Primary care in Mental Health

Primary healthcare is about providing ‘essential healthcare’ which is universally accessible to individuals and families in the community and provided as close as possible to where people live and work. It refers to care which is based on the needs of the population. It is decentralised and requires the active participation of the community and family.

Providing mental health services in primary healthcare involves diagnosing and treating people with mental disorders; putting in place strategies to prevent mental disorders and ensuring that primary healthcare workers are able to apply key psychosocial and behavioural science skills, for example, interviewing, counselling and interpersonal skills, in their day to day work in order to improve overall health outcomes in primary healthcare.

Integrated primary mental health services are complementary with tertiary and secondary level mental health services (see the ‘optimal mix of services’ information sheet), e.g. general hospital services (short stay wards, and consultation-liaison services to other medical departments), which can manage acute episodes of mental illness quite well but do not provide a solution for people with chronic disorders who end up in the admission–discharge–admission (revolving door syndrome) unless backed up by comprehensive primary healthcare services or community services.

 

 

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