Stepped psychological intervention with common mental disorders in Primary Care

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2018

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Anales de Psicología



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Therapy Care and treatment

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Julio Cesar Martin García-Sancho et al., « Stepped psychological intervention with common mental disorders in Primary Care », Anales de Psicología, ID : 10670/1.r5qv6u


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"A m odel of psychological intervention for common mental dis- orders in Primary Care is analized. Two clinical psychologists and four res- ident psychologists interviewed 566 users to treat mild to moderate anxiety / depression disorders, bereavement or nonorganic insomnia disorders. Standardized assessment leads to a stepped intervention: indication of no treatment, brief group or individual intervention in Primary Care Center (PCC) or referral to Mental Health. Socio - demographic and clinical variables describe t he sample and allow comparison betwen groups. Of the 566 interviewees, the mean age was 37 years, 70% were women, 50% with psychopharmacological treatment and 10% on sick leave. The steps of intervention were: 19% were intervention indication of no treatme nt, 71% PCC intervention and 10% were referred to Mental Health. Adaptive, emotional and generalized anxiety disorders were predominant, with significant differences between centers depending on the location and clinical psychologist integration mode in PC C. Integrating the clinical psychologist in PCC improve access to psychologi- cal interventions and reduces mild to moderate mental disorders medica- tion. Assessment prevents unnecessary treatment onset and increases the likelihood of appropriate treatment i ndications, which is cost - effective."

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