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17 |
Patients with Comorbid Conditions |
Competence, Patients with Mood Disorders
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Physical health checks should pay particular attention to hormonal disorders (e.g., diabetes and hyperprolactinemia), heart disease risk factors (e.g., blood pressure and lipids), side effects of medication, and lifestyle factors (e.g., smoking). These must be recorded in the notes.
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19 |
Patients with Comorbid Conditions |
Accessibility, Patients with Substance Abuse
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Access to relapse prevention treatments of established efficacy should be facilitated for alcohol dependent patients.
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Display Detailed
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39 |
Patients with Comorbid Conditions |
Patients with Anxiety Disorders, Patients with Mood Disorders
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Consider the possibility of mood, anxiety or somatoform disorders, particularly in the presence of medically unexplained heart system, digestive system and nervous system symptoms or emergency room visits for medically unexplained physical symptoms.
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50 |
Competence |
Patients with Substance Abuse, Patients with Comorbid Conditions
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Provision of interventions that have specific focus on alcohol and those that are multi-component, as these can increase the engagement of general practitioners in screening and giving advice for hazardous and harmful alcohol consumption.
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Display Detailed
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57 |
Competence |
Patients with Mood Disorders, Patients with Comorbid Conditions
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Training and supervision for primary health care providers on how to build a therapeutic alliance with adults suffering from serious and persistent mental illness and physical comorbidities.
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63 |
Early Detection |
Patients with Comorbid Conditions, Accessibility
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Use of a common, validated screening tool (e.g., a four-item test with questions on Cutting down, Annoyance at criticism, Guilty feelings and use of Eye-openers (CAGE), The Alcohol Use Disorders Identification Test (AUDIT)) for alcohol or other drug problems for all new patients.
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93 |
Patients with Comorbid Conditions |
Patients with Substance Abuse
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Brief intervention by a primary health care provider using the stages of change model for adult patients with comorbid substance abuse disorders.
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105 |
Patients with Comorbid Conditions |
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Percentage of clients with 3 or more distinct major health issues addressed over a one-year period.
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115 |
Patients with Comorbid Conditions |
Service Outputs, Continuity
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Percentage of people discharged from hospital with a dual diagnosis (psychiatric and substance abuse) who receive 4 or more mental health visits and 4 or more substance misuse visits in a 12-month period post-discharge.
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123 |
Patients with Comorbid Conditions |
Health Conditions
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Use of the Centre for Addiction and Mental Health Concurrent Disorders screener, a validated computer-administered rating scale (5-20 minutes to complete) that flags the possible presence of co-morbid mental health or addictions disorders.
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157 |
Patients with Comorbid Conditions |
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Use of the Dual Disorders Integrated Treatment Fidelity scale, a non-validated 16-item measure of fidelity of the practice to the principles of integrated treatment for mental health and substance misuse problems.
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