Primary Care Mental Health
Edited by
Linda Gask, Helen Lester, Tony Kendrick and Robert Peveler
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Primary care is usually the first
port of call for people with mental health problems and plays an
increasingly important role in developing and delivering mental
health services. Indeed, 90% of all patients with mental health
problems (including 30–50% of all those with serious mental
illness) only use primary care services.
How can practitioners in primary
care best respond to psychiatric presentations? In this
book, internationally respected authors provide a conceptual
background and dispense practical advice for the clinician. They
discuss ways of improving joint working between primary and
secondary care, as well as issues affecting the professional
development of all practitioners within primary care teams.
Key features:
- Practical advice
- Focus on improving services
- Critical analysis of the emerging
evidence
- A user-centred approach, emphasising
recovery
- Educational strategies to develop knowledge
and skills of the primary care team.
Readership:
General Practitioners (GPs) and all medical practitioners and
managers in primary care.
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Winner of the Primary health
care category of the BMA Medical Book Awards 2010
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Prof Lester (on
the left) being presented the First Prize at the Awards ceremony,
Sep 2010
“This is a source of informed practical advice
on a wide variety of mental health issues encountered in primary
care. It avoids going in too much depth but lays out important
considerations in diagnosis and management. The book is a clearly
laid-out, easy-to-read and is especially useful for providing sign
posts to electronic and other resources some of which can be used
by patients. It is a good introduction to and overview of mental
health issues in primary care.”
BMA Medical Book
Awards 2010 Programme and Awards winners brochure

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About the editors:
- Linda Gask provides
consultant input to a primary care mental health service. Her
teaching, research and clinical interests lie in improving the
quality of care for common mental health problems.
- Helen Lester has a particular
interest in the physical and mental healthcare of people with
serious mental illness, the concept of recovery in primary care,
and service-user involvement.
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- Tony
Kendrick has published extensively on the primary care of
depression, schizophrenia and eating disorders. His work has been
influential in the development of good practice guidelines and
quality indicators in the UK for the management of severe mental
illness and depression.
- Robert
Peveler conducts research on medically unexplained
physical symptoms, depression in primary care, self-care in chronic
disease, and eating disorders. His clinical work is focused on
general hospital liaison psychiatry, especially fatigue and
pain.
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Contents
Part I: Conceptual basis and
overarching themes
1. What is primary care
mental health?
2. Mental health and primary
healthcare: an international policy perspective
3. The epidemiology of
mental illness
4. A sociological view of
mental health and illness
5. The service user
perspective
6. Low- and middle-income
countries
7. Diagnosis and classifi
cation of mental illness: a view from primary care
Part II: Clinical
issues
8. Depression
9. Suicide and self-harm
10. Anxiety
11. Medically unexplained
symptoms
12. Mental health problems
in older people
13. Perinatal mental
health
14. Child and adolescent
mental health
15. Psychosis
16. Emergencies in primary
care
17. Substance misuse
18. Management of alcohol
problems
19. Eating disorders
20. Physical health of
people with mental illness
21. Ethnic minorities
22. Asylum seekers and
refugees
23. Sexual problems
Part III: Policy and
practice
24. Mental health
promotion
25. Improving the quality of
primary care mental health: what does and does not work?
26. Psychological
treatments
27. Collaborative care and
stepped care: innovations for common mental disorders
28. The role of practice
nurses
Part IV: Reflective
practice
29. Teaching and learning
about mental health
30. Undertaking mental
health research in primary care
31. Individual treatment
decisions: guidelines and clinical judgement
32. Self and others: the
mental healthcare of the practitioner
Epilogue:
Racing pigeons and rolling rocks: reflections on complex problems
in primary care