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Impact of shared mental health care in the general population on subjects’ perceptions of mental health care and on mental health status

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Abstract

Objective

A community survey evaluated whether the development of a shared mental health care intervention had an impact on health care perceptions and mental health status of subjects with common mental health problems (MHP).

Methods

Adults <70 years old with common MHP (DSM-IV/CIDI-SF major depressive disorder, generalized anxiety or MHI-SF 36 psychic distress diagnoses), were randomly drawn from the general population in the intervention area (IA, n = 349) and in a control area (CA, n = 360), and evaluated twice at an interval of 18 months (percentage of follow-up: IA = 69.3%, CA = 71.9%, P = .44). CA and IA groups did not differ for the criteria of interest at baseline.

Results

At 18 months, compared to CA, IA reported significantly different help-seeking attitudes or behaviours (P = .02 for all subjects and .006 for subjects with current MHP) and greater general satisfaction with care (P = .03 for both). Remission rates and daily life functioning did not differ.

Conclusions

After 4 years of development of a mental health network based on a consultation-liaison model, Shared Mental Health Care was associated with greater satisfaction and access with care among subjects with common MHP. The association was not found with mental health status, but the study lacked power to adequately address the issues.

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Acknowledgement

The authors thank all the professionals of the Réseau Santé Mentale Yvelines Sud and Sylvie Villemot. Funding and support: this research was funded by local hospitals and by MIRE INSERM.

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Authors and Affiliations

  1. Academic Unit of Psychiatry, Centre Hospitalier de Versailles, 177 Rue de Versailles, 78157, Le Chesnay Cedex, France

    Nadia Younès MD & Marie-Christine Hardy-Bayle MD, PhD

  2. U669, INSERM, Paris, France

    Nadia Younès MD, Bruno Falissard MD, PhD & Isabelle Gasquet MD, PhD

  3. University of Versailles St Quentin en Yvelines (Paris Ile de France Ouest), Guyancourt, France

    Nadia Younès MD & Marie-Christine Hardy-Bayle MD, PhD

  4. Univ Paris-Sud, Paris, France

    Bruno Falissard MD, PhD & Isabelle Gasquet MD, PhD

  5. Assistance Publique - Hôpitaux de Paris, Paris, France

    Bruno Falissard MD, PhD & Isabelle Gasquet MD, PhD

  6. MGEN Foundation for Public Health, Paris, France

    Viviane Kovess MD, PhD

  7. University of Paris 5, EA 4069, Paris, France

    Viviane Kovess MD, PhD

  8. Direction of Medical Politicy Ap-HP, Paris, France

    Isabelle Gasquet MD, PhD

Authors
  1. Nadia Younès MD
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  2. Marie-Christine Hardy-Bayle MD, PhD
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  3. Bruno Falissard MD, PhD
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  4. Viviane Kovess MD, PhD
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  5. Isabelle Gasquet MD, PhD
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Corresponding author

Correspondence to Nadia Younès MD.

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Younès, N., Hardy-Bayle, MC., Falissard, B. et al. Impact of shared mental health care in the general population on subjects’ perceptions of mental health care and on mental health status. Soc Psychiat Epidemiol 43, 113–120 (2008). https://doi.org/10.1007/s00127-007-0285-x

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  • DOI: https://doi.org/10.1007/s00127-007-0285-x

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