[Show abstract][Hide abstract] ABSTRACT: The high prevalence of mental disorders and the barriers to detection and treatment of these in general practice are well recognized. As such, the government has placed great emphasis on training general practitioners (GPs) in primary care mental health and on the provision of support for GPs in the delivery of such services. The current paper aims to evaluate a local, rural training program in mental health for GPs. We hypothesized that local 'context-driven' training would lead to increased knowledge and reported change in practice by GPs with mental health patients.
Locally developed and delivered 'Level 1' training was offered to GPs through the Better Outcomes in Mental Health Care initiative. The training was provided with 6-hour workshops covering mental health assessment and management planning. The training was evaluated through pre- and 6-week post-questionnaires assessing attitudes and practice with respect to treatment of patients with mental health problems.
Forty-nine GPs from the Loddon Campaspe Southern Mallee region of Victoria participated in the training. Following the 6-hour workshop, there was an increase in reported use of psychoeducation for patients with depression, use of cognitive behavioural therapy for patients with anxiety, and ease in obtaining advice to assist with the management of psychosis.
GP mental health education should take into consideration the local context, cover systems issues as well as skills development, and aim to develop personal relationships between mental health clinicians and GPs to enhance outcomes.
Full-text · Article · Mar 2007 · Australasian Psychiatry
[Show abstract][Hide abstract] ABSTRACT: To describe the first 12 months activities of a key component of a General Practice Psychiatry program - the GP practice visit.
Questionnaire to evaluate effects on participating general practitioners practice.
Rural group general practices.
Thirty-two general practitioners in the Loddon Campaspe Southern Mallee region in Victoria.
Practice visits involved a combination of each of three key activities: primary consultation, secondary consultation and/or case discussion and formal teaching.
General practitioners reported a variety of changes in their practice as a result of the visits.
Practice visits appear to be a useful means of influencing GP's practice. Further work is required to determine whether such changes are accompanied by demonstrable benefits in patient outcome. WHAT IS ALREADY KNOWN: Several models to assist GPs effectively manage mental health problems have been described. These models require regular contact and so have had limited utility in rural settings.
This study suggests that infrequent contact or input, based on well established models, can alter GP's clinical behaviour.
Full-text · Article · Sep 2003 · Australian Journal of Rural Health