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Primary Care Patients Who Refuse Specialized Mental Health Services

Primary Care Patients Who Refuse Specialized Mental Health Services Abstract The charts of 65 patients who completed mental health care referrals were compared with those of 65 patients who failed to complete such referrals. In the year before referral, the noncompliant patients made 37% more medical visits than the compliant patients. As compared with the compliant patients, a significantly greater proportion of the noncompliant patients' medical visits were for difficult-to-explain somatic symptoms. Mental health referrals from some physicians were much more successful than referrals from other physicians. By attending to their patients' pattern of health care utilization, primary care physicians may be able to identify patients at high risk for noncompliance with mental health referrals. (Arch Intern Med. 1991;151:129-132) References 1. Goldmeier J. Private practice and the purchase of services: who are the practitioners? Am J Orthopsychiatry. 1986;56:89-102.Crossref 2. Catlin RF, Bradbury RC, Catlin RO. Primary care gatekeepers in HMOs . J Fam Pract. 1983;17:673-678. 3. Orleans CT, George LK, Houpt JL, Brodie HKH. How primary care physicians treat psychiatric disorders: a national survey of family practitioners . Am J Psychiatry. 1985;142:52-57. 4. Von Korff M, Myers L. The primary care physician and psychiatric services . Gen Hosp Psychiatry. 1987;9:235-240.Crossref 5. Wells KB, Manning WG, Duan N, Newhouse JP, Ware JE. Cost-sharing and the use of general medical physicians for outpatient mental health care . Health Serv Res. 1988;22:1-17. 6. Blouin A, Perez E, Minoletti A. Compliance to referrals from the psychiatric emergency room . Can J Psychiatry. 1985;30:103-106. 7. Sweeney JA, Von Bulow B, Shear MK, Friedman R, Plowe C. Compliance and outcome of patients accompanied by relatives to evaluations . Hosp Community Psychiatry. 1984;35:1037-1038. 8. Jellinek M. Referrals from a psychiatric emergency room: relationship of compliance to demographic and interview variables . Am J Psychiatry. 1978;135:209-213. 9. Wilder JF, Plutchnik R, Conte HR. Compliance with psychiatric emergency room referrals . Arch Gen Psychiatry. 1977;34:930-933.Crossref 10. Chameides WA, Yamomoto J. Referral failures: a one-year follow-up . Am J Psychiatry. 1973;130:1157-1158. 11. Stickney SK, Hall RWC, Gardner ER. The effect of referral procedures on aftercare compliance . Hosp Community Psychiatry. 1980;31:567-569. 12. Burstein A. Psychiatric consultations in a general hospital: compliance to follow-up . Gen Hosp Psychiatry. 1984;6:139-141.Crossref 13. Peterson CL, Wolkon GH, Wirth BA. A comparative study of referral success in first appointments made by patients and staff . Hosp Community Psychiatry. 1981;32:800-801. 14. Krulee DA, Hales RE. Compliance with psychiatric referrals from a general hospital psychiatry outpatient clinic . Gen Hosp Psychiatry. 1988;10:339-345.Crossref 15. Mumford E, Schlesinger HJ, Glass GV, Patrick C, Cuerdon T. A new look at evidence about reduced cost of medical utilization following mental health treatment . Am J Psychiatry. 1984;141:1145-1158. 16. Rosen JC, Wiens AN. Changes in medical problems and use of medical services following psychological intervention . Am Psychol. 1979;34:420-431.Crossref 17. Bridges KW, Goldberg DP. Somatic presentation of DSM-III psychiatric disorders in primary care . J Psychosom Res. 1985;29:563-569.Crossref 18. Williamson PS, Yates WR. The initial presentation of depression in family practice and psychiatric outpatients . Gen Hosp Psychiatry. 1989;11:188-193.Crossref 19. Wells KB, Hays RD, Burnam A, Rogers W, Greenfield S, Ware JE. Detection of depressive disorder for patients receiving prepaid or fee-for-service care: results from the medical outcomes study . JAMA. 1989;262:3298-3302.Crossref 20. Hull J. Psychiatric referrals in general practice . Arch Gen Psychiatry. 1979;36:406-408.Crossref 21. Bursztajn H, Barsky AJ. Facilitating patient acceptance of a psychiatric referral . Arch Intern Med. 1985;145:73-75.Crossref 22. Bogin DL, Anish SS, Taub HA, Kline GE. The effects of a referral coordinator on compliance with psychiatric discharge plans . Hosp Community Psychiatry. 1984;35:702-706. 23. Rogawski AS, Edmundson B. Factors affecting outcome of psychiatric interagency referral . Am J Psychiatry. 1971;127:925-934. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Primary Care Patients Who Refuse Specialized Mental Health Services

