F., Sullivan J. L., Mohr D. C., and Cramer I. E. 2012 Grounded theory of barriers and facilitators to mandated implementation of mental health care in the primary care setting Depression Research and Treatment 2012
Canadian Medical Association, College of Family Physicians of Canada, & Royal College (2013). National physician survey. Retrieved from http://nationalphysiciansurvey.ca/
Canadian Nurses Association. (2010). Canadian nurse practitioner: Core competency framework. Retrieved from https://www.cna-aiic.ca/~/media/cna/files/en/competency_framework_2010_e.pdf
Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative research. Thousand Oaks, CA: Sage Publications Ltd.
Clatney L., Macdonald H., and Shah S. M. 2008 Mental health care in the primary care setting: Family physicians’ perspectives Canadian Family Physician 54 6 884 -889 doi:54/6/884
Cochrane J., Goering P., Durbin J., Butterill D., Dumas J., and Wasylenki D. 2000 Tertiary mental health services: II. Subpopulations and best practices for service delivery Canadian Journal of Psychiatry 45 2 185 -190
College of Family Physicians of Canada. (2015). Requirements for residency eligibility. Retrieved from http://www.cfpc.ca/Application_and_Requirements_for_Residency_Eligibility/
Craven M., Cohen M., Campbell D., Williams J., and Kates N. 1997 Mental health practices of Ontario family physicians: A study using qualitative methodology The Canadian Journal of Psychiatry 42 9 943 -949
Elsom S., Happell B., and Manias E. 2005 Mental health nurse practitioner: Expanded or advanced? International Journal of Mental Health Nursing 14 3 181 -186
Farrar S., Kates N., Crustolo A. M., and Nikolaou L. 2001 Integrated model for mental health care: Are health care providers satisfied with it? Canadian Family Physician 47 2483 -2488
Fickel J. J., Parker L. E., Yano E. M., and Kirchner J. E. 2007 Primary care—mental health collaboration: An example of assessing usual practice and potential barriers Journal of Interprofessional Care 21 2 207 -216 http://dx.doiorg.uml.idm.oclc.org/10.1080/13561820601132827
Fleury M. J., Bamvita J. M., Aube D., and Tremblay J. 2010 Clinical practice settings associated with GPs who take on patients with mental disorders Healthcare Policy 5 4 90 -104
Fleury M. J., Bamvita J. M., Farand L., and Tremblay J. 2008 Variables associated with general practitioners taking on patients with common mental disorders Mental Health in Family Medicine 5 3 149 -160
Fleury M. J., Bamvita J. M., and Tremblay J. 2009 Variables associated with general practitioners taking on serious mental disorder patients BMC Family Practice 10 41-2296-10 -41
Goisman R. M., Warshaw M. G., and Keller M. B. 1999 Psychosocial treatment prescriptions for generalized anxiety disorder, panic disorder, and social phobia, 1991–1996 American Journal of Psychiatry 156 11 1819 -1821
Gross R., Olfson M., Gameroff M., Shea S., Feder A., Fuentes M., and Weissman M. M. 2002 Borderline personality disorder in primary care Archives of Internal Medicine 162 1 53 -60
Henke R. M., Chou A. F., Chanin J. C., Zides A. B., and Scholle S. H. 2008 Physician attitude toward depression care interventions: Implications for implementation of quality improvement initiatives Implementation Science 3 40-5908-3 -40
Kates N. Mazowita G. Lemire F. Jayabarathan A. Bland R. Selby P.…Audet D. 2011 The evolution of collaborative mental health care in Canada: A shared vision for the future Canadian Journal of Psychiatry 56 5 1 -10
Kessler D., Lloyd K., Lewis G., and Gray D. P. 1999 Cross sectional study of symptom attribution and recognition of depression and anxiety in primary care BMJ (Clinical Research Ed.) 318 7181 436 -439
Kroenke K., Spitzer R., and Williams J. 2001 The PHQ-9: Validity of a brief depression severity measure Journal of General Internal Medicine 16 606 -613
Leigh H., Stewart D., and Mallios R. 2006 Mental health and psychiatry training in primary care residency programs: Part I. Who teaches, where, when and how satisfied? General Hospital Psychiatry 28 3 189 -194 http://dx.doi.org.uml.idm.oclc.org/10.1016/j.genhosppsych.2005.10.003
Lesage A. D., Goering P., and Lin E. 1997 Family physicians and the mental health system: Report from the mental health supplement to the Ontario health survey Canadian Family Physician 43 251 -256
