Format

Send to

Choose Destination
N Z Med J. 2014 Mar 28;127(1391):62-73.

A clinical psychologist in GP-Land: an evaluation of brief psychological interventions in primary care.

Author information

1
Te Rawhiti Community Mental Health Centre, 15 Aberfeldy Avenue, Highland Park, Auckland 2110, New Zealand. SDath@middlemore.co.nz.

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.

PMID:
24732253
[Indexed for MEDLINE]

Supplemental Content

Loading ...
Support Center