This paper reviews restraints on the provision of mental health services in primary health care under the broad categories of physician profile, patient behavior, the nature of psychiatric illness as presented in primary care, and service system characteristics. An extensive research agenda is proposed toward improving mental health care in primary care settings. Research recommendations focus on the following types of issues: seeking a better understanding of the clinical decision making process when confronted with psychological or emotional problems, designing more focused mental health training for primary care physicians and nurses, providing patient education to encourage communication of psychosocial problems to medical providers, clarifying the nature and course of psychiatric disorder in primary care, designing innovative clinical interventions applicable to primary care, and examining organizational models for better coordination of health and mental health services.
A survey of 93 nursing homes in and near Rhode Island in May 1982 identified all head-injured patients who were State residents. Nineteen were identified, of whom ten were injured in motor vehicle crashes. The median age was 35 years. The median time...
Slightly more than 11 percent of the 1,616 children in Northern Mississippi households receiving Aid to Families with Dependent Children regularly used vitamins, according to the 540 personal interviews conducted in this study. Of the vitamins used, ...
For accidental electrocutions in Washington State from 1950 to 1979, the standardized proportionate mortality ratio for farmers compared with the general population was found to be 226 in a recent report. This excess mortality rate in Washington Stat...
A telephone survey of residents of metropolitan Baltimore was conducted in 1981 to assess awareness of the Maryland Poison Center and a program based on the Mr. Yuk poisoning warning symbol. The results of 280 telephone interviews are compared with a...
Recent years have been marked by unprecedented accomplishments in preventing disease and reducing mortality. More gains can be expected, but there are limits. The forces shaping the nature and potential of prevention programs can be characterized as ...
The Hill People of Laos in Southeast Asia, who are called the Hmong, are from a primitive culture which has had a written language for only 31 years. By 1980, about 3,000 of them were living in Colorado, one of 9 States to which they had migrated. In...
Rogot, E; Feinleib, M; Lambert, P M; Zeiner-Henriksen, T;
Published Date:
1985 May-Jun
Source:
Public Health Rep. 100(3):301-307
Description:
Cigarette smoking and 5-year survivorship of 20,017 British and 10,016 Norwegian migrants to the United States were compared with 17,696 British and 26,155 Norwegian nonmigrants. The highest mortality ratios for 5-year age-adjusted death rates observ...
In 1981, more than 3,200 Pennsylvania children, ages 4 to 18 years, were surveyed about their dog bite histories and attitudes toward animals. Dog bites were much more common than previously reported: 45 percent of children had been bitten during the...
A needs assessment survey was originally conducted at the George Washington University Health Plan in 1981 and repeated in 1983 for evaluation and redirection. The survey resulted in a program which attempted to address the perceived needs of its mem...
Stehr, P A; Forney, D; Stein, G; Donnell, H D; Falk, H; Hotchkiss, R; Spratlin, W A; Sampson, E; Smith, S J;
Published Date:
1985 May-Jun
Source:
Public Health Rep. 100(3):289-293
Description:
In 1971, waste oil containing 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) was sprayed for dust control on a number of residential, recreational, and work areas in Missouri. In several of them, the level and extent of environmental contamination were n...
This paper describes the Psychosocial Cancer Counseling Line (PCCL) of the University of California at Los Angeles, a National Cancer Institute-supported communications project in which the feasibility of providing psychological support to cancer pat...
Between January 1, 1981, and December 31, 1982, the Colorado Department of Health received reports of 1,185 culture-confirmed cases of Campylobacter jejuni infection. Incidence rates were highest among infants less than 1 year old and among persons a...
The problem of sexually transmitted diseases (STDs) in the United States has been growing, in both scope and complexity, at an alarming rate. As evidence of the emergence of these diseases as a primary national concern, the Surgeon General has design...
We hope that the ECA Program can make a significant, and perhaps unique, contribution to the field of psychiatric epidemiology and to mental health services research. If the Program provides total true prevalence data on mental disorders according to...
Federal funding programs have, since the 1960s, been available in a variety of forms to deal with problems of access to medical care for the medically underserved. Certain programs, such as the National Health Service Corps, have recently pulled back...
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 neces...
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