Australian general practice and the meeting of needs for mental health care.

Meadows, G., Liaw, T., Burgess, P., Bobevski, I. and Fossey, E. (2001) Australian general practice and the meeting of needs for mental health care.. Social Psychiatry and Psychiatric Epidemiology, 36 12: 595-603. doi:10.1007/s127-001-8199-7

Author Meadows, G.
Liaw, T.
Burgess, P.
Bobevski, I.
Fossey, E.
Title Australian general practice and the meeting of needs for mental health care.
Journal name Social Psychiatry and Psychiatric Epidemiology   Check publisher's open access policy
ISSN 0933-7954
Publication date 2001-12-01
Sub-type Article (original research)
DOI 10.1007/s127-001-8199-7
Volume 36
Issue 12
Start page 595
End page 603
Total pages 9
Place of publication Berlin
Publisher Springer International
Language eng
Subject 320000 Medical and Health Sciences
1103 Clinical Sciences
1702 Cognitive Sciences
Abstract Background: This report, drawing on a national epidemiological survey conducted in 1997, examines the role of Australian medical general practitioners (GPs) in responding to needs for mental health care. Methods: We analysed data from the Australian National Survey of Mental Health and Wellbeing (NSMHWB). The NSMHWB employed clustered probability sampling of all Australian adults, and 10,641 participants were interviewed. The field questionnaire included modules of the Composite International Diagnostic Interview, and instruments assessing disability, service utilisation and perceived needs for care. Results: Eighty-four percent of people with a mental disorder consulted a GP in the year prior to survey, but only 29% consulted in relation to a mental health problem. GP services were seen as more responsive to needs for medication, counselling and information than needs for social interventions and skills training. People with perceived needs for counselling were more likely to consult with other providers, either as alternative or additional consultations to those with a GP Counselling needs were reported as less well met when people saw a GP alone than when consulting other service providers. Conclusions: Many people with mental health problems attend primary medical care practitioners without presenting these problems to their physicians. When they do present, perceived needs for medication are rated as well met, but there is substantial unmet perceived need for interventions in social and occupational domains. Perceived needs for counselling are less well met where the GP is the sole provider. To close these identified gaps calls for improvements in primary care physicians' skills and effective collaborative models with other providers.
Keyword Psychiatry
Mental Disorders
Primary Health Care
Family Practice
Consultation-liaison Psychiatry
National Survey
Perceived Need
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Public Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 29 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 37 times in Scopus Article | Citations
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Created: Wed, 02 Jan 2008, 12:10:28 EST by Thelma Whitbourne on behalf of Faculty Of Health Sciences