Screening for Psychiatric Illness with a Combined Screening and Diagnostic Instrument
dc.contributor.author | Valenstein, Marcia | en_US |
dc.contributor.author | Dalack, Gregory W. | en_US |
dc.contributor.author | Blow, Frederic C. | en_US |
dc.contributor.author | Figueroa, Sara | en_US |
dc.contributor.author | Standiford, Connie J. | en_US |
dc.contributor.author | Douglass, Alan B. | en_US |
dc.date.accessioned | 2010-06-01T19:05:26Z | |
dc.date.available | 2010-06-01T19:05:26Z | |
dc.date.issued | 1997-11 | en_US |
dc.identifier.citation | Valenstein, Marcia; Dalack, Gregory; Blow, Frederic; Figueroa, Sara; Standiford, Connie; Douglass, Alan (1997). "Screening for Psychiatric Illness with a Combined Screening and Diagnostic Instrument." Journal of General Internal Medicine 12(11): 679-685. <http://hdl.handle.net/2027.42/72278> | en_US |
dc.identifier.issn | 0884-8734 | en_US |
dc.identifier.issn | 1525-1497 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/72278 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=9383136&dopt=citation | en_US |
dc.description.abstract | To determine 1) if the PRIME-MD, a two-step screening and diagnostic instrument for psychiatric disorders, increases diagnosis and intervention when actively implemented in a busy general medicine clinic, and 2) the type of staff support required to achieve sufficient implementation to realize gains in diagnosis and treatment. DESIGN: We introduced the PRIME-MD into a large general medicine clinic with repeated rotation of four support conditions for implementation: (1) no support, (2) nonclinical staff support (NCSS), (3) nursing staff (RN) support, and (4) a written Prompt condition. SETTING AND PATIENTS: Patients ( N = 2,263) attending a general medicine clinic at a Veterans Affairs Medical Center. MEASUREMENTS AND MAIN RESULTS: Outcome measures were (1) PRIME-MD questionnaire and interview use, (2) overall psychiatric diagnosis, (3) new psychiatric diagnosis, and (4) provider intervention for psychiatric conditions. The NCSS, RN support, and prompt conditions resulted in similar rates of questionnaire use but significantly different rates of structured interview use. The NCSS condition was associated with significant increases in new diagnosis, and the RN support and Prompt condition were associated with significant increases in new diagnosis and intervention compared with no support. CONCLUSIONS: Nursing staff support resulted in sufficient PRIME-MD implementation to achieve gains in both new diagnosis and provider intervention compared with no support. These gains occurred in a busy primary care clinic with nonselected providers and customary visit lengths. This level of support should be achievable in most clinical settings. | en_US |
dc.format.extent | 406719 bytes | |
dc.format.extent | 3109 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Blackwell Science Inc | en_US |
dc.rights | 1997 by the Society of General Internal Medicine | en_US |
dc.subject.other | Mental Disorders | en_US |
dc.subject.other | Screening | en_US |
dc.subject.other | Primary Health Care | en_US |
dc.subject.other | Treatment | en_US |
dc.subject.other | Recognition | en_US |
dc.title | Screening for Psychiatric Illness with a Combined Screening and Diagnostic Instrument | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Internal Medicine and Specialties | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Departments of Psychiatry, University of Michigan, Ann Arbor, Mich., | en_US |
dc.contributor.affiliationum | Internal Medicine, University of Michigan, Ann Arbor, Mich. | en_US |
dc.contributor.affiliationother | Psychiatry Service, Veterans Affairs Medical Center, Ann Arbor, Mich., | en_US |
dc.contributor.affiliationother | SMITREC, Health Services Research and Development, Veterans Affairs Medical Center, Ann Arbor, Mich., | en_US |
dc.identifier.pmid | 9383136 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/72278/1/j.1525-1497.1997.07141.x.pdf | |
dc.identifier.doi | 10.1046/j.1525-1497.1997.07141.x | en_US |
dc.identifier.source | Journal of General Internal Medicine | en_US |
dc.identifier.citedreference | Kessler L, Cleary P, Burke J. Psychiatric disorders in primary care. Arch Gen Psychiatry. 1985 42: 583 7. | en_US |
dc.identifier.citedreference | Barrett J, Oxman T, Gerber P. The prevalence of psychiatric disorders in a primary care practice. Arch Gen Psychiatry. 1988 45: 1100 6. | en_US |
dc.identifier.citedreference | Freeling P, Rao B, Paykel E, Sireling L, Burton R. Unrecognized depression in general practice. BMJ. 1985 290: 1880 3. | en_US |
dc.identifier.citedreference | Schulberg H, Saul M, McClelland M, Ganguli M, Chisty W, Frank R. Assessing depression in primary medical and psychiatric practices. Arch Gen Psychiatry. 1985 42: 1164 70. | en_US |
dc.identifier.citedreference | Ormel J, Maarten W, Koeter M, van den Brink W, van de Willige G. Recognition, management, and course of anxiety and depression in general practice. Arch Gen Psychiatry. 1991 48: 700 6. | en_US |
