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Master Thesis

État des lieux des dispositifs de soins en santé mentale intégrés aux soins premiers pour la population des 12-25 ans, analyse axée sur la continuité des soins entre soins premiers et soins en santé mentale, revue systématique de la littérature

Abstract : Background: three-fourths of mental disorders start by age of 24 years. Without care, they may have a chronic evolution and many complications, including into adulthood: mental distress, comorbidities, social exclusion, premature excess mortality, with high individual, familial and societal costs. Early screening and care of mental distress are primordial to these young people, as well as long-term medical follow-up (continuity of care). But there is a need of integrated care between care providers, following WHO definition. General practitioner (GP) has a central role.
Purpose: to identify and compare services aiming to integrate mental health services into primary care for 12-25 years category; focused analysis on continuity of care between primary care and mental health care, according to Valentijn’s framework.
Method: Systematic literature review (Pubmed, EMBASE, PsycINFO et PubPsych) following PRISMA recommendations.
Results: 56 articles were included, identifying 42 services, categorized as: “collaborative colocations”, “collaborations without colocation”, “one-stop shops” and “mental health care resources for primary care”. Integrated mental health services were heterogeneous and depended on local resources and health system. Few were evaluated. The role of the GP was mainly to provide patients access to the services; there was a formal feedback in 20 services, mostly related to shared health record.
Conclusion: integrated health care, especially from mental health care to primary care, could be improved.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03481021
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Submitted on : Wednesday, December 15, 2021 - 9:47:20 AM
Last modification on : Wednesday, February 9, 2022 - 3:46:00 AM
Long-term archiving on: : Wednesday, March 16, 2022 - 6:20:53 PM

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Camille Julliot de la Morandière. État des lieux des dispositifs de soins en santé mentale intégrés aux soins premiers pour la population des 12-25 ans, analyse axée sur la continuité des soins entre soins premiers et soins en santé mentale, revue systématique de la littérature. Médecine humaine et pathologie. 2019. ⟨dumas-03481021⟩

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