AI Article Synopsis

  • - The study explored the challenges and support systems in mental health care for trauma patients by interviewing clinicians and administrators at primary care clinics serving underserved populations.
  • - Common barriers identified by clinicians included limited time, patient reluctance, and insufficient referral resources, while administrators focused on issues like reimbursement, staff training, and confusion over what trauma means.
  • - A strong doctor-patient relationship emerged as a key facilitator for care, with a collective call for improved access to and development of trauma-focused interventions integrated into primary care.

Article Abstract

This study aimed to identify barriers and facilitators of mental health care for patients with trauma histories via qualitative methods with clinicians and administrators from primary care clinics for the underserved. Individual interviews were conducted, followed by a combined focus group with administrators from three jurisdictions; there were three focus groups with clinicians from each clinic system. Common themes were identified, and responses from groups were compared. Administrators and clinicians report extensive trauma histories among patients. Clinician barriers include lack of time, patient resistance, and inadequate referral options; administrators cite reimbursement issues, staff training, and lack of clarity about the term trauma. A key facilitator is doctor-patient relationship. There were differences in perceived barriers and facilitators at the institutional and clinical levels for mental health care for patients with trauma. Importantly, there is agreement about better access to and development of trauma-specific interventions. Findings will aid the development and implementation of trauma-focused interventions embedded in primary care.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3478235PMC
http://dx.doi.org/10.1097/NMD.0b013e31825322b3DOI Listing

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