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Mental disorders in primary care services: an update.
  • Published Date:
    1994 Mar-Apr
  • Source:
    Public Health Rep. 109(2):251-258
  • Language:
    English
Filetype[PDF-1.69 MB]


Details:
  • Alternative Title:
    Public Health Rep
  • Personal Author:
  • Description:
    Frank mental disorders, such as depression and panic disorder, are prevalent in primary care; they cause people substantial suffering and interfere with daily functioning. Even subthreshold or "subsyndromal" conditions, with fewer symptoms than necessary for making a diagnosis, cause substantial morbidity. Recent literature on mental disorders in primary care, where many, if not most, people with mental health problems are seen, is reviewed with focus on recognition and diagnosis issues, management of these problems in primary care, obstacles to accurate diagnosis and appropriate treatment, and prevention issues. In addition to a review of recent research, there is an effort to place these topics in the context of various directives, including research and Federal documents, that have direct implications for better treatment in primary care of people with mental disorders (for example, practice guidelines). Mental health problems and disorders seen in primary care are a public health problem meriting immediate attention and substantial work at many levels--clinical, educational, organizational, and budgetary.

  • Subject:
  • Pubmed ID:
    8153277
  • Pubmed Central ID:
    PMCnull
  • Document Type:
    Journal Article
  • Collection(s):
    Public Health Reports
  • Main Document Checksum:
  • Supporting Files:
    No Additional Files
    1. A community project to encourage compliance with mental health treatment aftercare.
      Personal Author:
      Bostelman, S; Callan, M; Rolincik, L C; Gantt, M; Herink, M; King, J; Massey, M K; Morehouse, D; Sopata, T; Turner, J;
      Published Date:
      1994 Mar-Apr
      Source:
      Public Health Rep. 109(2):153-157
      Description:
      Rehospitalization of mentally ill persons has been associated mainly with two major factors, noncompliance with the prescribed course of medication and noncompliance with planned aftercare. The authors developed and pilot tested a community health pr...
      File Type:
      Filetype[PDF - 826.46 KB]
    2. Applications of data from the CDC Family of Surveys.
      Personal Author:
      Onorato, Ida M.; Gwinn, Marta; Dondero, Timothy J.;
      Published Date:
      1994 Mar-Apr
      Source:
      Public Health Rep. 109(2):204-211
      Description:
      The CDC Family of Surveys is a national serologic surveillance system set up to characterize the extent of human immunodeficiency virus (HIV) infection in the United States. The now Centers for Disease Control and Prevention (CDC) and participating S...
      File Type:
      Filetype[PDF - 1.99 MB]
    3. The urban American Indian oversample in the 1988 National Maternal and Infant Health Survey.
      Personal Author:
      Sugarman, Jonathan R.; Brenneman, George; LaRoque, William; Warren, Charles W.; Goldberg, Howard I.;
      Published Date:
      1994 Mar-Apr
      Source:
      Public Health Rep. 109(2):243-250
      Description:
      Although more than two-thirds of American Indians and Alaska Natives (AI) live outside reservations and Tribal lands, few data sets describe social and maternal-child health risk factors among urban AI. The Indian Health Service sponsored a special e...
      File Type:
      Filetype[PDF - 1.39 MB]
    4. The health effects of ionizing radiation: a survey of local health officials in New England and New York.
      Personal Author:
      Winder, Alvin E.; Hossain, Zafar; Reddy, Sasirgha;
      Published Date:
      1994 Mar-Apr
      Source:
      Public Health Rep. 109(2):219-225
      Description:
      The purpose of the study is to determine the educational needs of public health officials concerning their knowledge, attitude, beliefs, and practices with specific reference to ionizing radiation. The public health directors or designates, working i...
      File Type:
      Filetype[PDF - 1.15 MB]
    5. Public Health Rep ; v. 109, no. 2 : table of contents
      Published Date:
      Mar-Apr 1994
      Source:
      Public Health Rep. 109(2)
      File Type:
      Filetype[PDF - 621.93 KB]
    6. Admissions of injection drug users to drug abuse treatment following HIV counseling and testing.
      Personal Author:
      McCusker, J; Willis, G; McDonald, M; Lewis, B F; Sereti, S M; Feldman, Z T;
      Published Date:
      1994 Mar-Apr
      Source:
      Public Health Rep. 109(2):212-218
      Description:
      The outcomes of counseling and testing programs related to human immunodeficiency virus (HIV) infection and risk of infection among injection drug users (IDUs) are not well known or understood. A counseling and testing outcome of potential public hea...
      File Type:
      Filetype[PDF - 1.06 MB]
    7. Prevalence of medical technology assistance among children in Massachusetts in 1987 and 1990.
      Personal Author:
      Palfrey, J S; Haynie, M; Porter, S; Fenton, T; Cooperman-Vincent, P; Shaw, D; Johnson, B; Bierle, T; Walker, D K;
      Published Date:
      1994 Mar-Apr
      Source:
      Public Health Rep. 109(2):226-233
      Description:
      In 1987 and 1990 in Massachusetts, surveys were conducted to determine the size, pattern of distribution, and trends in the population of children assisted by medical technology. The authors obtained an unduplicated count of all Massachusetts childre...
      File Type:
      Filetype[PDF - 1.30 MB]
    8. Public Health Rep ; v. 109, no. 2 : Masthead
      Published Date:
      Mar-Apr 1994
      Source:
      Public Health Rep. 109(2)
      File Type:
      Filetype[PDF - 750.37 KB]
    9. Rural physician assistants: a survey of graduates of MEDEX Northwest.
      Personal Author:
      Larson, E H; Hart, L G; Hummel, J;
      Published Date:
      1994 Mar-Apr
      Source:
      Public Health Rep. 109(2):266-274
      Description:
      Graduates of MEDEX Northwest, the physician assistant training program at the University of Washington, were surveyed to describe differences between physician assistants practicing in rural settings and those practicing in urban settings. Difference...
