Integration between Primary Care and Mental Health Services in Italy : Determinants of Referral and Stepped Care
Joint Authors
Fioritti, Angelo
Menchetti, Marco
Berardi, Domenico
Piazza, Antonella
Mimmi, Stefano
Rucci, Paola
Fantini, Maria Pia
Source
International Journal of Family Medicine
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-05-20
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
This study, carried out in the context of a collaborative care program for common mental disorders, is aimed at identifying the predictors of Primary Care Physician (PCP) referral to Community Mental Health Center (CMHC) and patterns of care.
Patients with depression or anxiety disorders who had a first contact with CMHCs between January 1, 2007–December 31, 2009 were extracted from Bologna Local Health Authority database.
A classification and regression tree procedure was used to determine which combination of demographic and diagnostic variables best distinguished patients referred by PCPs and to identify predictors of patterns of care (consultation, shared care, and treatment at the CMHC) for patients referred by PCPs.
Of the 8570 patients, 57.4% were referred by PCPs.
Those less likely to be referred by PCPs were living in the urban area, suffered from depressive disorder, and were young.
As to the pattern of care, patients living in the urban area were more likely to receive shared care compared with those living in the nonurban area, while the reverse was true for consultation.
Predictors of CMHC treatment were depression and young age.
Prospective studies are needed to assess length, quantity, and quality of collaborative treatment for common mental disorder delivered at any step of care.
American Psychological Association (APA)
Rucci, Paola& Piazza, Antonella& Menchetti, Marco& Berardi, Domenico& Fioritti, Angelo& Mimmi, Stefano…[et al.]. 2012. Integration between Primary Care and Mental Health Services in Italy : Determinants of Referral and Stepped Care. International Journal of Family Medicine،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-477151
Modern Language Association (MLA)
Rucci, Paola…[et al.]. Integration between Primary Care and Mental Health Services in Italy : Determinants of Referral and Stepped Care. International Journal of Family Medicine No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-477151
American Medical Association (AMA)
Rucci, Paola& Piazza, Antonella& Menchetti, Marco& Berardi, Domenico& Fioritti, Angelo& Mimmi, Stefano…[et al.]. Integration between Primary Care and Mental Health Services in Italy : Determinants of Referral and Stepped Care. International Journal of Family Medicine. 2012. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-477151
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-477151