Contact Us
Sign In / Sign Up for FREE
Go to advanced search...

Primary Care in Mental Health Services - Essay Example

Comments (0) Cite this document
Mental illness was found to be the leading cause of disability in the whole world. According to the World Health Organization (WHO), 20% of people each year experience a diagnosable mental illness. In turn, only 25% of these receive help and most of that help is provided by primary care (USA, National Institute of Mental Health 2002)…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER96.4% of users find it useful
Primary Care in Mental Health Services
Read TextPreview

Extract of sample "Primary Care in Mental Health Services"

Download file to see previous pages In what obtains now, primary care is facing a confluence of factors that could spell disaster.
Thomas Bodenheimer (2006) reports of patients becoming increasingly dissatisfied with their care with the difficulty of gaining timely access to a primary care physician. Moreover, many primary care physicians are unhappy with their jobs as they face a seemingly insurmountable task. A study done by Gottschalk and Flocke found that primary care physicians spend nearly one half of their workday on activities outside the examination room, predominantly on follow-up and documentation of care for patients not physically present (Gilchrist, 2005).
Further, Doherty (2006) reports that the quality of primary care is found uneven; reimbursement is inadequate; and fewer and fewer U.S. medical students are choosing to enter the field. That there is decline in primary care is not surprising, according to Kowalczyk (2006), given that primary care doctors work a harried pace with unpredictable hours while earning some of the lowest salaries in medicine. In the United States, primary care doctors earned an average of about $160,000 in 2004, compared with $230,000 for obstetricians/gynecologists and $300,000 for dermatologists, according to a consulting company, the Medical Group Management Association (Kowalczyk, 2006).
In the midst of primary care physicians dwindling, there is a lack of strong primary-care base for the health system with improved care and reduced health care costs. In effect, patients are having a harder time getting timely appointments with their personal physicians, therefore seek expensive emergency room services, adding to the cost (Bodenheimer, 2006). As early as two decades ago, medical literature rued this situation, pointing out the imbalance between oversupplied specialties and the primary care specialties which are undersupplied (Primary Care Physicians, 1989).
From international findings, some of the barriers to provision of primary mental health care include access, culture, recognition and knowledge, time, training, cost, stigma and discrimination, knowledge of, and relationships with, local networks, community organisations, and specialist mental health services (Underlying concepts, 2006). Yet, many doctors blame a national shortage of primary care doctors on limited access (Kowalczyk, 2006).
The reasons for the imbalance, however, seem to be more complex and varied among hospitals. Many internists, especially women, are cutting back their hours to spend more time with their families. At the same time, the aging population and the increasing complexity of medicine mean that each patient requires more time and services, reducing the number of patients some doctors can see. (Kowalczyk, 2006).
To Bodenheimer (2006) however, primary care is dying due to three main factors: 1) Low reimbursement rates for primary care services, 2) The stressful work life of primary care physicians, and 3) The dwindling number of US medical graduates choosing careers in family medicine. Doctors have been warning of a shortage of primary care physicians since early in the decade, with a number of medical students deciding not to practice general internal medicine. Twenty percent chose general internal ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
(“Primary Care in Mental Health Services Essay Example | Topics and Well Written Essays - 1000 words”, n.d.)
Retrieved from
(Primary Care in Mental Health Services Essay Example | Topics and Well Written Essays - 1000 Words)
“Primary Care in Mental Health Services Essay Example | Topics and Well Written Essays - 1000 Words”, n.d.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF Primary Care in Mental Health Services

Public Health and Primary Care

...? Public Health and Primary Care and Section # of Public Health and Primary Care Introduction The doctors play an important role in maintaining the health of patients, in diagnosing the diseases on time and most importantly by saving them from fatal infections. The doctor plays the major role in saving the patient’s life. However, the doctor is never seen all the time around the patient. It is the nurse who spends more time with the patient looking after him. A nurse, even though considered lower to a doctor in degree, plays more important roles than a doctor. A nurse is responsible for the time to time update of a patient. Patients are more attached to nurses than doctors since they spend more time with them and develop some degree...
12 Pages(3000 words)Essay

