Evaluation of a primary care adult mental health service: Year 2
Source: Mental Health in Family Medicine, Volume 10, Number 1, August 2013 , pp. 53-59(7)
Publisher: Radcliffe Publishing Ltd.
Abstract:Aims: This study aimed to examine the effectiveness of a primary care adult mental health service operating within a stepped care model of service delivery.
Methods: Supervised by a principal psychologist manager, psychology graduate practitioners provided one-to-one brief cognitive behavioural therapy (CBT) to service users. The Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) was used to assess service user treatment outcomes. Satisfaction questionnaires were administered to service users and referring general practitioners (GPs).
Results: A total of 43 individuals attended for an initial appointment, of whom 19 (44.2%) completed brief CBT treatment. Of the 13 service users who were in the clinical range pre-treatment, 11 (84.6%) achieved clinical and reliably significant improvement. Of the six service users who were in the non-clinical range pre-treatment, three (50%) achieved reliably significant improvement. Both service users and GPs indicated high levels of satisfaction with the service, although service accessibility was highlighted as needing improvement.
Conclusion: The service was effective in treating mild to moderate mental health problems in primary care. Stricter adherence to a stepped care model through the provision of low-intensity, high-throughput interventions would be desirable for future service provision.
Document Type: Research Article
Affiliations: 1: Research Assistant, Roscommon Service Area, HSE West, Ireland 2: Primary Care Practitioner, Roscommon Service Area, HSE West, Ireland 3: Principal Psychologist Manager, Roscommon Service Area, HSE West, Ireland;, Email: firstname.lastname@example.org
Publication date: 2013-08-01