Olfson, Mark
Archives of Internal Medicine , Volume 151 (1) – Jan 1, 1991
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References (23)

Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1991.00400010135020
Publisher site
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Abstract

Abstract The charts of 65 patients who completed mental health care referrals were compared with those of 65 patients who failed to complete such referrals. In the year before referral, the noncompliant patients made 37% more medical visits than the compliant patients. As compared with the compliant patients, a significantly greater proportion of the noncompliant patients' medical visits were for difficult-to-explain somatic symptoms. Mental health referrals from some physicians were much more successful than referrals from other physicians. By attending to their patients' pattern of health care utilization, primary care physicians may be able to identify patients at high risk for noncompliance with mental health referrals. (Arch Intern Med. 1991;151:129-132) References 1. Goldmeier J. Private practice and the purchase of services: who are the practitioners? Am J Orthopsychiatry. 1986;56:89-102.Crossref 2. Catlin RF, Bradbury RC, Catlin RO. Primary care gatekeepers in HMOs . J Fam Pract. 1983;17:673-678. 3. Orleans CT, George LK, Houpt JL, Brodie HKH. How primary care physicians treat psychiatric disorders: a national survey of family practitioners . Am J Psychiatry. 1985;142:52-57. 4. Von Korff M, Myers L. The primary care physician and psychiatric services . Gen Hosp Psychiatry. 1987;9:235-240.Crossref 5. Wells KB, Manning WG, Duan N, Newhouse JP, Ware JE. Cost-sharing and the use of general medical physicians for outpatient mental health care . Health Serv Res. 1988;22:1-17. 6. Blouin A, Perez E, Minoletti A. Compliance to referrals from the psychiatric emergency room . Can J Psychiatry. 1985;30:103-106. 7. Sweeney JA, Von Bulow B, Shear MK, Friedman R, Plowe C. Compliance and outcome of patients accompanied by relatives to evaluations . Hosp Community Psychiatry. 1984;35:1037-1038. 8. Jellinek M. Referrals from a psychiatric emergency room: relationship of compliance to demographic and interview variables . Am J Psychiatry. 1978;135:209-213. 9. Wilder JF, Plutchnik R, Conte HR. Compliance with psychiatric emergency room referrals . Arch Gen Psychiatry. 1977;34:930-933.Crossref 10. Chameides WA, Yamomoto J. Referral failures: a one-year follow-up . Am J Psychiatry. 1973;130:1157-1158. 11. Stickney SK, Hall RWC, Gardner ER. The effect of referral procedures on aftercare compliance . Hosp Community Psychiatry. 1980;31:567-569. 12. Burstein A. Psychiatric consultations in a general hospital: compliance to follow-up . Gen Hosp Psychiatry. 1984;6:139-141.Crossref 13. Peterson CL, Wolkon GH, Wirth BA. A comparative study of referral success in first appointments made by patients and staff . Hosp Community Psychiatry. 1981;32:800-801. 14. Krulee DA, Hales RE. Compliance with psychiatric referrals from a general hospital psychiatry outpatient clinic . Gen Hosp Psychiatry. 1988;10:339-345.Crossref 15. Mumford E, Schlesinger HJ, Glass GV, Patrick C, Cuerdon T. A new look at evidence about reduced cost of medical utilization following mental health treatment . Am J Psychiatry. 1984;141:1145-1158. 16. Rosen JC, Wiens AN. Changes in medical problems and use of medical services following psychological intervention . Am Psychol. 1979;34:420-431.Crossref 17. Bridges KW, Goldberg DP. Somatic presentation of DSM-III psychiatric disorders in primary care . J Psychosom Res. 1985;29:563-569.Crossref 18. Williamson PS, Yates WR. The initial presentation of depression in family practice and psychiatric outpatients . Gen Hosp Psychiatry. 1989;11:188-193.Crossref 19. Wells KB, Hays RD, Burnam A, Rogers W, Greenfield S, Ware JE. Detection of depressive disorder for patients receiving prepaid or fee-for-service care: results from the medical outcomes study . JAMA. 1989;262:3298-3302.Crossref 20. Hull J. Psychiatric referrals in general practice . Arch Gen Psychiatry. 1979;36:406-408.Crossref 21. Bursztajn H, Barsky AJ. Facilitating patient acceptance of a psychiatric referral . Arch Intern Med. 1985;145:73-75.Crossref 22. Bogin DL, Anish SS, Taub HA, Kline GE. The effects of a referral coordinator on compliance with psychiatric discharge plans . Hosp Community Psychiatry. 1984;35:702-706. 23. Rogawski AS, Edmundson B. Factors affecting outcome of psychiatric interagency referral . Am J Psychiatry. 1971;127:925-934.

Journal

Archives of Internal Medicine – American Medical Association

Published: Jan 1, 1991

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