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Social Psychiatry and Psychiatric Epidemiology

Erschienen in:

01.02.2008 | ORIGINAL PAPER

Impact of shared mental health care in the general population on subjects’ perceptions of mental health care and on mental health status

verfasst von: Dr. Nadia Younès, MD, Marie-Christine Hardy-Bayle, MD, PhD, Bruno Falissard, MD, PhD, Viviane Kovess, MD, PhD, Isabelle Gasquet, MD, PhD

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 2/2008

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Abstract

Objective

A community survey evaluated whether the development of a shared mental health care intervention had an impact on health care perceptions and mental health status of subjects with common mental health problems (MHP).

Methods

Adults <70 years old with common MHP (DSM-IV/CIDI-SF major depressive disorder, generalized anxiety or MHI-SF 36 psychic distress diagnoses), were randomly drawn from the general population in the intervention area (IA, n = 349) and in a control area (CA, n = 360), and evaluated twice at an interval of 18 months (percentage of follow-up: IA = 69.3%, CA = 71.9%, P = .44). CA and IA groups did not differ for the criteria of interest at baseline.

Results

At 18 months, compared to CA, IA reported significantly different help-seeking attitudes or behaviours (P = .02 for all subjects and .006 for subjects with current MHP) and greater general satisfaction with care (P = .03 for both). Remission rates and daily life functioning did not differ.

Conclusions

After 4 years of development of a mental health network based on a consultation-liaison model, Shared Mental Health Care was associated with greater satisfaction and access with care among subjects with common MHP. The association was not found with mental health status, but the study lacked power to adequately address the issues.

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Titel: Impact of shared mental health care in the general population on subjects’ perceptions of mental health care and on mental health status
verfasst von: Dr. Nadia Younès, MD
Marie-Christine Hardy-Bayle, MD, PhD
Bruno Falissard, MD, PhD
Viviane Kovess, MD, PhD
Isabelle Gasquet, MD, PhD
Publikationsdatum: 01.02.2008
Verlag: D. Steinkopff-Verlag
Erschienen in: Social Psychiatry and Psychiatric Epidemiology / Ausgabe 2/2008
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-007-0285-x

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Abstract

Objective

Methods

Results

Conclusions

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