Quality Measures Database

A condition in which a person has both a major mental illness and another health problem (e.g., development disability, substance abuse, personality disorder, or other general medical conditions such as heart disease or cancer).
Additional Domain(s) : Patients with Substance Abuse

Brief intervention by primary care physicians, step-by-step instruction, based on stages of change model, with associated self-care manual for patients aged 18 80 years with substance abuse disorders compared to excessive medicalization of somatizing patient, high-cost to system of many needless tests, frustration and demoralization of primary care physicians without needed skills to detect and manage these disorders.

Desired outcome is increased competence and sense of self-efficacy by primary-care physicians to detect and manage many cases of somatization disorder that would otherwise be associated with poor outcomes and enormous waste of system resources.

Wutzke SE, Shiell A, Gomel MK, Conigrave KM. Cost effectiveness of brief interventions for reducing alcohol consumption.
Soc Sci Med. 2001 Mar;52(6):863-70.
PMID: 11234861

I: Consistently higher quality studies specifically focused on primary mental health care.

• I felt the overall importance of this measure was affected by the fact that it is hard to measure the quality of this intervention.

Ratings-based Rank Relevance 99 Actionability 83 Overall Importance 98		Stakeholder Rank Academics 93 Clinicians 77 Consumers 118 Decision Makers 107 �		Special Group Rank First Nations 90 Rural Areas 116 Federal Stakeholders 125
Regional Rank BC AB SK MB ON QC NB NS PE NL YT NT NU 88 117 128 74 86 91 100 80 95 108 29 150 74				Overall Rank        93