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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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27 |
Competence |
Shared Care
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On-site mental health worker mentorship of primary health care providers occurs in the practice as part of an ongoing (i.e., not time limited) collaborative care or quality improvement program.
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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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54 |
Competence |
Patients with Chronic Conditions, Self-Management Support
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Skill-oriented interactive training programs are provided for all staff regarding chronic illness care (i.e., chronic disease management).
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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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58 |
Patients with Mood Disorders |
Competence
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Percent of individuals with major depression who have been evaluated for manic or hypomanic episodes.
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62 |
Competence |
Continuity, Accessibility
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The provision of telephone support by appropriately trained members of the primary health care team - informed by clear treatment protocols - should be considered for all patients, in particular for the monitoring of anti depressant medication regimes.
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78 |
Equity |
Patients with Mood Disorders, Competence
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Availability of specialized staff who can act as case managers and coordinate treatment between providers for minority populations.
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81 |
Competence |
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Provider competencies critical to recovery, rehabilitation, and empowerment in persons with serious persistent mental illness as measured by the Competency Assessment Instrument (CAI) scale.
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88 |
Competence |
Aboriginal
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Inclusion of aboriginal health status and health issues in the undergraduate curriculum of faculties, residency training of family physicians and psychiatrists; and training of psychologists, social workers and other health care and health-related professionals. This may include integrating a traditional Aboriginal Elder to offer these training programs.
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102 |
Children |
Competence, Accessibility
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Availability of tele-health technology for training and case consultation for physician assessment of pervasive developmental disorders (e.g., autism) amongst children.
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104 |
Emergency Services |
Competence, Patients with Acute Conditions
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Percent of telephone crisis line staff undergoing an initial credentialing and annual recredentialing process.
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106 |
Psychotherapy |
Competence
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Cognitive behavioural therapy (CBT) principles should form the core of training for primary health care-based psychological treatment providers (due to the preponderance of high quality evidence for effectiveness of CBT with a broad spectrum of disorders and age groups).
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113 |
Competence |
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Use of the Evaluation of Mental Health Issues in Primary Care survey: a survey asking general practitioners about their level of knowledge, skills in assessment and diagnosis, and degree of comfort with a variety of mental health and addictions problems.
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122 |
Psychotherapy |
Competence
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Stepped care for delivery of psychological therapy (i.e., the skill of the therapist/availability of supervision matched with the patient’s motivation and the complexity of their illness).
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152 |
Youth |
Competence
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Rating of primary health care practitioners’ self-rated confidence in skills and knowledge of child and youth mental health problems using the “Children’s Mental Health Survey for Eastern Ontario” tool.
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156 |
Psychotherapy |
Competence
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Use of provider psychological treatment competency scales (e.g., the Cognitive Therapy Scale (CTS)).
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