The Role of Family Physicians in Mental Health Care: Screening, Diagnosis, and Treatment Options
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Abstract
amily physicians play a pivotal role in the early detection, diagnosis, and management of mental health disorders within the community. This review article delves into the multifaceted responsibilities of family physicians in the realm of mental health care. Emphasizing the importance of primary care settings as the first point of contact for many patients, the article underscores the need for effective screening tools and methodologies tailored for these environments. The diagnostic precision of family physicians, often challenged by the broad spectrum of mental health symptoms, is explored alongside the potential implications of misdiagnoses. Furthermore, the article evaluates various treatment options, from pharmacological interventions to psychotherapy, and their applicability in primary care settings. The integration of technological advancements, such as electronic health records and telemedicine, is also discussed in the context of enhancing patient care. The review concludes by highlighting the importance of educating primary care physicians to not only pay close attention to the mental health of their patients, but also to be able to accurately screen and diagnose mental health issues using various diagnostic tools. Moreover, it is critical to develop more useful tools that can be used in the context of primary care settings.
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References
World Health Organization. (2001). Mental disorders affect one in four people. Retrieved from WHO website. https://www.who.int/news-room/detail/28-09-2001-the-world-health-report-2001-mental-disorders-affect-one-in-four-people
https://www.who.int/news-room/fact-sheets/detail/mental-disorders
Starfield, B., Shi, L., & Macinko, J. (2005). Contribution of primary care to health systems and health. The Milbank Quarterly, 83(3), 457-502.
Kessler, R., & Stafford, D. (2008). Primary care is the de facto mental health system. Journal of the American Board of Family Medicine, 21(3), 183-187.
Corrigan, P. (2004). How stigma interferes with mental health care. American Psychologist, 59(7), 614.
Olfson, M., Kroenke, K., Wang, S., & Blanco, C. (2014). Trends in office-based mental health care provided by psychiatrists and primary care physicians. Journal of Clinical Psychiatry, 75(3), 247-253.
Samples, H., Stuart, E. A., Saloner, B., Barry, C. L., & Mojtabai, R. (2020). The Role of Screening in Depression Diagnosis and Treatment in a Representative Sample of US Primary Care Visits. Journal of general internal medicine, 35(1), 12–20. https://doi.org/10.1007/s11606-019-05192-3
Goodrich, D. E., Kilbourne, A. M., Nord, K. M., & Bauer, M. S. (2013). Mental health collaborative care and its role in primary care settings. Current psychiatry reports, 15(8), 383. https://doi.org/10.1007/s11920-013-0383-2
Abed Faghri, N. M., Boisvert, C. M., & Faghri, S. (2010). Understanding the expanding role of primary care physicians (PCPs) to primary psychiatric care physicians (PPCPs): enhancing the assessment and treatment of psychiatric conditions. Mental health in family medicine, 7(1), 17–25.
Gray VG, Brody SD, Johnston D. The evolution of behavioral primary care. Professional Psychology: Research and Practice 2005;36:123–9
Kolbasovsky A, Reich L, Romano I, et al. Integrating behavioral health into primary care settings: a pilot project. Professional Psychology: Research and Practice 2005;36:130–5
Coyne JC, Klinkman MS, Nease DE. Emotional disorders in primary care. Journal of Consulting and Clinical Psychology 2002;70:798–809.
Olfson M, Marcus SC, Druss B. National trends in the outpatient treatment of depression. Journal of the American Medical Association 2002;287:203–9
Clatney, L., Macdonald, H., & Shah, S. M. (2008). Mental health care in the primary care setting: family physicians' perspectives. Canadian family physician Medecin de famille canadien, 54(6), 884–889.
