Marie Josee Fleury

..To document the management of mental health problems (MHPs) by general practitioners...

..Greater effort could also be made in increasing services toward those deemed more vulnerable...

..This study sought to identify factors associated with health service utilisation by individuals with mental disorders in a Canadian catchment area...

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..The study presents a typology of GPs providing mental health care, by identifying clusters of GP profiles associated with the management of patients with common or serious mental disorders (CMD or SMD)...

..Shared care and enhanced collaboration with other public and community-based resources should be encouraged...

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..This article identifies and compares variables associated with the use by patients with SMD of services offered by psychiatrists, case managers, and general practitioners (GPs). It also compares frequent and infrequent service use...

..ER-Group used twice as many services. The study highlights the importance of developing a gamut of coordinated services, easily accessible in local networks, including case managers, family physicians, and shared-care development...

..Components associated with "daytime social relations" and "higher social needs" would be more effectively addressed by integrated healthcare providers...

..This article assesses variables associated with GPs taking on SMD patients...

..Six sociodemographic variables influence help from relatives, only one affects help from services. The role of relatives is identified as important in meeting patients' needs, either solely or jointly with services...

..This article examines the differences found between clientele with severe mental health problems and their key health workers in terms of assessing service users' needs in 6 Quebec service areas...

..A typology of inter-organizational relations and the main parameters for organizing integrated service networks are presented. The article also discusses the effectiveness of integration models...

..Our study concludes in favour of developing management strategies at the operational, clinical and professional levels, and integrating them as a planning aid that allows a more corporate and matrix-based system to be set up...

..They also address the challenges and issues raised by this mode of service organization in the mental health sector and more generally in a context of transforming healthcare systems...

..In conclusion, a brief discussion deals with the difficulties related to the study of systemic change implementation...

..Families are a vital, untapped resource for social workers in promoting independent living...

..5) to verify the adequacy of mental health services...

..Competency, skills and confidence seem to be core factors in decisions to take on PMD. Group practice models (CLSCs, network clinics) and shared-care initiatives should be encouraged to manage more complex PMD cases...

..Increasing GP co-ordination with psycho-social services, along with developing integrated care models including specialised care, is strongly recommended...

..General practitioners are at the heart of the current reforms since they have a key role to play in the successful implementation of integrated care models, including ISN models...

..Although their structure changed many times, particularly in the current context of reform to implement 95 local integrated service networks in the province, it continues to be a source of inspiration and of major actors...

..We shall identify a number of factors limiting its consolidation...

..We refer here "treatment" prevalence and incidence since its evaluation depends on a patient receiving a health care service with a diagnosis of schizophrenia...

..Migrant patients were also more likely to stay in or migrate to the most socially or materially deprived territories...