Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Community Based Intervention01:30

Community Based Intervention

281
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
281
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

864
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
864
Theoretical Approaches to Psychological Disorder01:29

Theoretical Approaches to Psychological Disorder

787
The development of psychological disorders, which are characterized by deviant, maladaptive, and personally distressing behaviors, has been explored through several theoretical approaches.
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
787
Treatment Strategies for Psychological Disorders01:24

Treatment Strategies for Psychological Disorders

734
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
734
Stress and Mental Health01:30

Stress and Mental Health

816
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
816
Primary Healthcare Services01:30

Primary Healthcare Services

2.0K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
2.0K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Effectiveness of non-pharmacological interventions for fatigue in adults with long-term conditions: a synopsis of the EIFFEL mixed-methods evidence synthesis.

Health technology assessment (Winchester, England)·2026
Same author

A nationwide mapping of services for high users of emergency departments in England: observational study.

BJPsych bulletin·2026
Same author

Exploring Black British African and Caribbean peoples' experiences of self-harm and accessing support.

Psychology and psychotherapy·2026
Same author

Model-based economic evaluation of non-pharmacological interventions for fatigue in patients with long-term medical conditions in the UK.

BMJ open·2026
Same author

Effectiveness of non-pharmacological interventions for fatigue in long term conditions: systematic review and network meta-analysis.

BMJ medicine·2026
Same author

Prevalence of self-harm across urgent and emergency care settings among young people and factors associated with reattendance: protocol for a prospective cohort study.

BMJ open·2026
Same journal

Evaluating Additional Roles in Primary Care: Expanding Capacity and Transforming Care Delivery.

The British journal of general practice : the journal of the Royal College of General Practitioners·2026
Same journal

Impact of local enhanced incentive schemes on the performance of general practices within the United Kingdom: a systematic review.

The British journal of general practice : the journal of the Royal College of General Practitioners·2026
Same journal

Learning disability register enrolment in young people in England: Cohort Study, 2015-2023.

The British journal of general practice : the journal of the Royal College of General Practitioners·2026
Same journal

Disparities in the uptake of learning disability (intellectual disability) annual health checks.

The British journal of general practice : the journal of the Royal College of General Practitioners·2026
Same journal

Recording of Pharmacy First consultations in general practice records in England: an observational study of the service's first year using OpenSAFELY.

The British journal of general practice : the journal of the Royal College of General Practitioners·2026
Same journal

"I have no idea who does the bone thing" A qualitative exploration of older women and healthcare professionals' experiences to guide improvements in osteoporosis care.

The British journal of general practice : the journal of the Royal College of General Practitioners·2026
See all related articles

Related Experiment Video

Updated: Jan 18, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
07:31

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Published on: May 15, 2020

7.5K

Complex mental health difficulties: a mixed-methods study in primary care.

Phillip Oliver1, Vyv Huddy1, Ciarán McInerney1

  • 1School of Medicine & Population Health, Division of Population Health, University of Sheffield, Sheffield, UK.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|June 5, 2025
PubMed
Summary
This summary is machine-generated.

People with complex mental health difficulties face unrecognized needs due to fragmented care and lack of clear language. Improving recognition and care within general practices is crucial for better patient outcomes.

Keywords:
emotional regulationmental healthmental health servicespersonality disordersprimary health care

More Related Videos

Development of a Virtual Reality Assessment of Everyday Living Skills
10:32

Development of a Virtual Reality Assessment of Everyday Living Skills

Published on: April 23, 2014

19.0K
Enactive Phenomenological Approach to the Trier Social Stress Test: A Mixed Methods Point of View
05:26

Enactive Phenomenological Approach to the Trier Social Stress Test: A Mixed Methods Point of View

Published on: January 7, 2019

7.2K

Related Experiment Videos

Last Updated: Jan 18, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
07:31

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Published on: May 15, 2020

7.5K
Development of a Virtual Reality Assessment of Everyday Living Skills
10:32

Development of a Virtual Reality Assessment of Everyday Living Skills

Published on: April 23, 2014

19.0K
Enactive Phenomenological Approach to the Trier Social Stress Test: A Mixed Methods Point of View
05:26

Enactive Phenomenological Approach to the Trier Social Stress Test: A Mixed Methods Point of View

Published on: January 7, 2019

7.2K

Area of Science:

  • General Practice
  • Mental Health Services Research
  • Qualitative Research

Background:

  • Complex mental health difficulties involve long-term issues with emotional regulation and relationships, often leading to episodic care.
  • Conditions include personality disorders, complex trauma, and dysthymia, frequently requiring crisis-related interventions.
  • Current care systems struggle to adequately recognize and address the needs of individuals with these complex conditions.

Purpose of the Study:

  • To investigate how general practices can enhance recognition of individuals with complex mental health difficulties.
  • To identify strategies for improving the provision of care for complex mental health difficulties within primary care settings.
  • To understand the experiences of both healthcare providers and patients regarding complex mental health difficulties in general practice.

Main Methods:

  • A mixed-methods study combining qualitative interviews and a retrospective database analysis.
  • Qualitative interviews were conducted with General Practitioners (GPs) and individuals with lived experience of complex mental health difficulties.
  • The database study involved a case-control analysis of anonymized patient records to assess the prevalence and coding of complex mental health difficulties.

Main Results:

  • GP interviews revealed challenges in recognizing complex needs, role expectations, fragmented communication, and care delivery within primary care.
  • Interviews with individuals with lived experience highlighted varied care journeys, challenges in navigating services, and the importance of feeling 'seen'.
  • Database analysis indicated significant undercoding of complex mental health difficulties, with the number of unique psychiatric diagnoses being a key indicator.

Conclusions:

  • The current organization of mental health care and the absence of appropriate terminology hinder the recognition of patient needs.
  • There is a critical need to develop better recognition pathways and integrated care models within general practices for complex mental health difficulties.
  • Addressing fragmented communication and improving the language used to describe complex mental health difficulties are essential for patient-centered care.