Poghosyan, L., Norful, A. A., Ghaffari, A., George, M., Chhabra, S., & Olfson, M. (2019). Mental health delivery in primary care: The perspectives of primary care providers. Archives of psychiatric nursing, 33(5), 63–67. https://doi.org/10.1016/j.apnu.2019.08.001
Rogers, R., Hartigan, S. E., & Sanders, C. E. (2021). Identifying Mental Disorders in Primary Care: Diagnostic Accuracy of the Connected Mind Fast Check (CMFC) Electronic Screen. Journal of clinical psychology in medical settings, 28(4), 882–896. https://doi.org/10.1007/s10880-021-09820-1
[1] Al-Krenawi, A., & Graham, J. R. (2000). Culturally sensitive social work practice with Arab clients in mental health settings.
Alattar N, Felton A, Stickley T. Mental health and stigma in Saudi Arabia: A scoping review. Mental Health Review Journal. 2021 May 27;26(2):180-96.
Al-Atram AA. Physicians’ knowledge and attitude towards mental health in Saudi Arabia. Ethiopian journal of health sciences. 2018;28(6).
BinDhim NF, Althumiri NA, Basyouni MH, Alageel AA, Alghnam S, Al-Qunaibet AM, Almubarak RA, Aldhukair S, Ad-Dab’bagh Y. Saudi Arabia Mental Health Surveillance System (MHSS): Mental health trends amid COVID-19 and comparison with pre-COVID-19 trends. European Journal of Psychotraumatology. 2021 Jan 1;12(1):1875642.
Ministry of Health, Saudi Arabia. Mental health awareness campaigns.
Almalki, M., Fitzgerald, G., & Clark, M. (2011). Health care system in Saudi Arabia: An overview.
Al-Subaie, A., & Mohanna, M. (1999). Traditional healing experiences in patients attending a university hospital in Riyadh.
Qureshi, N. A., Al-Habeeb, A. A., & Koenig, H. G. (2013). Mental health system in Saudi Arabia: An overview.
Al-Gelban, K. S. (2009). Depression, anxiety and stress among Saudi adolescent school boys.
Siu, A. L., & US Preventive Services Task Force. (2016). Screening for depression in adults: US Preventive Services Task Force recommendation statement. JAMA, 315(4), 380-387.
Alegria, M., Vallas, M., & Pumariega, A. J. (2010). Racial and ethnic disparities in pediatric mental health. Child and Adolescent Psychiatric Clinics, 19(4), 759-774
Siu AL, Bibbins-Domingo K, Grossman DC, Baumann LC, Davidson KW, Ebell M, García FA, Gillman M, Herzstein J, Kemper AR, Krist AH. Screening for depression in adults: US Preventive Services Task Force recommendation statement. Jama. 2016 Jan 26;315(4):380-7.
Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ‐9: validity of a brief depression severity measure. Journal of general internal medicine, 16(9), 606-613.
Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of internal medicine, 166(10), 1092-1097.
Babor TE, Higgins-Biddle J, Dauser D, Higgins P, Burleson JA. Alcohol screening and brief intervention in primary care settings: implementation models and predictors. Journal of studies on alcohol. 2005 May;66(3):361-8.
Gaynes, B. N., Rush, A. J., Trivedi, M. H., Wisniewski, S. R., & Balasubramani, G. K. (2005). Primary versus specialty care outcomes for depressed outpatients managed with measurement-based care: results from STAR*D. Journal of general internal medicine, 20(5), 402-409.
Mitchell, A. J., Vaze, A., & Rao, S. (2009). Clinical diagnosis of depression in primary care: a meta-analysis. The Lancet, 374(9690), 609-619
Shepherd N, Parker C. Depression in adults: recognition and management. Clin Pharm. 2017 Apr 5;9.
Moise, N., Wainberg, M., & Shah, R. N. (2021). Primary care and mental health: Where do we go from here?. World journal of psychiatry, 11(7), 271–276. https://doi.org/10.5498/wjp.v11.i7.271
Wittchen, H. U., Mühlig, S., & Beesdo, K. (2003). Mental disorders in primary care. Dialogues in clinical neuroscience, 5(2), 115–128. https://doi.org/10.31887/DCNS.2003.5.2/huwittchen