Primary Mental Health Care

...Primary Mental Health Care The World Health Organization (WHO) defines health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”. So, if a person is not mentally healthy, the topmost care has to be arranged for evaluation of the reason of such illness with all the possible solution and action taken for the purpose with proper methods. A considerable amount of research in the field of prevention and promotion in mental health has been reported during recent years, but most of this research has come from the developed countries with very little from the developing countries (WHO 2002) but the patients in the need of mental health are spread though all the countries...
8 Pages(2000 words)Essay

Primary Health Care in India

The public health care infrastructure though is large it is not sufficient when compared to per capita number of physicians and beds for the population. Even the rate of outpatient visits to the government hospitals is poor due to lack of sufficient care. As the decentralization of state authority varies widely between states, the large cities only have significant financial authority. The lack of authority of local bodies on public health care systems as well as government hospitals resulted in failure of prevention of number of diseases and the people are ignorant even about prevailing diseases. According to World Bank reports in 1995, 1996, 1997b, 2000c, the high levels of poverty also exacerbated the poor health conditions as...
6 Pages(1500 words)Essay

Mental Health Care

... a complete grasp of all the problems faced by nurses, doctors as well as the patients themselves when it comes to seeking help. The overall problem for the health service is to balance their positions with physically ill patients and the mentally ill patients. The focus on physically ill patients comes at the cost of those, who are mentally ill and there is a strong underlying assumption that mentally ill patients take services away from physically ill patients who are often considered to be more deserving (Happell, 2005). This assumption itself is negative and dangerous because it not only helps to discriminate against mentally ill patients it also leads to negative feelings on behalf of the professional care providers. Importance...
15 Pages(3750 words)Essay

Prison Mental Health Services

.... Incidentally, the predominance of individuals sentenced to prison live in communities disproportionately affected by violence, substance abuse, and risky sexual behavior. The institute of Medicine recognizes that although effective mental health treatment exists, community services are fragmented with multiple barriers that prevent individuals from receiving adequate psychiatric care (Institute of Medicine, 2005). The goal of a standardized prison-based mental health screening program is to improve the identification and treatment rates of incarcerated individuals with psychiatric disorders. Detection and subsequent treatments of inmates with mental illness with mitigate the adverse consequences of untreated symptoms in the correctional...
5 Pages(1250 words)Essay

Planning of Primary Health Care

The design of the study was broadly based on a case analysis, where the necessary details were researched and compared.
A qualitative design was used by the investigators to obtain results after comparisons were made. This design technique was quite useful in helping the respondents to freely express their thoughts and emotions. In addition to this, the first project showed specific themes that can be used in the further investigation of this project (Anderson et al. 2006).
Out of the different approaches for the study, the approach used for the research in Bristol was that of a purposive, stratified approach, where a mixed group of people, involving residents and professionals actively participated. The involvement of pe...
8 Pages(2000 words)Research Proposal

Mental Health Nursing Care

...Mental Health Nursing Care I believe that mental illness is a debilitating condition and that people who are diagnosed with it would not be able to function well in society. These thoughts and feelings about mental illness affected my knowledge by making me more judgmental about people with mental illness. It made me think that they have to be cared for all their lives and that they would be a burden to their families and the society in general for the rest of their lives. These thoughts and feelings affect my attitude by making me more distant with them, not giving them anything to do because they would not be able to do it anyway. These thoughts and feelings affected my behavior by making me more irritable towards them or thinking...
1 Pages(250 words)Essay

