Skip to main content
Canadian Family Physician logoLink to Canadian Family Physician
. 2004 Mar;50:397–402.

Shared mental health care. Model for supporting and mentoring family physicians.

Patricia Rockman 1, Lena Salach 1, David Gotlib 1, Michael Cord 1, Tyrone Turner 1
PMCID: PMC2214558  PMID: 15318677

Abstract

PROBLEM BEING ADDRESSED: Family physicians lack access to psychiatrists and mental health services for patients with serious and persistent mental illnesses. OBJECTIVE OF PROGRAM: To develop a mentoring program to provide FPs with education and e-mail, telephone, and face-to-face support for managing patients with mental illness. PROGRAM DESCRIPTION: The Ontario College of Family Physicians' Collaborative Mental Health Care Network developed a mentoring program. Family physicians are grouped according to clinical interest with psychiatrist and general practice psychotherapist mentors whom they can contact for help. Communication is established via e-mail, telephone, fax, or listserv, or even face to face. Monitoring and evaluation is carried out through surveys and chart audits to examine use of, satisfaction with, and effectiveness of the program. CONCLUSION: Mental health care can be enhanced through collaborative at-a-distance relationships between FPs and psychotherapists and psychiatrists. Family physicians can get timely consultation in the areas of psychotherapy and pharmacotherapy, and access to community resources.

Full Text

The Full Text of this article is available as a PDF (196.0 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Biderman A., Yeheskel A., Tandeter H., Umansky R. Advantages of the psychiatric liaison-attachment scheme in a family medicine clinic. Isr J Psychiatry Relat Sci. 1999;36(2):115–121. [PubMed] [Google Scholar]
  2. Chan D. H., Leclair K., Kaczorowski J. Problem-based small-group learning via the Internet among community family physicians: a randomized controlled trial. MD Comput. 1999 May-Jun;16(3):54–58. [PubMed] [Google Scholar]
  3. Corney R. H. Links between mental health care professionals and general practices in England and Wales: the impact of GP fundholding. Br J Gen Pract. 1996 Apr;46(405):221–224. [PMC free article] [PubMed] [Google Scholar]
  4. Davies J. W., Ward W. K., Groom G. L., Wild A. J., Wild S. The case-conferencing project: a first step towards shared care between general practitioners and a mental health service. Aust N Z J Psychiatry. 1997 Oct;31(5):751–755. doi: 10.3109/00048679709062690. [DOI] [PubMed] [Google Scholar]
  5. Kates N., Craven M. A., Crustolo A. M., Nikolaou L., Allen C., Farrar S. Sharing care: the psychiatrist in the family physician's office. Can J Psychiatry. 1997 Nov;42(9):960–965. doi: 10.1177/070674379704200908. [DOI] [PubMed] [Google Scholar]
  6. Kates N., Crustolo A. M., Nikolaou L., Craven M. A., Farrar S. Providing psychiatric backup to family physicians by telephone. Can J Psychiatry. 1997 Nov;42(9):955–959. doi: 10.1177/070674379704200907. [DOI] [PubMed] [Google Scholar]
  7. Kates Nick. Shared mental health care. The way ahead. Can Fam Physician. 2002 May;48:853-5, 859-61. [PMC free article] [PubMed] [Google Scholar]
  8. Lesage A. D., Goering P., Lin E. Family physicians and the mental health system. Report from the Mental Health Supplement to the Ontario Health Survey. Can Fam Physician. 1997 Feb;43:251–256. [PMC free article] [PubMed] [Google Scholar]
  9. Marshall J. N., Stewart M., Ostbye T. Small-group CME using e-mail discussions. Can it work? Can Fam Physician. 2001 Mar;47:557–563. [PMC free article] [PubMed] [Google Scholar]
  10. Meadows G. N. Establishing a collaborative service model for primary mental health care. Med J Aust. 1998 Feb 16;168(4):162–165. doi: 10.5694/j.1326-5377.1998.tb126770.x. [DOI] [PubMed] [Google Scholar]
  11. Warner R. W., Gater R., Jackson M. G., Goldberg D. P. Effects of a community mental health service on the practice and attitudes of general practitioners. Br J Gen Pract. 1993 Dec;43(377):507–511. [PMC free article] [PubMed] [Google Scholar]

Articles from Canadian Family Physician are provided here courtesy of College of Family Physicians of Canada

RESOURCES