Primary Care Mental Health

Primary care is usually the first port of call for people with mental health problems and plays an increasingly important role in developing and delivering mental health services. Indeed, 90% of all patients with mental health problems (including 30-50% of all those with serious mental illness) only use primary care services. How can practitioners in primary care best respond to psychiatric presentations? In this book, internationally respected authors provide a conceptual background and dispense practical advice for the clinician. They discuss ways of improving joint working between primary and secondary care, as well as issues affecting the professional development of all practitioners within primary care teams. The book will be useful for general practitioners (GPs) and all medical practitioners and managers in primary care.

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Contents

Frontmatter
pp i-iv
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Contents
pp v-vii
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List of figures, tables and boxes
pp viii-xii
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List of contributors
pp xiii-xvi
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Preface
pp xvii-xvii
- By Linda Gask, Professor of Primary Care Psychiatry at the University of Manchester, Helen Lester, Professor of Primary Care at the University of Manchester, Tony Kendrick, Professor of Primary Medical Care at the University of Southampton, Robert Peveler, Professor of Liaison Psychiatry and Head of the Mental Health Clinical Group, University of Southamptom
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Part I - Conceptual basis and overarching themes
pp 1-2
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1 - What is primary care mental health?
pp 3-15
- By Linda Gask, Professor of Primary Care Psychiatry at the University of Manchester, Helen Lester, Professor of Primary Care at the University of Manchester, Tony Kendrick, Professor of Primary Medical Care at the University of Southampton, Robert Peveler, Professor of Liaison Psychiatry and Head of the Mental Health Clinical Group, University of Southamptom
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2 - Mental health and primary healthcare: an international policy perspective
pp 16-27
- By Norman Sartorius, President of the Association for the Improvement of Mental Health Programmes in Geneva
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3 - The epidemiology of mental illness
pp 28-39
- By Laura Thomas, research associate at the University of Bristol, Glyn Lewis, Professor of Psychiatric Epidemiology, University of Bristol
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4 - A sociological view of mental health and illness
pp 40-56
- By Anne Rogers, Professor of the Sociology of Health Care and Head of the Primary Care Research group at the University of Manchester, David Pilgrim, Professor of Mental Health Policy at the University of Central Lancashire
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5 - The service user perspective
pp 57-71
- By Helen Lester, Professor of Primary Care at the University of Manchester, Linda Gask, Professor of Primary Care Psychiatry at the University of Manchester
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6 - Low- and middle-income countries
pp 72-87
- By Mohan Isaac, Professor of Psychiatry at the School of Psychiatry, Oye Gureje, Professor and Head of the Department of Psychiatry at the University of Ibadan
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7 - Diagnosis and classification of mental illness: a view from primary care
pp 88-104
- By Linda Gask, Professor of Primary Care Psychiatry at the University of Manchester, Christopher Dowrick, Professor of Primary Medical Care at the University of Liverpool, Michael Klinkman, Associate Professor, Departments of Family Medicine and Psychiatry, University of Michigan Medical School, Oye Gureje, Professor and Head of the Department of Psychiatry at the University of Ibadan
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Part II - Clinical issues
pp 105-106
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8 - Depression
pp 107-124
- By Tony Kendrick, Professor of Primary Medical Care at the University of Southampton, Andre Tylee, Head of the Section of Primary Care Mental Health in the Department of Health Services
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9 - Suicide and self-harm
pp 125-144
- By Sandra Dietrich, research fellow at the Department of Psychiatry, Leipzig University, Germany, Lisa Wittenburg, project manager for the European Alliance Against Depression at the Department of Psychiatry, University of Leipzig, Germany, Ella Arensman, Director of Research at the National Suicide Research Foundation, and Honorary Senior Lecturer, Airi Värnik, Professor of Mental Health at Tallinn University, Estonia, Ulrich Hegerl, Head and Medical Director of the Clinic of Psychiatry at Leipzig University, Germany
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10 - Anxiety
pp 145-155
- By Bruce Arroll, Head of the Department of General Practice and Primary Health Care, University of Auckland, New Zealand, Tony Kendrick, Professor of Primary Medical Care at the University of Southampton
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11 - Medically unexplained symptoms
pp 156-173
- By Christopher Dowrick, Professor of Primary Medical Care at the University of Liverpool, Marianne Rosendal, Senior Researcher, Research Unit for general Practice, Aarhus University, Denmark
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12 - Mental health problems in older people
pp 174-197
- By Carolyn Chew-Graham, Professor of Primary Care in the School of Community Based Medicine, University of Manchester, Robert Baldwin, Consultant in Old Age Psychiatry at Manchester Royal Infirmary and Honorary Professor of Old Age Psychiatry at the University of Manchester
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13 - Perinatal mental health
pp 198-210
- By Debbie Sharp, Head of Academic Unit and Professor of Primary Health Care at the University of Bristol
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14 - Child and adolescent mental health
pp 211-231
- By Tami Kramer, Consultant Child and Adolescent Psychiatrist and Senior Clinical Research Fellow at Central and North West London NHS Foundation Trust, and Imperial College London, Elena Garralda, Professor of Child and Adolescent Psychiatry at Imperial College London, UK
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15 - Psychosis
pp 232-245
- By Helen Lester, Professor of Primary Care at the University of Manchester
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16 - Emergencies in primary care
pp 246-256
- By Tony Kendrick, Professor of Primary Medical Care at the University of Southampton, Helen Lester, Professor of Primary Care at the University of Manchester
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17 - Substance misuse
pp 257-266
- By Clare Gerada, Medical Director of the Practitioner Health Programme
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18 - Management of alcohol problems
pp 267-282
- By Helen Lester, Professor of Primary Care at the University of Manchester, Linda Gask, Professor of Primary Care Psychiatry at the University of Manchester
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19 - Eating disorders
pp 283-295
- By Geoffrey Wolff, Consultant Psychiatrist in Eating Disorders
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20 - Physical health of people with mental illness
pp 296-307
- By Richard Holt, Professor and Honorary Consultant in Diabetes and Endocrinology at the University of Southampton, Tony Kendrick, Professor of Primary Medical Care at the University of Southampton, Robert Peveler, Professor of Liaison Psychiatry and Head of the Mental Health Clinical Group, University of Southamptom
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21 - Ethnic minorities
pp 308-318
- By Waquas Waheed, Consultant Psychiatrist at Lancashire NHS Foundation Trust, Accrington
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22 - Asylum seekers and refugees
pp 319-334
- By Angela Burnett, general practitioner (GP) at the Sanctuary Practice in Hackney, East London
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23 - Sexual problems
pp 335-348
- By Mike King, psychiatric epidemiologist whose clinical work is in sexual medicine
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