Counselling in primary care - a general practitioner’s perspective

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dc.contributor.authorRafferty, M.
dc.contributor.authorBradley, Colin P.
dc.date.accessioned2019-04-11T11:18:51Z
dc.date.available2019-04-11T11:18:51Z
dc.date.issued2019-02
dc.description.abstractIntroduction: Counselling in Primary care (CIPC) is a new service introduced by the HSE in 2013, providing short-term counselling for medical-card holders, suffering from mild to moderate mental health problems. Aims: To explore GP’s views on CIPC for the treatment of mild to moderate mental health disorders. Methods: Qualitative semi-structured interviews were conducted with GPs who had previously utilized the CIPC service in the Cork/ Kerry region. Forty GPs were identified and sent invitation letters. GPs were purposefully sampled based on criteria of location (urban/rural), gender, practice size (single handed/group) and length of time qualified. A total sample size was generated using the ‘ten plus three’ method. Interviews were carried out in person, transcribed verbatim and analyzed using the framework analysis method. Results: Nineteen GPs were interviewed. Core themes emerged and were analyzed. 1. GPs unanimously agreed that CIPC has been of benefit in treating mild to moderate mental health disorders. 2. Suggested improvements to the service were made, including allowing GP visit card holders to avail of the service (n=10) and adolescents aged between 16 and 18 (n=5). 3. A majority (n=12) of GPs interviewed expressed the opinion that a combination of talk therapy and medication was associated with the best outcomes in treating mild to moderate mental health disorders. Conclusion: CIPC seems to improve mental health services at a primary care level. While improvements can certainly be made to the service, GPs report positive patient outcomes and a reduction in psychiatric referrals for patients who can be suitably managed within the community.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleidP869en
dc.identifier.citationRafferty, M. and Bradley, C. (2019) 'Counselling in Primary Care – a general practitioner’s perspective’, Irish Medical Journal, 112(2), 869. Available at: http://imj.ie/counselling-in-primary-care-a-general-practitioners-perspective/ (Accessed: 11 April 2019)en
dc.identifier.issn0332-3102
dc.identifier.issued2en
dc.identifier.journaltitleIrish Medical Journalen
dc.identifier.urihttps://hdl.handle.net/10468/7752
dc.identifier.volume112en
dc.language.isoenen
dc.publisherIrish Medical Organisationen
dc.relation.urihttp://imj.ie/counselling-in-primary-care-a-general-practitioners-perspective/
dc.relation.urihttps://www.lenus.ie/handle/10147/624113
dc.rights© 2019, Irish Medical Journal. All rights reserved.en
dc.subjectShort-term counsellingen
dc.subjectMental healthen
dc.subjectMedical carden
dc.subjectTalk therapyen
dc.subjectMedicationen
dc.subjectAdolescenten
dc.titleCounselling in primary care - a general practitioner’s perspectiveen
dc.typeArticle (peer-reviewed)en
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