Stepped care mental health service in Australian primary care: codesign and feasibility study.

ConclusionsPreliminary data suggest that StepCare may be acceptable and feasible in Australian general practice, helping GPs identify and manage common mental health problems in their patients. The study provides implications for policy and practice, and points the way to future translational research into stepped mental health care.What is known about the topic?Depression and anxiety are common illnesses in primary care and GPs are ideally placed to implement stepped care approaches enabling early detection and accessible, effective care.What does this paper add?Developed in and for general practice, StepCare is the first fully integrated stepped approach to primary mental health care in Australia. As a first step in a translational research program evaluating the effectiveness of StepCare, this paper reports data regarding the feasibility and acceptability of the service.What are the implications for practitioners?Integrated into the workflow of general practice, StepCare is an online service that helps GPs detect new cases of depression and anxiety, provide evidence-based stepped care treatments and monitor patients' progress. PMID: 31662177 [PubMed - as supplied by publisher]
Source: Australian Health Review - Category: Hospital Management Authors: Tags: Aust Health Rev Source Type: research

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CONCLUSIONS: These findings support the use of patient experiences and feedback to aide product development. In addition, post-9/11 veterans support the use of eScreening to assist health screening. However, evaluating the eScreening program in more diverse veteran groups and Veterans Affairs settings is needed to improve the generalizability of these findings to the larger veteran population. PMID: 32060553 [PubMed - as supplied by publisher]
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research
DISCUSSION: This group, comprising the mothers of young children, is particularly interesting in view of the credit constraints experienced by younger households during the financial crisis in Ireland. Both sets of results are consistent with qualitative studies which have shown that mortgage difficulties can lead to depression, anxiety and poor mental health, and that high status groups experience shame and self-blame when they experience a financial loss. It remains to be seen if this will have a long-term effect on the mental health of either the mothers or their children. PMID: 32060231 [PubMed - in process]
Source: Journal of Mental Health Policy and Economics - Category: Psychiatry Tags: J Ment Health Policy Econ Source Type: research
AbstractAccumulating evidence indicates that disruption of galanin signaling is associated with neuropsychiatric disease, but the precise functions of this neuropeptide remain largely unresolved due to lack of tools for experimentally disrupting its transmission in a cell type-specific manner. To examine the function of galanin in the noradrenergic system, we generated and crossed two novel knock-in mouse lines to create animals lacking galanin specifically in noradrenergic neurons (GalcKO –Dbh). We observed reduced levels of galanin peptide in pons, hippocampus, and prefrontal cortex ofGalcKO –Dbh mice, indica...
Source: Anatomy and Embryology - Category: Anatomy Source Type: research
ConclusionsAmong uninsured and underinsured asthma patients with GAD and/or MDD who were initiated on a single antidepressant, those who were titrated to achieve target doses had reduced risk of severe asthma exacerbations and lower number of asthma ‐related outcomes than those who were not optimized to achieve target doses.
Source: Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy - Category: Drugs & Pharmacology Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
Publication date: Available online 16 February 2020Source: Journal of Psychiatric ResearchAuthor(s): Carisha S. Thesing, Mariska Bot, Yuri Milaneschi, Erik J. Giltay, Brenda W.J.H. PenninxAbstractBackgroundTemporality of the association of low omega-3 polyunsaturated fatty acid (n-3 PUFA) plasma levels with depression remains questionable. To determine the underlying nature of these associations, this study examined the bidirectional longitudinal associations of n-3 PUFA plasma levels with (presence, onset and course of) depressive disorders and symptoms.MethodsBaseline (n = 2912, 28.6% with current depressive disorder...
Source: Journal of Psychiatric Research - Category: Psychiatry Source Type: research
Publication date: Available online 16 February 2020Source: Journal of Clinical NeuroscienceAuthor(s): Sevda Korkmaz, Denizhan Danacı Keleş, Aslı Kazgan, Sema Baykara, Mehmet Gürkan Gürok, Caner Feyzi Demir, Murad AtmacaAbstractAimBased on our clinical observations, low emotional intelligence level and problem-solving skills may have play a role in suicide attempts. The present study is aimed to investigate the emotional intelligence levels and the correlation between problem solving skills and suicide attempts in individuals who already attempted suicide.Material and methodThe study was conducted on twenty-fiv...
Source: Journal of Clinical Neuroscience - Category: Neuroscience Source Type: research
Conclusions: Certain modifiable risk factors play an inescapable role in increasing the level of burden among caregivers of older patients with serious mental illnesses.Clinical Implications: Improving the quality of life and psychological well-being of family caregivers should be considered an integral part of treatment for serious mental illness in older adult patients. PMID: 32058858 [PubMed - as supplied by publisher]
Source: Clinical Gerontologist - Category: Geriatrics Tags: Clin Gerontol Source Type: research
Publication date: Available online 15 February 2020Source: Neuroscience &Biobehavioral ReviewsAuthor(s): Filip Kosel, Jessica M.S. Pelley, Tamara B. FranklinAbstractTransgenic mouse models have been used extensively to model the cognitive impairments arising from Alzheimer’s disease (AD)-related pathology. However, less is known about the relationship between AD-related pathology and the behavioural and psychological symptoms of dementia (BPSD) commonly presented by patients. This review discusses the BPSD-like behaviours recapitulated by several mouse models of AD-related pathology, including the APP/PS1, Tg2576...
Source: Neuroscience and Biobehavioral Reviews - Category: Neuroscience Source Type: research
BDI ‐II Bangla version is highly correlated with original English, and Interitem correlation for all the items was found highly significant. It retained two‐factor loading comprising Cognitive and Somatic‐affective symptoms. Through the translation and validation process, a validated Bangla versio n of BDI‐II was produced to measure depression and its severity among Bengali population. AbstractBackgroundBeck Depression Inventory (BDI ‐II) is a widely used valid instrument to assess the severity of depression in clinical and normal settings. To meet the necessity of a standard scale for measuring depression among ...
Source: Brain and Behavior - Category: Neurology Authors: Tags: ORIGINAL RESEARCH Source Type: research
Childhood trauma occurs in 70.3% of patients with conversion disorder/FND. Childhood sexual abuse is significantly associated with poor treatment outcome for physical symptoms in patients with conversion disorder/FND. Randomized clinical trials evaluating treatment models addressing childhood sexual abuse in conversion disorder/FND are needed. AbstractObjectiveExplore trauma, stress, and other predictive factors for treatment outcome in conversion disorder/functional neurological disorder (CD/FND).MethodsProspective observational design. Clinical cohort study among consecutive outpatients with DSM ‐IV CD/FND in a special...
Source: Brain and Behavior - Category: Neurology Authors: Tags: ORIGINAL RESEARCH Source Type: research
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