Health care services and mental health services

...Health Care Services and Mental Health Care in the US School Health care services and mental health care in the US Psychiatric professionals are very important element of the continuum of total health care in the US. Most patients with mental health problems use primary care physicians to access the health care system. The American health care system has repeatedly documented the desire of patients to use primary care physicians to get the treatment or have increased involvement of the primary care physicians in the health care in general. Enhancement of the primary care physicians’ ability to treat, screen, and adequately manage the psychiatric care provided for the patients is fundamental to the improvement of mental health treatment...
3 Pages(750 words)Research Paper

The Speciality of Colonial Heights Health Care

Colonial Heights Health care and rehabilitation center provides interdisciplinary support for the medical and physical needs of the patient with sickness and injury. They include neurological events, orthopedic surgery, oncology care, and general surgery. Other medical services comprise IV Infusion Therapy, specialised Alzheimer’s care, tracheotomy care, wound care management, rehabilitative nursing, occupational and speech therapy, etc. Respite care of the hospital provides clinical, psychological and emotional assistance through caregivers for patients who require additional support. Social Services of the health care center include volunteer programs, café dining, special outing, family gatherings, social service c...
12 Pages(3000 words)Assignment

Law of Financial Services

For instance, the European Commission’s Regulation No. 1049/2001 which very specifically details rules and regulations governing the public access to European Parliament, Council and Commission documents. Article 8 of the regulation states that “personal data shall only be transferred to recipients … (b) if the recipient establishes the necessity of having the data transferred …” (Regulation 1049/2001). Although this law is not at all related to the data protection of banks and their customers, it does give us an impression of how serious the EC is in protecting the integrity of data.
In saying that the laws that we have on data protection have adequately addressed the needs of banks and custom...
6 Pages(1500 words)Article

Chilled Vehicles and Special Care of Products

Hiring another company or the third party to man the operations of the fleet of vehicles can put the company down. That would be like dealing with new employees who are not really working for the company, and who do not know our products. It will also be tantamount to revealing the secrets of our products and company that we have treasured all through the years. The best option is to work on the fleet of vehicles and get the right people to handle the operations. 
There are doubts as to the exact number of vehicles we have to purchase since these are all plans and some hypotheses. But we tried to scale down our output, made some estimates and inside surveys, and come out to some numbers, which were reached by calculating...
8 Pages(2000 words)Assignment

Mandatory Mental Health Services

...Review of Mandatory Mental Health Services The Mental Health Act 1996 contains of provision for the mandatory hospitalisation of patients for certain circumstances. As quoted from the act, “A person should be an involuntary patient only if- (a) the person has a mental illness requiring treatment; (b) the treatment can be provided through detention in an authorised hospital or through a community treatment order and is required to be so provided in order” (1996: 20). Specifically, Reasons for involuntary patient status include “(i) to protect the health or safety of that person or any other person; (ii) to protect the person from self-inflicted harm of a kind described in subsection (2); or (iii) to prevent the person from doing serious...
9 Pages(2250 words)Case Study

Decision Making in Health and Social Care

...DECISION-MAKING IN HEALTH AND SOCIAL CARE: ECONOMICS a) Why are market forces unsuitable for health service resource allocation? Refer in your answer to the problems of consumer sovereignty, agency, and health outcome measurement. Market forces, demand and supply, move in opposite directions with respect to price changes. When the price of a good is high the demand for it is less while the supply of it is greater. This is economic sense but nevertheless this positive economic statement about the predictable behavior of the consumer does not hold true when the demand patterns for Giffen and inferior goods are factored in. For instance when income, of the individual consumer, rises his demand for inferior goods such as potatoes...
8 Pages(2000 words)Case Study

The Relationship Between Security, Risk and Health in a Large Organisation

Managers in modern organizations tend to use appropriately customized policies – in accordance with their firms’ needs and resources (employees, funds, technology) available. The current paper focuses on the examination of the various aspects of security, risk, health and safety within large organizations; Particular emphasis is paid on the fact that the demands of each one of these factors may be differentiated under the pressure of the market conditions and the organizational priorities. The case of Shell in Nigeria has been used as an example in order to show the potential co-existence and interaction of these factors within a specific organizational environment. The measures required and the role of the security ma...
9 Pages(2250 words)Coursework

