Dr Tami Kramer Slides
Dr Tami Kramer Slides Dr Tami Kramer Slides
The pathway to psychiatric careModified from Goldberg & Huxley (1980)SPECIALISTCAMHSService usePRIMARY CAREdetected patientsManagement in primary carePRIMARY CAREall patientsConsult primary careCOMMUNITYPerception of a problemREFERRAL FILTER 3RECOGNISE PROBLEM FILTER 2DECIDE TO CONSULT FILTER 1
Adolescent presentations to primary care(Kramer & Garralda 1998; Fernandez et al, 2009; Gledhill & Garralda 2011)• At least 50% registered consult in a year• 98% present with physical symptomsUp to 40% have psychiatric disorder (1yr)• 20% adolescent attenders recent depressive episode>50% depressed at 6mo
- Page 1: What have we learned:adolescent dep
- Page 5 and 6: Adolescent depression in primary ca
- Page 7 and 8: Therapeutic Identification of Depre
- Page 9 and 10: TIDY Training• 2 X 1hr sessions (
- Page 11 and 12: TIDY: Proof of Concept StudyGledhil
- Page 13 and 14: However, following the training (ve
- Page 15 and 16: TIDY: Qualitative StudiesHow do you
- Page 17 and 18: “Difficult to communicate with”
- Page 19 and 20: “Mood changes are normal”
- Page 21: Time for intervention for adolescen
The pathway to psychiatric careModified from Goldberg & Huxley (1980)SPECIALISTCAMHSService usePRIMARY CAREdetected patientsManagement in primary carePRIMARY CAREall patientsConsult primary careCOMMUNITYPerception of a problemREFERRAL FILTER 3RECOGNISE PROBLEM FILTER 2DECIDE TO CONSULT FILTER 1
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