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N Z Med J ; 127(1391): 62-73, 2014 Mar 28.
Article in English | MEDLINE | ID: mdl-24732253

ABSTRACT

AIM: To evaluate the clinical outcomes and other impacts of brief therapy provided in a primary care setting by a clinical psychologist who was mainly employed in secondary mental health. METHOD: The outcomes of 23 primary care patients referred to a clinical psychologist were evaluated using the General Health Questionnaire (GHQ), the World Health Organisation Quality of Life (WHOQoL) scale, and the Beck Depression Inventory (BDI). A mixture of quantitative and qualitative data from patients and staff were analysed to identify other impacts of the intervention. RESULTS: Large improvements in BDI, GHQ, and WHOQOL scores were found, with strong changes consistent with the targets of the intervention. Patients reported primary-based clinical psychology input was more convenient and many engaged who had resisted referral to secondary mental health services. Other benefits to the service, including improved primary-secondary service integration, improved primary management of mental health difficulties, and improved liaison with mental health specialists, were reported by primary health staff. CONCLUSION: Brief psychological interventions by a visiting clinical psychologist in a general practice setting had substantial benefits for the patients and for the practice. This project indicates the value of integrated psychological input consistent with recent moves to better primary-secondary integration in mental health care.


Subject(s)
General Practice , Mental Disorders/therapy , Mental Health Services/organization & administration , Primary Health Care , Psychology, Clinical , Psychotherapy, Brief , Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , Quality of Life , Surveys and Questionnaires , Treatment Outcome , Young Adult
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