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Beyond symptoms: Defining primary care mental health clinical assessment priorities, content and process

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  • Lynch, Johanna M.
  • Askew, Deborah A.
  • Mitchell, Geoffrey K.
  • Hegarty, Kelsey L.

Abstract

The assessment of undifferentiated psychological distress is a daily aspect of primary care practice. Primary care practitioners’ underlying values influence the priorities, process and content of assessment. Currently there is a lack of definition of these values in primary care clinical mental health assessment. This paper presents the case for adopting the philosophical values and principles of holistic transdisciplinary generalism to influence practice worldwide. Furthermore, it raises awareness of current constraints on practice, including an overreliance on the psychiatric paradigm of care and resulting criteria-based diagnoses. Finally, the paper seeks to promote discussion among primary care practitioners and researchers globally about how to define primary care clinical mental health assessment priorities, process and content.

Suggested Citation

  • Lynch, Johanna M. & Askew, Deborah A. & Mitchell, Geoffrey K. & Hegarty, Kelsey L., 2012. "Beyond symptoms: Defining primary care mental health clinical assessment priorities, content and process," Social Science & Medicine, Elsevier, vol. 74(2), pages 143-149.
    • Handle: RePEc:eee:socmed:v:74:y:2012:i:2:p:143-149
    DOI: 10.1016/j.socscimed.2011.08.043
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    References listed on IDEAS

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    1. McPherson, Susan & Armstrong, David, 2009. "Negotiating 'depression' in primary care: A qualitative study," Social Science & Medicine, Elsevier, vol. 69(8), pages 1137-1143, October.
    2. Barry, Christine A. & Stevenson, Fiona A. & Britten, Nicky & Barber, Nick & Bradley, Colin P., 2001. "Giving voice to the lifeworld. More humane, more effective medical care? A qualitative study of doctor-patient communication in general practice," Social Science & Medicine, Elsevier, vol. 53(4), pages 487-505, August.
    3. Pilgrim, David, 2007. "The survival of psychiatric diagnosis," Social Science & Medicine, Elsevier, vol. 65(3), pages 536-547, August.
    4. Mitchell, Penelope Fay, 2009. "A discourse analysis on how service providers in non-medical primary health and social care services understand their roles in mental health care," Social Science & Medicine, Elsevier, vol. 68(7), pages 1213-1220, April.
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    Cited by:

    1. Sian Jones & Paul Gill & Joyce Kenkre, 2020. "Nurse managed patient focused assessment and care: A grounded theory of qualified nurses in acute and critical care settings assessing the mental capacity of adult patients," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(7-8), pages 1254-1266, April.

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