PMID: 9437933Feb 1, 1997Paper

Primary mental health care in a rural community: patient and illness profiles, treatment and referral

The Australian Journal of Rural Health
S AounI Rouse

Abstract

The objective of this study was to determine the extent and nature of psychosocial morbidity and patterns of treatment and referral in rural general practice in a West Australian community. The research design was a survey based on structured questionnaires completed by the general practitioners about patients consulting with mental health problems in Bunbury in the rural south west region of Western Australia. Twenty-two general practitioners from five surgeries collected information on 428 patients, pertaining to socio-demographic characteristics, reasons for encounter, diagnoses, social problems, chronicity, counselling, medication and use of referral services. The positive stereotype of patients (i.e. most likely to be identified) consisted of a female preponderance in a ratio of 3:1, a high prevalence in the middle years (35-54), an overrepresentation of the divorced and separated, unemployed men and housewives. Neurosis was the most prevalent diagnosis at 68.5%, chronicity at 55%, and the most frequent social problems reported to the GPs related to relationship difficulties with partner, and being physically ill. Only a quarter of the patients were referred to other counselling services and social problems were an importa...Continue Reading

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Citations

Mar 16, 2001·The Australian Journal of Rural Health·J FullerJ Moss
Jul 10, 2003·Journal of Interprofessional Care·Peter HerringtonShirley Golden
Aug 19, 2006·International Journal of Mental Health Nursing·Karola Mostafanejad
Sep 13, 2008·Ecology Letters·Emily S Darling, Isabelle M Côté
Mar 16, 2001·Journal of Psychiatric and Mental Health Nursing·W LauderN Angus
Jan 25, 2018·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Masha Y IvanovaFrank C Verhulst

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