The rates and management of psychological problems in Australian general practice

The Australian and New Zealand Journal of Psychiatry
Christopher M Harrison, Helena Britt

Abstract

General practitioners (GPs) provide the majority of care for people's mental health problems. The recently introduced Better Outcomes in Mental Health Care initiative aims to improve the quality of mental health care in general practice. This study examines current GP management of psychological problems and any changes in their management in the decade leading up to this initiative. Current practice was examined through a secondary analysis of the Bettering the Evaluation and Care of Health (BEACH) (2000-02) data. We compared BEACH data with the Australian Morbidity and Treatment Survey (1990-1991) to investigate management changes over the past decade. Between April 2000 and March 2002, psychological problems were managed at a rate of 11.5/100 encounters. Problems most commonly managed were mood disorders, stress-related disorders, behavioural syndromes and disorders due to psychoactive substances. Prescriptions occurred at a rate of 69.5/100 contacts and clinical treatments at a rate of 50.0/100 contacts with psychological problems from 1990 to 1991. The management rate of psychological problems increased from 9683/100,000 encounters (95% CI=9129- 10,237) in 1990-1991 to 11 557 (11,136-11 977) in 2000-2002. Prescription rate...Continue Reading

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Citations

Sep 5, 2007·BMC Health Services Research·Susan L Fletcher, Deborah J Schofield
Oct 1, 2011·Journal of Primary Care & Community Health·Brahmavar Nagesh Pai, Shae-Leigh Cynthia Vella
Oct 25, 2011·The Australian and New Zealand Journal of Psychiatry·Janice CharlesHelena Britt
Jul 26, 2006·CNS Drugs·Jon Jureidini, Anne Tonkin
Mar 8, 2019·The Journal of Nervous and Mental Disease·Yong JiaLi Chen
Sep 26, 2019·Journal of Clinical Psychology in Medical Settings·Yohann VergèsJean-Christophe Poutrain
Aug 7, 2012·The Medical Journal of Australia·Christopher M HarrisonJanice Charles
Jan 4, 2013·Scandinavian Journal of Primary Health Care·Marianne RosendalGrete Moth
Oct 5, 2010·International Journal of Mental Health Nursing·Brenda HappellRebeka Tennent

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Software Mentioned

BEACH
SPHERE
SAS

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