An Experiment to Change Detection and Management of Mental Morbidity in Primary Care

A randomized clinical trial was conducted in a group practice for the primary care of adult patients to address the effect of feedback to providers of information from a psychiatric screening questionnaire, the General Health Questionnaire (GHQ). The practice is staffed by faculty, residents, and health care extenders of The Johns Hopkins University School of Medicine's Division of Internal Medicine. The patient population was drawn mainly from the inner city community in Baltimore that surrounds the hospital, where the practice is physically based. The GHQ was administered at the time of a regular visit to the practice and results made available to the clinicians for randomly allocated subsamples of their patients. The study results showed that feedback of GHQ information led to only marginal effects on overall detection of mental health problems among the patients in general. However, marked increases in detection occurred among the elderly, blacks, and men, subgroups that ordinarily have relatively low rates of detection of mental morbidity by primary care practitioners. Feedback of GHQ information did not affect management

Affect (linguistics) · Family medicine · General Health Questionnaire · Health care · Mental health · Population · Primary care · Psychiatry · Randomized controlled trial · Emergency and Acute Care Studies · Healthcare Policy and Management · Medicine · Mental Health Treatment and Access · Nursing · Psychology

• Adequacy and Duration of Antidepressant Treatment in Primary Care

  Wayne Katon, MICHAEL VON KORFF et al.•Medical Care•1992

  Incluir item

• Use of Mental Health Services and Persistence of Emotional Distress

  Robert G Frank, Richard G Frank•Medical Care•1988

  Incluir item

• Physician Characteristics and the Recognition of Depression and Anxiety in Primary Care

  James M Robbins, L J Kirmayer et al.•Medical Care•1994

  Incluir item

• Screening for Depression in Primary Care Clinics

  Open Access•Jane Zich, Jane M Zich et al.•The International Journal of…•1990

  Incluir item

• A conceptual framework for patient–provider communication

  Open Access•Deb Feldman-Stewart, Michael Brundage et al.•Quality of Life Research•2008

  Incluir item

• Using Technology to Enhance Prevention Services for Children in Primary Care

  Open Access•Teresa W Julian, Kelly Kelleher et al.•The Journal of Primary Prevention•2007

  Incluir item

• Depression and Anxiety Among Afro-Caribbean General Practice Attenders in Britain

  Open Access•Keith Lloyd•International Journal of Social…•1993

  Incluir item

• Physician-Patient Gender and the Recognition and Treatment of Depression in Primary Care

  Lee Badger, Lee W Badger et al.•Journal of Social Service Research•1999

  Incluir item

• Quality Improvement Research on Late Life Depression in Primary Care

  Christopher M Callahan•Medical Care•2001

  Incluir item

• Provision of Feedback on Perceived Health Status to Health Care Professionals

  Mireia Espallargues, Jose M Valderas et al.•Medical Care•2000

  Incluir item

• Clinician Screening and Treatment of Alcohol, Drug, and Mental Problems in Primary Care

  Mark J Edlund, J??rgen Un??tzer et al.•Medical Care•2004

  Incluir item

• Psychosocial problem disclosure by primary care patients

  Open Access•Jerry W Robinson, John W Robinson et al.•Social Science & Medicine•1999

  Incluir item

• National Institute of Mental Health Diagnostic Interview Schedule

  Lee N Robins•Archives of General Psychiatry•1981

  Incluir item

• “Mini-mental state”

  Open Access•Marshal F Folstein, Susan E Folstein et al.•Journal of Psychiatric Research•1975

  Incluir item

• Measuring Need for Mental Health Services in a General Population

  Sam Shapiro, Elizabeth A Skinner et al.•Medical Care•1985

  Incluir item