      File Type:
      Filetype[PDF - 1.89 MB]
    10. Developing health education materials for inner-city low literacy parents.
      Personal Author:
      Berger, D; Inkelas, M; Myhre, S; Mishler, A;
      Published Date:
      1994 Mar-Apr
      Source:
      Public Health Rep. 109(2):168-172
      Description:
      The question of identifying and treating childhood illness confronts all new parents. Misconceptions often lead parents to manage illnesses in their young children inappropriately through overly aggressive treatment or insufficient attention. This re...
      File Type:
      Filetype[PDF - 843.42 KB]
    11. The AIDS prevention magic show: avoiding the tragic with magic.
      Personal Author:
      Lustig, S L
      Published Date:
      1994 Mar-Apr
      Source:
      Public Health Rep. 109(2):162-167
      Description:
      Teenagers are a crucial target group for interventions concerning acquired immunodeficiency syndrome (AIDS) and human immunodeficiency virus (HIV). Experimenting with their burgeoning sexuality and increased ability to obtain drugs, they are prime ca...
      File Type:
      Filetype[PDF - 1.02 MB]
    12. Public health and the media in California: a survey of local health officers.
      Personal Author:
      Gellert, G A; Higgins, K V; Farley, W; Lowery, R;
      Published Date:
      1994 Mar-Apr
      Source:
      Public Health Rep. 109(2):284-289
      Description:
      Increasingly, public health interventions are dependent on effective health communications. There are, however, few data examining the relationship and interactions between local public health officers and representatives of the media in the literatu...
      File Type:
      Filetype[PDF - 1.28 MB]
    13. Activities associated with drownings in Imperial County, CA, 1980-90: implications for prevention.
      Personal Author:
      Agócs, Mary M.; Trent, Roger B.; Russell, Deborah M.;
      Published Date:
      1994 Mar-Apr
      Source:
      Public Health Rep. 109(2):290-295
      Description:
      Statewide surveillance in California determined that the highest drowning rate from 1980 through 1989 was for the rural, desert county of Imperial (21.9 drownings per 100,000 population). To identify activities associated with drowning in this county...
      File Type:
      Filetype[PDF - 1.76 MB]
    14. Rates of bicycle helmet use in an affluent Michigan County.
      Personal Author:
      Jacques, L B
      Published Date:
      1994 Mar-Apr
      Source:
      Public Health Rep. 109(2):296-301
      Description:
      Bicycle helmet use in the United States has remained low despite clear demonstration of its beneficial effect on reducing the incidence of serious head injury. Several interventions have been reported, with variable results and costs. Much of the rec...
      File Type:
      Filetype[PDF - 1.04 MB]
    15. Assessing prevention effectiveness using data to drive program decisions.
      Personal Author:
      Thacker, Stephen B.; Koplan, Jeffrey P.; Taylor, William R.; Hinman, Alan R.; Katz, Martha F.; Roper, William L.;
      Published Date:
      1994 Mar-Apr
      Source:
      Public Health Rep. 109(2):187-194
      Description:
      The measure of the effectiveness of health promotion and disease prevention activities is the impact of prevention policies, programs, and practices on public health and clinical medicine. Assessing prevention effectiveness involves continuing quanti...
      File Type:
      Filetype[PDF - 1.54 MB]
    16. Estimated savings in U.S. dental expenditures, 1979-89.
      Personal Author:
      Brown, L J; Beazoglou, T; Heffley, D;
      Published Date:
      1994 Mar-Apr
      Source:
      Public Health Rep. 109(2):195-203
      Description:
      The American public saved more than $39 billion (1990 dollars) in dental expenditures from 1979 through 1989 in contrast to the substantial increases in expenditures in other sectors of the U.S. health care system that have pushed the system to the b...
      File Type:
      Filetype[PDF - 1.56 MB]
    17. PUBLIC HEALTH PROGRAMS AND PRACTICES
      Published Date:
      1994 Mar-Apr
      Source:
      Public Health Rep. 109(2):302-304.1
      File Type:
      Filetype[PDF - 771.81 KB]
    18. Tuberculosis prevention practices and perspectives of physicians in DeKalb County, GA.
      Personal Author:
      Braun, M. Miles; Wiesner, Paul J.;
      Published Date:
      1994 Mar-Apr
      Source:
      Public Health Rep. 109(2):259-265
      Description:
      Knowing the reasons some physicians do not adhere to the disease prevention and treatment recommendations of expert committees can assist in the development of future recommendations more likely to be adopted by physicians. The authors describe the a...
      File Type:
      Filetype[PDF - 1.37 MB]
    19. A peer education program to promote the use of conflict resolution skills among at-risk school age males.
      Personal Author:
      Giuliano, J D
      Published Date:
      1994 Mar-Apr
      Source:
      Public Health Rep. 109(2):158-161
      Description:
      Violence is devastating the lives of children in America's major cities. The problem of violence is particularly acute among disadvantaged young urban males. This program focuses on violence prevention in school-age boys using creative educational te...
      File Type:
      Filetype[PDF - 597.77 KB]
    20. Self-reported awareness of the presence of product warning messages and signs by Hispanics in San Francisco.
      Personal Author:
      Marín, G
      Published Date:
      1994 Mar-Apr
      Source:
      Public Health Rep. 109(2):275-283
      Description:
      This study investigated the self-reported awareness of the presence of product warning messages and signs among random samples of Hispanics in San Francisco surveyed in 1990 and in 1991. The messages that were tested related to cigarettes, alcoholic ...
      File Type:
      Filetype[PDF - 1.77 MB]
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