FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2106991736> ?p ?o ?g. }

• W2106991736 abstract "Background Approximately 25% of people will be affected by a mental disorder at some stage in their life. Despite the prevalence and negative impacts of mental disorders, many people are not diagnosed or do not receive adequate treatment. Therefore primary health care has been identified as essential to improving the delivery of mental health care. Consultation liaison is a model of mental health care where the primary care provider maintains the central role in the delivery of mental health care with a mental health specialist providing consultative support. Consultation liaison has the potential to enhance the delivery of mental health care in the primary care setting and in turn improve outcomes for people with a mental disorder. Objectives To identify whether consultation liaison can have beneficial effects for people with a mental disorder by improving the ability of primary care providers to provide mental health care. Search methods We searched the EPOC Specialised Register, Cochrane Central Register of Controlled Trials (CENTRAL), and bibliographic databases: MEDLINE, EMBASE, CINAHL and PsycINFO, in March 2014. We also searched reference lists of relevant studies and reviews to identify any potentially relevant studies. Selection criteria We included randomised controlled trials (RCTs) which compared consultation liaison to standard care or other service models of mental health care in the primary setting. Included participants were people attending primary care practices who required mental health care or had a mental disorder, and primary care providers who had direct contact with people in need of mental health care. Data collection and analysis Two review authors independently screened the titles and abstracts of identified studies against the inclusion criteria and extracted details including the study design, participants and setting, intervention, outcomes and any risk of bias. We resolved any disagreements by discussion or referral to a third author. We contacted trial authors to obtain any missing information. We collected and analysed data for all follow‐up periods: up to and including three months following the start of treatment; between three and 12 months; and more than 12 months following the start of therapy. We used a random‐effects model to calculate the risk difference (RD) for binary data and number needed to treat for an additional beneficial outcome (NNTB), if differences between groups were significant. The mean difference (MD) or standardised mean difference (SMD) was calculated for continuous data. Main results There were 8203 citations identified from database searches and reference lists. We included 12 trials with 2605 consumer participants and more than 905 primary care practitioner participants. Eleven trials compared consultation liaison to standard care and one compared consultation liaison to collaborative care, with a case manager co‐ordinating mental health care. People with depression were included in eight trials; and one trial each included people with a variety of disorders: depression, anxiety and somatoform disorders; medically unexplained symptoms; and drinking problems. None of the included trials reported separate data for children or older people. There was some evidence that consultation liaison improved mental health up to three months following the start of treatment (two trials, n = 445, NNTB 8, 95% CI 5 to 25) but there was no evidence of its effectiveness between three and 12 months. Consultation liaison also appeared to improve consumer satisfaction (up to three months: one trial, n = 228, NNTB 3, 95% CI 3 to 5; 3 to 12 months: two trials, n = 445, NNTB 8, 95% CI 5 to 17) and adherence (3 to 12 months: seven trials, n = 1251, NNTB 6, 95% CI 4 to 13) up to 12 months. There was also an improvement in the primary care provider outcomes of providing adequate treatment between three to 12 months (three trials, n = 797, NNTB 7, 95% CI 4 to 17) and prescribing pharmacological treatment up to 12 months (four trials, n = 796, NNTB 13, 95% CI 7 to 50). There was also some evidence that consultation liaison may not be as effective as collaborative care in regards to symptoms of mental disorder, disability, general health status, and provision of treatment. The quality of these findings were low for all outcomes however, apart from consumer adherence from three to 12 months, which was of moderate quality. Eight trials were rated a high risk of performance bias because consumer participants were likely to have known whether or not they were allocated to the intervention group and most outcomes were self reported. Bias due to attrition was rated high in eight trials and reporting bias was rated high in six. Authors' conclusions There is evidence that consultation liaison improves mental health for up to three months; and satisfaction and adherence for up to 12 months in people with mental disorders, particularly those who are depressed. Primary care providers were also more likely to provide adequate treatment and prescribe pharmacological therapy for up to 12 months. There was also some evidence that consultation liaison may not be as effective as collaborative care in terms of mental disorder symptoms, disability, general health status, and provision of treatment. However, the overall quality of trials was low particularly in regards to performance and attrition bias and may have resulted in an overestimation of effectiveness. More evidence is needed to determine the effectiveness of consultation liaison for people with mental disorders particularly for those with mental disorders other than depression." @default.
• W2106991736 created "2016-06-24" @default.
• W2106991736 creator A5016984003 @default.
• W2106991736 creator A5033174677 @default.
• W2106991736 creator A5078482500 @default.
• W2106991736 creator A5091401765 @default.