dc.identifier.citedreference | Perez-Stable EJ, Miranda J, Munoz RF, Ying YW. Depression in medical outpatients. Underrecognition and misdiagnosis. Arch Intern Med. 1990 150: 1083 8. | en_US |
dc.identifier.citedreference | Johnson J, Weissmann MM, Klerman GL. Service utilization and social morbidity associated with depressive symptoms in the community. JAMA. 1992 267: 1478 83. | en_US |
dc.identifier.citedreference | Broadhead WE, Blazer DG, George LK, Tse CK. Depression, disability days, and days lost from work in a prospective epidemiologic survey. JAMA. 1990 264: 2524 8. | en_US |
dc.identifier.citedreference | Wells KB, Stewart A, Hays RD, et al. The functioning and well-being of depressed patients. Results from the Medical Outcomes Study. JAMA. 1989 262 ( 11 ): 914 9. | en_US |
dc.identifier.citedreference | Ormel J, VonKorff M, Ustun TB, Pini S, Korten A, Oldehinkel T. Common mental disorders and disability across cultures. Results from the WHO Collaborative Study on Psychological Problems in General Health Care. JAMA. 1994 272: 1741 8. | en_US |
dc.identifier.citedreference | Linn LS & Yager J. Screening of depression in relationship to subsequent patient and physician behavior. Med Care. 1982 20: 1233 40. | en_US |
dc.identifier.citedreference | Moore J, Silimper D, Bobula J. Recognition of depression by family medicine residents: the impact of screening. J Fam Pract. 1978 7: 509 13. | en_US |
dc.identifier.citedreference | Johnstone A & Goldberg D. Psychiatric screening in general practice. A controlled trial. Lancet. 1976 1: 605 8. | en_US |
dc.identifier.citedreference | Zung WW, Magill M, Moore JT, George DT. Recognition and treatment of depression in a family medicine practice. J Clin Psychiatry. 1983 44: 3 6. | en_US |
dc.identifier.citedreference | Shapiro S, German PS, Skinner EA, et al. An experiment to change detection and management of mental morbidity in primary care. Med Care. 1987 25: 327 39. | en_US |
dc.identifier.citedreference | Hoeper EW, Nycz GR, Kessler LG, Pierce WE. The usefulness of screening for mental illness. Lancet 1984 1: 33 5. | en_US |
dc.identifier.citedreference | Linn LS & Yager J. The effect of screening, sensitization, and feedback on notation of depression. J Med Educ. 1980 55: 942 9. | en_US |
dc.identifier.citedreference | Magruder-Habib K, Zung WW, Feussner JR. Improving physicians recognition and treatment of depression in general medical care. Results from a randomized clinical trial. Med Care. 1990 28: 239 50. | en_US |
dc.identifier.citedreference | Linn LS & Yager J. Recognition of depression and anxiety by primary physicians. Psychosomatics. 1984 25: 593 600. | en_US |
dc.identifier.citedreference | Higgins ES. A review of unrecognized mental illness in primary care. Arch Fam Med. 1994 3: 908 17. | en_US |
dc.identifier.citedreference | Zich JM, Attkisson CC, Greenfield TK. Screening for depression in primary care clinics: the CES-D and the BDI. Int J Psychiatry Med. 1990 20: 259 77. | en_US |
dc.identifier.citedreference | Schwenk TL. Screening for depression in primary care: a disease in search of a test. J Gen Intern Med. 1996 11: 437 9. | en_US |
dc.identifier.citedreference | Broadhead WE, Leon AC, Weissman MM, et al. Development and validation of the SDDS-PC screen for multiple mental disorders in primary care. Arch Fam Med. 1995 4: 211 9. | en_US |
dc.identifier.citedreference | Kessler RC, McGonagle KA, Zhao S, et al. Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Arch Gen Psychiatry. 1994 51: 8 19. | en_US |
dc.identifier.citedreference | Zimmerman M, Lish J, Farber N, et al. Screening for depression in medical patients. Is the focus too narrow? Gen Hosp Psychiatry. 1994 16: 388 96. | en_US |
dc.identifier.citedreference | 26 Eisenberg L. Treating depression and anxiety in primary care: closing the gap between knowledge and practice N Engl J Med. 1992 326:1080 4. | en_US |
dc.identifier.citedreference | Spitzer RL, Williams JB, Kroenke K, et al. Utility of a new procedure for diagnosing mental disorders in primary care: The PRIME-MD 1000 study. JAMA. 1994 272: 1749 56. | en_US |
dc.identifier.citedreference | Philbrick J, Connelly J, Wofford A. The prevalence of mental disorders in rural office practice. J Gen Intern Med. 1996 11: 9 15. | en_US |
dc.identifier.citedreference | 29 Maurer K. PRIME-MD gets mixed reviews in practice. Intern Med News. Oct 1996:18. | en_US |
dc.identifier.citedreference | Katon W. Will improving detection of depression in primary care lead to improved depressive outcomes? Gen Hosp Psychiatry. 1995 17: 1 2 | en_US |
dc.identifier.citedreference | 31 U.S. Preventive Services Task Force. Guide to Clinical Preventive Services, 2nd ed. Baltimore, Md: Williams and Wilkins 1996. | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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