Around ninety per cent of all patients with mental health problems are managed solely in primary care, including thirty-fifty per cent of all those with serious mental illness. Primary care plays an increasingly essential role in developing and delivering mental health services, and in the wellbeing of communities. In this book, internationally respected authors provide both a conceptual background and practical advice for primary care clinicians and specialist mental health professionals liaising with primary care. Clinical, policy and professional issues, such as working effectively at the interface between services, are addressed - with a key focus on patient and service user experience. Following the highly successful first edition, which was awarded first prize at the BMA Medical Book Awards in the category of Primary Health Care, this fully updated volume includes new chapters on mental health and long-term physical conditions, prison populations, improving access to care and public mental health.
• Offers a multidisciplinary approach for the field, ensuring broad-based understanding and reflective practice
• Provides a patient-orientated perspective, considering what it feels like to navigate services, and wide-ranging clinical guidance for common scenarios
• Critically analyses key policy areas in the field, relevant for designing and implementing evidence-based primary care mental health services
Table of Contents
Part I. Conceptual Basis and Overarching Themes:
1. What is primary care mental health? Linda Gask, Tony Kendrick, Robert Peveler and Carolyn A. Chew-Graham
2. The epidemiology of mental illness Laura Thomas and Glyn Lewis
3. A sociological view of mental health and illness Anne Rogers and David Pilgrim
4. The patient and service user perspective Linda Gask and Sue Collinson
5. Primary care mental health in low- and middle-income countries Mohan Isaac, Oye Gureje and Athula Sumathipala
6. Diagnosis and classification of mental illness: a view from primary care Linda Gask, Christopher Dowrick, Michael Klinkman and Oye Gureje
Part II. Clinical issues:
7. Depression Tony Kendrick, Jane Gunn and Andre Tylee
8. Suicide prevention: identification, intervention and mitigation of risk Alys Cole King and Siobhan O'Neill
9. Anxiety Bruce Arroll and Tony Kendrick
10. Medically unexplained symptoms Christopher Dowrick and Marianne Rosendal
11. Mental health problems in older people Eugene Tang, Carolyn A. Chew-Graham and Louise Robinson
12. Mental health and long-term physical conditions Peter A. Coventry and Stuart W. Mercer
13. Perinatal mental health Debbie Sharp
14. Common child and adolescent mental health problems Roz Shafran, Anna Coughtrey and Isobel Heyman
15. Psychosis Helen Lester and Irwin Nazareth
16. Emergencies in primary care Tony Kendrick and Helen Lester
17. Drug use disorders Martyn Hull and Ed Day
18. Management of alcohol problems Fiona Hamilton and Helen Lester
19. Eating disorders Katie Lang and Ulrike Schmidt
20. Physical health of people with mental illness Richard Holt, David Shiers and Robert Peveler
21. Ethnic minorities Waquas Waheed and Carolyn A. Chew-Graham
22. Asylum seekers and refugees Angela Burnett
23. Sexual problems Michael King
24. Mental health in offenders and prison populations Richard Byng and Andrew Forrester
Part III. Policy and Practice:
25. Public mental health Jonathan Campion
26. The role of the primary care team Mark Haddad
27. Improving access to care Simon Gilbody, Tony Kendrick and Linda Gask
28. Collaborative care and stepped care: effective strategies for managing common mental disorders David Richards, Jacqueline J. Hill, Simon Gilbody, Peter Coventry and Linda Gask
29. Psychological therapies Francis Cole, Karina Lovell, David Ekers and Linda Gask
Part IV. Reflective Practice:
30. Teaching and learning about mental health Linda Gask, Barry Lewis and David Goldberg
31. Mental health research in primary care Tony Kendrick, Robert Peveler, Carolyn A. Chew-Graham, Linda Gask and Michael Moore
32. Individual treatment decisions: guidelines and clinical judgement Tony Kendrick
33. General practitioners and mental health Henry Allberry and Clare Gerada.
About the Editors:
Linda Gask is Emerita Professor of Primary Care Psychiatry at the University of Manchester and a retired consultant psychiatrist.
Tony Kendrick is Professor of Primary Care at the University of Southampton and a retired general practitioner.
Robert Peveler is Professor of Liaison Psychiatry at the University of Southampton and Clinical Director of the Wessex NIHR Clinical Research Network.
Carolyn A. Chew-Graham is Professor of General Practice Research at Keele University and a general practitioner Principal in Manchester.
Linda Gask, Tony Kendrick, Robert Peveler, Carolyn A. Chew-Graham, Laura Thomas, Glyn Lewis, Anne Rogers, David Pilgrim, Sue Collinson, Mohan Isaac, Oye Gureje, Athula Sumathipala, Christopher Dowrick, Michael Klinkman, Jane Gunn, Andre Tylee, Alys Cole King, Siobhan O'Neill, Bruce Arroll, Marianne Rosendal, Eugene Tang, Louise Robinson, Peter A. Coventry, Stuart W. Mercer, Debbie Sharp, Roz Shafran, Anna Coughtrey, Isobel Heyman, Helen Lester, Irwin Nazareth, Martyn Hull, Ed Day, Fiona Hamilton, Katie Lang, Ulrike Schmidt, Richard Holt, David Shiers, Waquas Waheed, Angela Burnett, Michael King, Richard Byng, Andrew Forrester, Jonathan Campion, Mark Haddad, Simon Gilbody, David Richards, Jacqueline J. Hill, Peter Coventry, Francis Cole, Karina Lovell, David Ekers, Barry Lewis, David Goldberg, Michael Moore, Henry Allberry, Clare Gerada