Beyond symptoms: Defining primary care mental health clinical assessment priorities, content and process

被引:13
作者
Lynch, Johanna M. [1 ,2 ]
Askew, Deborah A. [2 ,3 ]
Mitchell, Geoffrey K. [4 ]
Hegarty, Kelsey L. [5 ]
机构
[1] Integrate Pl, Manly, Qld 4178, Australia
[2] Univ Queensland, Discipline Gen Practice, Brisbane, Qld 4072, Australia
[3] Inala Indigenous Hlth Serv, Brisbane, Qld, Australia
[4] UQ Sch Med, Discipline Gen Practice, Ipswich, Qld, Australia
[5] Univ Melbourne, Primary Care Res Unit, Dept Gen Practice, Melbourne, Vic 3010, Australia
关键词
Primary care; Mental health; Assessment; Transdisciplinary; Generalism; General practice; INTERPERSONAL CONTINUITY; GENERAL-PRACTITIONER; COMPLEXITY SCIENCE; ATTACHMENT THEORY; ALMA-ATA; DEPRESSION; CLASSIFICATION; CONSULTATIONS; RECOGNITION; PSYCHIATRY;
D O I
10.1016/j.socscimed.2011.08.043
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The assessment of undifferentiated psychological distress is a daily aspect of primary care practice. Primary care practitioners' underlying values influence the priorities, process and content of assessment. Currently there is a lack of definition of these values in primary care clinical mental health assessment. This paper presents the case for adopting the philosophical values and principles of holistic transdisciplinary generalism to influence practice worldwide. Furthermore, it raises awareness of current constraints on practice, including an overreliance on the psychiatric paradigm of care and resulting criteria-based diagnoses. Finally, the paper seeks to promote discussion among primary care practitioners and researchers globally about how to define primary care clinical mental health assessment priorities, process and content. (C) 2011 Elsevier Ltd. All rights reserved.
引用
收藏
页码:143 / 149
页数:7
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