The need to augment the number of primary care physicians throughout the nation has been well documented. Moreover, there is increasing recognition of the importance of mental health in primary care practice. The authors present a working definition of primary care practice, discuss the role of mental health in primary care, and describe an innovative program developed in Houston which integrates primary care mental health training into the education of primary care physicians and mental health professionals.
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References
1.
CoggeshallL. T., Planning for Medical Progress Through Education, Assoc. Amer. Med. Coll., Evanston, Ill., 1965.
2.
WillardW., Meeting the Challenge of Family Practice, Amer. Med. Assoc., Chicago, Ill., 1966.
3.
MillisJ., A Rational Public Policy for Medical Education and Its Financing, National Fund for Medical Education, New York, 1971.
4.
StoneB., Country Doctors, The Houston Post, April 4–6, 1976.
5.
Report on National Health 1974–1975 Regional Workshops on Health Manpower Distribution, National Health Council, New York, 1975.
6.
GrayP. D., Director of the Office of Health and Medical Manpower, Texas Medical Association, personal communication, October 20, 1976.
7.
Health Professions Educational Assistance Act of1976, (S. 3239), H.R. 5546, as amended.
8.
National Institute of Medicine, Manpower Policy for Primary Health Care, No. 2764, National Academy of Sciences, Washington, D.C., 1978.
9.
AlpertJ. J. and CharneyE., The Education of Physicians for Primary Care, DHEW Publication No. (HRA) 74-3113, Government Printing Office, Washington, D.C., 1974.
10.
PetersdorfR. G., Issues in Primary Care: The Academic Perspective, J. Med. Educ., 50, pp. 5–13, supplement, 1975.
11.
Physician Manpower and Distribution: The Primary Care Physician, Coordinating Council on Medical Education, Chicago, January, 1975.
12.
PearsonJ. W., The Obstetrician and Gynecologist: Primary Physician for Women, J.A.M.A., 231, pp. 815–816, 1975.
13.
FinkP. J. and OkenD., The Role of Psychiatry as a Primary Care Specialty, Arch. Gen. Psychiat., 33, pp. 998, 1003, 1976.
14.
OkenD. and FinkP. J., General Psychiatry: A Primary Care Specialty, J.A.M.A., 235, pp. 1973–1974, 1976.
15.
Report of the Ad Hoc Committee to Draft a Statement on Primary Care, Council of Medical Specialty Societies, Chicago, April, 1975.
16.
FinkF. J. and StrosniderJ. S., The Place of Psychiatry and Behavioral Science in the Education of Primary Care Physicians, Psychiat. Opinion, 13, pp. 21–26, 1976.
17.
HudsonJ. I. and GiacaloneJ. J., Current Issues in Primary Care Education: Review and Commentary, J. Med. Educ., 50, pp. 211–233, supplement, 1975.
18.
World Health Organization, Regional Office for Europe: Psychiatry and Primary Medical Care, World Health Organization, Copenhagen, 1973.
19.
BorusJ. F., The Community Mental Health Center and the Private Medical Practitioner: A First Step, Psychiatry, 34, pp. 274–288, 1971.
20.
CaplanG., Practical Steps for the Family Physician in the Prevention of Emotional Disorders, J.A.M.A., 170, pp. 1497–1506, 1959.
21.
LemereF. and KraabelA. B., The General Practitioner and the Psychiatrist, Amer. J. Psychiat., 116, pp. 518–521, 1959.
22.
BorusJ. F., Neighborhood Health Centers as Providers of Primary Mental Health Care, New Engl. J. Med., 295, pp. 140–145, 1976.
23.
LipsittD. R., Some Problems in the Teaching of Psychomatic Medicine, Int. J. Psychiat. in Med., 6, pp. 317–329, 1975.
24.
LazersonA. M., The Psychiatrist in Primary Medical Care Training: A Solution to the Mind-Body Dichotomy?, Amer. J. Psychiat., 133, pp. 964–966, 1976.
25.
GoldbergR. L.HaasM. R.EatonJ. S. and GrubsJ. H., Psychiatry and the Primary Care Physician, J.A.M.A., 236, pp. 944–945, 1976.
26.
DrossmanD. A., Can the Primary Care Physician be Better Trained in the Psychosocial Dimensions of Patient Care?, Int. J. Psychiat. in Med., 8, pp. 169–184, 1977–1978.
27.
BantaD. A. and FoxR. C., Role Strains of a Health Care Team in a Poverty Community, Soc. Sci. and Med., 6, pp. 697–722, 1972.
28.
BrenneisC. B. and LaubD., Current Strains for Mental Health Trainees, Amer. J. Psychiat., 130, pp. 41–45, 1973.
29.
MorrisonA. P.ShoreM. F. and GrobmanJ., On the Stresses of Community Psychiatry and Helping Residents to Survive Them, Amer. J. Psychiat., 130, pp. 1237–1241, 1973.
30.
KarnoM. and EdgertonR. B., Perceptions of Mental Illness in a Mexican American Community, Arch. Gen. Psychiat., 20, pp. 233–238, 1969.
31.
GarciaA., The Chicano and Social Work, Soc. Casework, 52, pp. 174–178, 1971.
32.
TichyM. K., Health Care Teams: An Annotated Bibliography, Praeger Publishers, New York, 1974.
33.
TichyM. K., (ed.), Health Team News, Institute for Health Team Development, Montefiore Hospital and Medical Center, Bronx, N.Y., 1–11, 1975–1977.
34.
ColemanJ. V. and PatrickD. L., Integrating Mental Health Services Into Primary Medical Care, Med. Care, 14, pp. 654–661, 1976.
35.
ColemanJ. V., Psychiatry and General Health Care, paper presented at the 130th Annual Meeting of the American Psychiatric Association, Toronto, Canada, May 2–6, 1977.
36.
AdamsG. L.BrochsteinJ. R.CheneyC. C.FrieseJ. H. and TristanM. P., A Primary Care/Mental Health Training and Service Model, Amer. J. Psychiat., 135, pp. 121–123, 1978.
