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Management of mental disorders in rural primary care: a proposal for integrated psychosocial services.
J Fam Pract. 1999 Oct; 48(10):813-8.JF

Abstract

Mental health facilities and specialized providers are particularly lacking in rural areas. Even when these are available, poverty, negative attitudes toward mental health treatments, and traditional rural values of privacy and autonomy often result in low utilization rates. Consequently, most mental health care in rural America is provided by primary care physicians who are also faced with competing demands, including tensions among limited time and resources, the multiple and complex needs of patients, and economic forces determining reimbursements. We propose that in the best interest of physicians and their patients, fully integrated psychosocial services in rural primary care settings would reduce the burden of time-consuming mental health care, conform to patient preference for immediate on-site care, reduce nonproductive medical care use, and eliminate duplication of effort by physicians and mental health professionals. The treatment model we propose would provide multiple arenas for psychosocial intervention - with the individual, the family, and the community - based on the patient's self-identified needs. The integration of psychosocial services within primary rural care is readily available, economically feasible, and urgently needed, but physicians must take the lead to implement this collaborative treatment partnership.

Authors+Show Affiliations

Graduate School of Social Service, Fordham University, New York, NY 10023, USA. LBadger@hotmail.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12224680

Citation

Badger, L, et al. "Management of Mental Disorders in Rural Primary Care: a Proposal for Integrated Psychosocial Services." The Journal of Family Practice, vol. 48, no. 10, 1999, pp. 813-8.
Badger L, Robinson H, Farley T. Management of mental disorders in rural primary care: a proposal for integrated psychosocial services. J Fam Pract. 1999;48(10):813-8.
Badger, L., Robinson, H., & Farley, T. (1999). Management of mental disorders in rural primary care: a proposal for integrated psychosocial services. The Journal of Family Practice, 48(10), 813-8.
Badger L, Robinson H, Farley T. Management of Mental Disorders in Rural Primary Care: a Proposal for Integrated Psychosocial Services. J Fam Pract. 1999;48(10):813-8. PubMed PMID: 12224680.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of mental disorders in rural primary care: a proposal for integrated psychosocial services. AU - Badger,L, AU - Robinson,H, AU - Farley,T, PY - 2002/9/13/pubmed PY - 2002/9/24/medline PY - 2002/9/13/entrez SP - 813 EP - 8 JF - The Journal of family practice JO - J Fam Pract VL - 48 IS - 10 N2 - Mental health facilities and specialized providers are particularly lacking in rural areas. Even when these are available, poverty, negative attitudes toward mental health treatments, and traditional rural values of privacy and autonomy often result in low utilization rates. Consequently, most mental health care in rural America is provided by primary care physicians who are also faced with competing demands, including tensions among limited time and resources, the multiple and complex needs of patients, and economic forces determining reimbursements. We propose that in the best interest of physicians and their patients, fully integrated psychosocial services in rural primary care settings would reduce the burden of time-consuming mental health care, conform to patient preference for immediate on-site care, reduce nonproductive medical care use, and eliminate duplication of effort by physicians and mental health professionals. The treatment model we propose would provide multiple arenas for psychosocial intervention - with the individual, the family, and the community - based on the patient's self-identified needs. The integration of psychosocial services within primary rural care is readily available, economically feasible, and urgently needed, but physicians must take the lead to implement this collaborative treatment partnership. SN - 0094-3509 UR - https://www.unboundmedicine.com/medline/citation/12224680/Management_of_mental_disorders_in_rural_primary_care:_a_proposal_for_integrated_psychosocial_services_ DB - PRIME DP - Unbound Medicine ER -