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Collaboration entre médecin de famille et psychiatre pour les problèmes de santé mentale [Family physicians and psychiatrists' collaborative care for mental health problems].
Revue Médicale Suisse
Publication types: English Abstract ; Journal Article ; Review Publication Status: ppublish
The burden of disease linked to mental disorders represents more than one-fifth of years lived with disability in the world. Less than half of people suffering from mental disorders are adequately treated. Three quarter of those who receive treatment are followed by primary care. Collaborative care aims to increase the efficiency of direct general practitioner's treatment. Main components are sustainable and individualized consultation-liaison relationship (1/2 day of psychiatrist by 15 days for 10-15 general practitioners), and support of a clinical case manager for complex situations. Collaboration is bidirectional: early or crisis access to specialist care and long-term followup by general practitioner. This model is a challenge for the doctor-patient dual relationship and requires incentives in a public health perspective.
Cooperative Behavior, Humans, Interprofessional Relations, Mental Disorders/epidemiology, Mental Disorders/therapy, Patient Care Team, Physician's Role, Physicians, Family/organization & administration, Psychiatry/organization & administration, Public Health
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