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Managing complex problems: treatment for common mental disorders in the UK.
1Department of Population & Health Service Research, King's College, London, UK. a.tylee@iop.kcl.ac.uk
Epidemiologia E Psichiatria Sociale
|March 13, 2008
Summary
Common mental disorders in UK primary care often present with complex health patterns and chronicity. Management strategies should adapt to these chronic disease characteristics for better patient outcomes.
Area of Science:
- Psychiatry
- General Practice
- Public Health
Background:
- Common mental disorders are prevalent in UK primary care.
- These conditions frequently exhibit complex patterns of ill health and comorbidity.
- There is a significant potential for chronicity in depression and associated mental illnesses.
Purpose of the Study:
- To describe current trends in managing common mental disorders in UK primary care.
- To evaluate the suitability of different management approaches based on disorder course and complications.
Main Methods:
- A narrative review of studies was conducted.
- Key findings on the course and comorbidity of depression were highlighted.
- Prevalence data of depression in comorbid conditions were reviewed.
Main Results:
- Depression and related mental illnesses often form part of complex, chronic health conditions.
- The presentation and course of common mental disorders suggest a need for adapted management.
- A substantial patient group requires chronic disease management strategies.
Conclusions:
- Current UK primary care management trends for common mental disorders need to evolve.
- Organizational changes in health service delivery are indicated.
- Chronic disease management models are appropriate for a significant patient cohort.
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