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dc.contributor.authorRezvyy, Grigory
dc.contributor.authorAndreeva, Elena
dc.contributor.authorRyzhkova, Nadezhda
dc.contributor.authorYashkovich, Vera
dc.contributor.authorSørlie, Tore
dc.date.accessioned2022-05-20T11:12:40Z
dc.date.available2022-05-20T11:12:40Z
dc.date.issued2019-03-13
dc.description.abstractBackground: Primary health care is still peripheral in the identifcation and treatment of mental health and substance use disorders in the Russian Federation. However, the development of primary health services has been given priority. A long-standing collaboration between Arkhangelsk County and northern Norway on mental health service development in Arkhangelsk has promoted the integration of mental health into primary care.<p> <p>Aim: To develop a model for mental health integration into primary care adapted to the conditions in Arkhangelsk County. <p>Methods: (a) Situational assessment, (b) development of a model for systematic cooperation between GPs and specialists, (c) initial evaluation of the model, (d) implementation and dissemination of the model. <p>Results: A local studies revealed major shortcomings in GPs’ diagnostic and treatment skills and in their collaboration with specialists in psychiatry. In order to promote better communication between GPs and specialists in this desolate and sparsely populated geographical area, an information communication technology (ICT)-based competence centre was established at a specialised community mental health centre in Arkhangelsk city (APND). Through a network including APND and involved primary health care centres, GPs gained access to specialists’ expertise when required in their work with psychiatric patients. GPs assess all patients’ mental health condition and treatment responsibility for patients in need of mental health care is divided between GPs and specialists according to problem severity. APND has the formal responsibility for ensuring that this collaboration with the health centres is established and practiced. Training in diagnostics and conversation skills ensures basic professional competence in the GPs. Initial evaluation showed that patients, GPs and specialists were satisfed with their experiences. The model is currently under implementation in 50% of the districts of the county. <p>Conclusion: Our cooperation has led to the development and implementation of a model for mental health care integration into primary care in an area with major geographical distances. Further improvements will be based on systematic evaluation of experiences with the model.en_US
dc.identifier.citationRezvy, G., Andreeva, E., Ryzhkova, N. et al. Integrating mental health into primary care in Arkhangelsk County, Russia: the Pomor model in psychiatry. Int J Ment Health Syst 13, 14 (2019)en_US
dc.identifier.cristinIDFRIDAID 1353520
dc.identifier.doi10.1186/s13033-019-0271-1
dc.identifier.issn1993-1298
dc.identifier.urihttps://hdl.handle.net/10037/25238
dc.language.isoengen_US
dc.publisherBMCen_US
dc.relation.journalVestnik psikhiatrii i psikhologii Chuvashii
dc.relation.urihttp://cyberleninka.ru/article/n/cooperation-between-specialized-mental-health-services-and-general-practitioners-in-arkhangelsk-county-the-pomor-model
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2019 The Author(s)en_US
dc.titleIntegrating mental health into primary care in Arkhangelsk County, Russia: the Pomor model in psychiatryen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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