1st Edition

Companion to Primary Care Mental Health

By Gabriel Ivbijaro Copyright 2012

    Companion to Primary Care Mental Health is the result of a major collaboration of an international group of general practitioners, psychiatrists, policy-makers, mental health professionals and mental health advocates. This extraordinary guide provides the best available evidence for the management of patients with mental health conditions in primary care. It draws on the wisdom of a range of experts from primary and secondary care, who have translated information from the literature and their own clinical experience to apply it across the globe to everyday family practice. With the emphasis on practical application it presents family doctors and their teams with the evidence-based knowledge necessary to support the development of fully integrated systems to promote good mental health using tables and figures to illustrate complex matters. This includes the need to harness the wider determinants of health and mental health and to tackle stigma through advocacy, spirituality and ethical practice. The role of public health and the management of the many interfaces associated with providing good mental health are also covered. It includes tools for assessment, including classification and risk assessment, and the general principles required to enable a biopsychosocial approach to care. The book also considers the individual mental health conditions that family doctors and their teams are likely to encounter. As comorbidity and the management of complexity are very common in primary care mental health, these are also explored in the final chapters of the book.

    Contributors. Abbreviations and acronyms. Forewords. Acknowledgements. Section A: Primary care mental health: the context. Aims, concept and structure of the book. Wider determinants of health and mental health in primary care. Advocacy and overcoming stigma in primary care mental health. Spirituality in primary care mental health. Ethics in primary care mental health. Section B: Access and primary care mental health. Public health aspects of integration of mental health into primary care services. Managing the interface in primary care mental health clinics. Evaluation of primary care mental health. Section C: Assessment and the principles of intervention in primary care mental health. History-taking and investigations in primary care mental health. Mental health classification in primary care. Risk assessment and the management of suicidality in primary care mental health. The principles of prescribing in primary care mental health. Psychological interventions in primary care mental health. Social and environmental interventions in primary care mental health. Section D: Treatment in primary care mental health. Part I: Dysphoric disorders in primary care mental health. Anxiety in primary care mental health. Bereavement in primary care mental health. Depression in primary care mental health. Part II: Psychotic disorders in primary care mental health. Bipolar disorder in primary care mental health. Schizophrenia in primary care mental health.Part III: Perinatal disorders in primary care mental health. Perinatal mental health in primary care: an overview of current models across the globe. Part IV: Bodily distress disorders in primary care mental health. Bodily distress syndrome in primary care mental health. Part V: Bodily function disorders in primary care mental health. Eating disorders in primary care mental health. Gender dysphoria in primary care mental health. Part VI: Substance use disorders in primary care mental health. Tobacco use disorder in primary care mental health. Alcohol use disorder in primary care mental health. Drug use disorder in primary care mental health. Part VII: Childhood disorders in primary care mental health. Development and psychopathology in infancy and early childhood. Child mental health in primary care. Adolescent mental health in primary care. Part VIII: Acquired neurocognitive disorders of old age in primary care mental health. Dementia in primary care mental health. Part IX: Physical health and mental illness. Mental disorders due to physical illness at the interface: practical considerations. Physical health consequences of mental illness. Multimorbidity in primary care mental health. Index.

    Biography

    Gabriel Ivbijaro Chair of the Wonca Working Party on Mental Health and Medical Director, Waltham Forest Community and Family Health Services, The Wood Street Medical Centre, London, UK