How can mental health treatment be better integrated into the treatment of physical long term conditions?
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How can mental health treatment be better integrated into the treatment of physical long term conditions?
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The Department of Health wants to hear what you think (honestly) about how to improve the lives of people with long term conditions. If you know of any good practice or have any ideas on what could be
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How can mental health treatment be better integrated into the treatment of physical long term conditions?
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How can mental health treatment be better integrated into the treatment of physical long term conditions?
posted at 21/5/2012 5:43 PM BST
on bmj.com
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Posts: 4
First: 14/5/2012 Last: 30/5/2012 |
The Department of Health wants to hear what you think (honestly) about how to improve the lives of people with long term conditions. If you know of any good practice or have any ideas on what could be made better for the people who work with those who have long term conditions, the department wants to hear from you. The department is developing a cross government long term conditions strategy and your comments will be fed into the process. So here's the latest question: How can mental health treatment be better integrated into the treatment of physical long term conditions? Anna Hepburn, Digital Communication Manager, Department of Health |
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Re: How can mental health treatment be better integrated into the treatment of physical long term conditions?
posted at 22/5/2012 6:45 PM BST
on bmj.com
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Posts: 873
First: 17/6/2011 Last: 17/5/2013 |
Personally I think that the provision of mental health services and acute medical services seems to occur in separate locations meaning that liasion between specialties is poor. I'm based in secondary care so don't know exactly what my primary care colleagues see and whether they feel less isolated but having good liasion services that work to improve the mental health of 'medical' patients and the physical health of those with mental health would help. Whatever we might say psychological illness is often stigamtising and socially isolating and i'm sure that there is a lot of unmet need. sadian |
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Re: How can mental health treatment be better integrated into the treatment of physical long term conditions?
posted at 22/5/2012 10:34 PM BST
on bmj.com
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Posts: 3037
First: 27/3/2012 Last: 18/5/2013 |
Chronic physical illnesses are bound to be associated with some problem related to the patient's mental health as well. So it of prime concern to integrate the treatment of mental health in a better way, alongwith treatment of the chronic illnesses. 1) The involvement of patient's relatives & their training & perception regarding the mental problems is an important aspect. 2) Psychosocial & financial assistance to the patients / relatives 3) Involvement of the local nursing staff experienced with the mental health problems 4) Community based training & active participation by the social healthcare workers 5) A supervised approach which may involve the healthcare personalities like a psychiatrist would be crucial. |
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Re: How can mental health treatment be better integrated into the treatment of physical long term conditions?
posted at 22/5/2012 11:09 PM BST
on bmj.com
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Posts: 106
First: 13/3/2012 Last: 9/5/2013 |
This depends on the definition of what is a mental health condition and who diagnoses it. Mental health conditions are diagnosed by psychiatrists or psychologists and the patient is, as Sadian says, stygmatised. Under present conditions, patients are shunted off unwillingly to psychiatrists and psychologists because they will be permanently labelled with a disorder for the rest of their lives. Mental health is beginning to label almost everyone who is going through a troubled time without giving them the opportunity to work through life's disruptions and heal. Unfortunately, once labelled, medicated and judged, patients in the physically unwell mental health category are viewed quite differently from unwell patients who are not categorised. So many patients remain on ineffective Psyche drugs when other treatments could be tried. To date, in my experience, once a psyche gets hold of a patient, everything that happens then is put down to a mental disturbance and patients have to fight the system to get tests or treatment that the psyche does not acknowledge, understand or accept.
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Re: How can mental health treatment be better integrated into the treatment of physical long term conditions?
posted at 28/5/2012 9:52 AM BST
on bmj.com
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Posts: 76
First: 16/12/2008 Last: 28/5/2012 |
QOF prompts are useful in reminding us to ask about depression As a PMS practice, we are struggling to offer people we identify as having depression/mental health problems because IAPT won't accept our referrals. I wonder whether the Department is aware of this iniquitous anomaly that has yet to be resolved. Counselling services need to be available in individual practices-not centralised. People with the double whammy chronic physical health problems and mental health issues generally prefer to be offered treatment in their own GP practice. On line CBT and computer based programmes may not be acceptable to this group of patients. Anecdotal evidence suggets that people prefer face to face contact. e to How can mental health treatment be better integrated into the treatment of physical long term conditions?: The Department of Health wants to hear what you think (honestly) about how to improve the lives of people with long term conditions. If you know of any good practice or have any ideas on what could be made better for the people who work with those who have long term conditions, the department wants to hear from you. The department is developing a cross government long term conditions strategy and your comments will be fed into the process. So here's the latest question: How can mental health treatment be better integrated into the treatment of physical long term conditions? Anna Hepburn, Digital Communication Manager, Department of Health Posted by Dept of Health |
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Re: How can mental health treatment be better integrated into the treatment of physical long term conditions?
posted at 30/5/2012 2:43 PM BST
on bmj.com
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Posts: 4
First: 14/5/2012 Last: 30/5/2012 |
In Response to Re: How can mental health treatment be better integrated into the treatment of physical long term conditions?: is this only aimed at practisinf physicians, not med students? :) Posted by researchPO Hi, We're interested in medical students' views too. Anna Hepburn, Digital Communication Manager, Department of Health |
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Re: How can mental health treatment be better integrated into the treatment of physical long term conditions?
posted at 6/6/2012 9:03 PM BST
on bmj.com
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Posts: 453
First: 29/4/2011 Last: 14/5/2013 |
There seems to be a false distiction here. As a diabetes specialist I see patients with depression, anxiety and other adjustment disorders evey day. I can not remember the last time I neede to refer such a patient rather than using talk therapy and in some cases prescribing psychotropics or anti-depressants. I am sure that this is true of others who treat chronic diseases. The best way to integrate and improve care of such situational mental distress would be more education during medical school and residency. In diabetes, for example, the point prevalence of depression is 20% and the lifetime risk is nearly 100%. When we turn to the more intractable mental health conditions such as schzophrenia or manic depression, a collaborative care model seems a reasonable approach. Communication between the treating practitioners is critical; a 60-year-old man with schzopherniua or manic depression still needs health screening and preventative care. |
Forums » Open clinical » General clinical » How can mental health treatment be better integrated into the treatment of physical long term conditions?