• W2106991736 date "2015-09-18" @default.
• W2106991736 modified "2023-09-23" @default.
• W2106991736 title "Consultation liaison in primary care for people with mental disorders" @default.
• W2106991736 cites W1557427434 @default.
• W2106991736 cites W1603154299 @default.
• W2106991736 cites W1910910337 @default.
• W2106991736 cites W1935192961 @default.
• W2106991736 cites W1946731921 @default.
• W2106991736 cites W1968564639 @default.
• W2106991736 cites W1970629274 @default.
• W2106991736 cites W1971438266 @default.
• W2106991736 cites W1972909180 @default.
• W2106991736 cites W1973294644 @default.
• W2106991736 cites W1977581755 @default.
• W2106991736 cites W1978046522 @default.
• W2106991736 cites W1980328858 @default.
• W2106991736 cites W1987050086 @default.
• W2106991736 cites W1987257908 @default.
• W2106991736 cites W1991134039 @default.
• W2106991736 cites W1991773915 @default.
• W2106991736 cites W1993221067 @default.
• W2106991736 cites W1996695042 @default.
• W2106991736 cites W1997286859 @default.
• W2106991736 cites W1999839183 @default.
• W2106991736 cites W2006910065 @default.
• W2106991736 cites W2009412368 @default.
• W2106991736 cites W2011392003 @default.
• W2106991736 cites W2011858838 @default.
• W2106991736 cites W2013106668 @default.
• W2106991736 cites W2017950206 @default.
• W2106991736 cites W2021267093 @default.
• W2106991736 cites W2030960248 @default.
• W2106991736 cites W2031254373 @default.
• W2106991736 cites W2046050842 @default.
• W2106991736 cites W2052755559 @default.
• W2106991736 cites W2055156944 @default.
• W2106991736 cites W2066533572 @default.
• W2106991736 cites W2074453183 @default.
• W2106991736 cites W2074896275 @default.
• W2106991736 cites W2076926008 @default.
• W2106991736 cites W2079037125 @default.
• W2106991736 cites W2080474738 @default.
• W2106991736 cites W2081401651 @default.
• W2106991736 cites W2082102545 @default.
• W2106991736 cites W2086354400 @default.
• W2106991736 cites W2086627928 @default.
• W2106991736 cites W2090879498 @default.
• W2106991736 cites W2092898456 @default.
• W2106991736 cites W2093438883 @default.
• W2106991736 cites W2093811350 @default.
• W2106991736 cites W2093840165 @default.
• W2106991736 cites W2095080311 @default.
• W2106991736 cites W2096131809 @default.
• W2106991736 cites W2097087081 @default.
• W2106991736 cites W2097374818 @default.
• W2106991736 cites W2100209052 @default.
• W2106991736 cites W2116835333 @default.
• W2106991736 cites W2117513358 @default.
• W2106991736 cites W2119095553 @default.
• W2106991736 cites W2119112596 @default.
• W2106991736 cites W2119407790 @default.
• W2106991736 cites W2119844085 @default.
• W2106991736 cites W2120595870 @default.
• W2106991736 cites W2121425034 @default.
• W2106991736 cites W2121763523 @default.
• W2106991736 cites W2122436 @default.
• W2106991736 cites W2125435699 @default.
• W2106991736 cites W2130372058 @default.
• W2106991736 cites W2136807085 @default.
• W2106991736 cites W2140191362 @default.
• W2106991736 cites W2141184688 @default.
• W2106991736 cites W2143411701 @default.
• W2106991736 cites W2145519394 @default.
• W2106991736 cites W2145603657 @default.
• W2106991736 cites W2147404712 @default.
• W2106991736 cites W2152240392 @default.
• W2106991736 cites W2154929250 @default.
• W2106991736 cites W2155665623 @default.
• W2106991736 cites W2155685996 @default.
• W2106991736 cites W2155751713 @default.
• W2106991736 cites W2160364404 @default.
• W2106991736 cites W2163331348 @default.
• W2106991736 cites W2187441671 @default.
• W2106991736 cites W2188479189 @default.
• W2106991736 cites W2237190731 @default.
• W2106991736 cites W2240909535 @default.
• W2106991736 cites W2323860511 @default.
• W2106991736 cites W2400264840 @default.
• W2106991736 cites W2414014466 @default.
• W2106991736 cites W2418770056 @default.
• W2106991736 cites W2463027235 @default.
• W2106991736 cites W33877793 @default.
• W2106991736 cites W4230801129 @default.
• W2106991736 cites W4299379708 @default.

• next