Indigenous Community Health in Central Queensland-Australia

Though present in many regions of Australia, New South Wales, and Queensland make up for the largest concentrations of the indigenous population. A larger percentage of this population inhabit rural and remote areas. The median age of this indigenous population is 21 years, which is much lower than the non-indigenous population at 37 years. High fertility rates and low life spans in the indigenous community are believed to be the cause of this disparity in median age. Unemployment and low earnings are characteristic differences in the indigenous population and the non-indigenous population. The unemployment rate of the indigenous population is threefold that of the non-indigenous population. The average weekly income of the indige...
6 Pages(1500 words)Coursework

Forensic Mental Health

In contemporary society, we do have a moral obligation to treat everyone who enters the criminal justice system fairly. However, there are two aspects of this argument that seem to be developing. On the other hand, someone who does not have control of themselves because of mental illness may need to be seen differently than what has been set for "normal" criminals. The literature points in both directions and this can be a difficult call when people are actually entering the system.

In the current literature, the current criminal justice system has specific ideas of what should be done when an individual commits a crime. As an example, Carvan (1999) poses a question in a case study that is pertinent to the shit study. I...
10 Pages(2500 words)Coursework

Health Benefits of Meditation

The techniques of yoga have been demonstrated to be effective in maintaining a healthy balance between the body and the mind. As such, yoga corrects any defects in the human body (Javnbakht, Kenari and Ghasemi 102).

There are four types of yoga, namely Bhakti yoga, Karma Yoga, Gyana yoga, and Ashtanga yoga. However, all these varieties of yoga aim to provide individuals with the ability to manage and develop the health of the body and the mind. Yoga diminishes stress and its associated disorders. Several studies in this area, have suggested that yoga is an efficient system to address stress-related disorders (Javnbakht, Kenari and Ghasemi 102).

The practice of Asanas has an interrelated effect on the various...
10 Pages(2500 words)Thesis

Lack of Health Insurance for the Mentally Ill

Worse, because the family sometimes cannot afford to cover their medical expenses, these mentally ill patients end up with no medical care at all; they are forced to suffer the debilitating symptoms of their mental illness and to be subjected to worsening mental and general health conditions.
This paper shall discuss the lack of insurance among mentally ill patients. It shall first describe the mental health issue and the student’s position on such an issue. This paper shall also explain why this position is important and the relevance of the position to nursing practice, the mentally ill, and society. The rationale of this position shall be clearly explained and two factors that contribute to this issue shall be identi...
8 Pages(2000 words)Assignment

Marketing of Services: Starbucks Company

The employees are also awarded stock options. Through this, their salary may rise by 14% of the gross pay. The stock investment plan allows the buyers to buy common stock of the company at a discount. They can get hold of it in 85% of the fair market value. The other fringe benefit that the company provides is that of “Future Roast” 401(K) Plans. The employer matches the employee’s contribution to this plan by adding from 25 to 150 percent of the first 4 percent of pay. It is depended on the length of the service.

All these benefits get reflected in the result of employee job satisfaction. In Starbucks, the Employee Job Satisfaction rate is 82% as per the report of Hewitt Associates Starbucks Partner V...
6 Pages(1500 words)Assignment

Health Care Services

...Health Care Services Introduction The United s is perhaps the largest economy in the world which implies that it is a leader in nearly every important service delivery systems in the economy. Among the vital service delivery systems that an economy with such a stature is expected to flawlessly take care of ahead of other economies is healthcare. Despite the sensitivity with which healthcare has in defining the success of relevant institutions and departments, the American authorities have struggled with efficiency in the sector. It has not only been extremely expensive for the government to provide sustainable healthcare to its citizenry but is has also become a yardstick and critic tool against the political class. The impact of politics...
10 Pages(2500 words)Essay
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Essay on topic Primary Care in Mental Health Services for FREE!

Contact Us