Tackling inequalities in primary care mental health

被引:0
作者
Ross, Michael Killoran [1 ]
Craig, Pauline [2 ]
机构
[1] STEPs Primary Care Mental Hlth Team, Glasgow, Lanark, Scotland
[2] Glasgow Ctr Populat Hlth, Glasgow, Lanark, Scotland
关键词
Personal health; Mental illness; Equality; National Health Service; Scotland;
D O I
10.1108/17465721111154293
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Purpose - This paper aims to describe the development activity undertaken by a primary care mental team and public health specialists in Glasgow aimed at expanding the capacity of the primary care team to tackle health inequalities in the local area. Design/methodology/approach - In association with the Glasgow Centre for Population Health (GCPH), a partnership between National Health Service Greater Glasgow and Clyde, Glasgow University, Glasgow City Council and the Scottish Government, work was undertaken to address inequalities within mental health in the context of service provision. Findings - In an attempt to progress work on inequalities, a suitable model was required and the approach offered by the GCPH was a valuable starting point. Through a systematic consideration of available approaches, and the baseline position, it was possible to begin to reflect on potential interventions, and to consider ways in which outcomes could be measured and reviewed. This process, which evolved in discussion within the team and senior management, became an important starting point for longer term action. It provided a means of beginning to grapple with the impact of inequalities on service provision, and was an important first step in prioritizing possible approaches. Originality/value - The team is considering further collaboration with GCPH to explore how they might assess the extent of mental health and well-being concerns in their population and the implications for future service development.
引用
收藏
页码:99 / 109
页数:11
相关论文
共 18 条
[1]   Stepped care in psychological therapies: access, effectiveness and efficiency - Narrative literature review [J].
Bower, P ;
Gilbody, S .
BRITISH JOURNAL OF PSYCHIATRY, 2005, 186 :11-17
[2]  
GCPH, 2008, COMM HLTH WELL BEING
[3]   Tackling inequalities in health in England: Remedying health disadvantages, narrowing health gaps or reducing health gradients? [J].
Graham, H .
JOURNAL OF SOCIAL POLICY, 2004, 33 :115-131
[4]  
Grant K., INDIVIDUAL THE UNPUB
[5]   How well do health programmes reach the poor? [J].
Gwatkin, DR .
LANCET, 2003, 361 (9357) :540-541
[6]   British psychiatric morbidity survey [J].
Jenkins, R ;
Bebbington, P ;
Brugha, TS ;
Farrell, M ;
Lewis, G ;
Meltzer, H .
BRITISH JOURNAL OF PSYCHIATRY, 1998, 173 :4-7
[7]   Cause-specific inequalities in mortality in Scotland: two decades of change. A population-based study [J].
Leyland, Alastair H. ;
Dundas, Ruth ;
McLoone, Philip ;
Boddy, F. Andrew .
BMC PUBLIC HEALTH, 2007, 7 (1)
[8]  
Macintyre S., 2007, BRIEFING PAPER HLTH
[9]   Alternative projections of mortality and disability by cause 1990-2020: Global burden of disease study [J].
Murray, CJL ;
Lopez, AD .
LANCET, 1997, 349 (9064) :1498-1504
[10]  
NHSGGC, 2010, NHSGGC 10 GOALS IN S