Lin, E., & Goering, P. N. (1999). The utilization of physician services for mental health in Ontario. Retrieved from http://www.ices.on.ca/~/media/Files/Atlases-Reports/1999/The-utilization-of-physician-services-for-mental-health/Full%20report.ashx
Lin E. H., Katon W. J., Simon G. E., Von Korff M., Bush T. M., Rutter C. M., and Walker A. 1997 Achieving guidelines for the treatment of depression in primary care: Is physician education enough? Medical Care 35 8 831 -842
Macfarlane, D. (2005). Current state of collaborative mental health care. Retrieved from http://www.cpa-apc.org/media.php?mid=204
Mitchell P. B., Ball J. R., Best J. A., Gould B. M., Malhi G. S., Riley G. J., and Wilson I. G. 2006 The management of bipolar disorder in general practice Medical Journal of Australia 184 11 566
Rhodes, A., Bethell, J., & Schultz, S. (2006). Chapter 9: Primary mental health care. In Primary health care in Ontario: A practice atlas (142–160). Toronto, ON: Institute for Clinical Evaluative Sciences.
Rockman P., Salach L., Gotlib D., Cord M., and Turner T. 2004 Shared mental health care: Model for supporting and mentoring family physicians Canadian Family Physician 50 397 -402
Sherman B. J., Gilliland G., Speckman J. L., and Freund K. M. 2007 The effect of a primary care exercise intervention for rural women Preventive Medicine 44 3 198 -201 http://dx.doi.org.uml.idm.oclc.org/10.1016/j.ypmed.2006.10.009
Simon G. E. and VonKorff M. 1995 Recognition, management, and outcomes of depression in primary care Archives of Family Medicine 4 2 99 -105
Simon G. E., Katon W., Rutter C., VonKorff M., Lin E., Robinson P., and Russo J. 1998 Impact of improved depression treatment in primary care on daily functioning and disability Psychological Medicine 28 03 693 -701
Swenson J. R., Aubry T., Gillis K., Macphee C., Busing N., Kates N., and Runnels V. 2009 Development and implementation of a collaborative mental health care program in a primary care setting: The Ottawa share program Canadian Journal of Community Mental Health 27 2 75 -91
Wang J., Langille D. B., and Patten S. B. 2003 Mental health services received by depressed persons who visited general practitioners and family doctors Psychiatric Services 54 6 878 -883 http://dx.doi.org.uml.idm.oclc.org/10.1176/appi.ps.54.6.878
Wasylenki D., Goering P., Cochrane J., Durbin J., Rogers J., and Prendergast P. 2000 Tertiary mental health services: I. key concepts The Canadian Journal of Psychiatry 45 2 179 -184
Wener, P., & Woodgate, R. L. (2016). Collaborating in the context of co-location: A grounded theory. BMC Family Practice.
World Health Organization & World Organization of National Colleges. (2008). Integrating mental health into primary care: A global perspective. Retrieved from http://www.who.int/mental_health/resources/mentalhealth_PHC_2008.pdf
Wranik, D., Hanrahan, K., & Tarrant, F. (2012). Contractual arrangements and remuneration methods for interdisciplinary teams in primary care in public payer systems: A framework. Retrieved from http://primaryhealthcareteams.ca/wp-content/uploads/2016/07/Report-1-Inventory-of-PHC-Team-Compensation-Models-copy.pdf
Wranik, D., Korchagina, M., Edwards, J., Bower, I., Levy, A., & Katz, A. (2015). How best to pay interdisciplinary primary care teams? Funding and remuneration, a framework and typology. Retrieved from http://primaryhealthcarecareteams.ca/wpcontent/uploads/2013/10/PRPA-Final-Report.pdf

Information & Authors

Information

Published In

cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 36Number 3November 2017
Pages: 29 - 39

History

Version of record online: 16 November 2017

Key Words

  1. primary care provider
  2. family physician
  3. mental health care
  4. primary care
  5. nurse practitioner
  6. interprofessional collaboration

Mots-clés

  1. prestataires de soins primaires
  2. médecins de famille
  3. soins de santé mentale
  4. soins primaires
  5. infirmières praticiennes
  6. collaboration interprofessionnelle

Authors

Affiliations

Pamela Wener [email protected]
University of Manitoba
Roberta Lynn Woodgate
University of Manitoba

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