Below are the first 10 and last 10 pages of uncorrected machine-read text (when available) of this chapter, followed by the top 30 algorithmically extracted key phrases from the chapter as a whole.
Intended to provide our own search engines and external engines with highly rich, chapter-representative searchable text on the opening pages of each chapter.
Because it is UNCORRECTED material, please consider the following text as a useful but insufficient proxy for the authoritative book pages.
Do not use for reproduction, copying, pasting, or reading; exclusively for search engines.
OCR for page 1
1
I
INTRODUCTION
A Conference on Provision of Mental Health Services in Primary
Care Settings was held April 2 and 3, 1979, at the National Academy of
Sciences in Washington, D.C. The conference was organized by the
Institute of Medicine, through its division of Mental Health and
Behavioral Medicine. Support was provided by the Division of Mental
Health Services Programs, National Institute of Mental Health, Depart-
ment of Health, Education, and Welfare.
The meeting was designed to examine the benefits as well as
the potential disadvantages and difficulties in linking mental health
services and primary care in a coordinated approach to health care.
Specific conference objectives were to:
o consider how linkage can take place between primary care
and mental health services without causing additional costs
or regulatory burdens, and without compromising the autonomy
of the mental health system
o identify potential risks of linkages between health and mental
health toward an end of assisting the federal Government in
developing realistic regulations, guidelines and evaluation
procedures
develop an agenda for future studies in health and mental
health services research.
The conference had both plenary and small group sessions, a
structure that enabled presentation of major papers to all conference
participants and discussion of particular issues in smaller invita-
tional workshops. Appendix A lists the full conference agenda. David
A. Hamburg, M.D., President, Institute of Medicine, National Academy
of Sciences, chaired the plenary sessions. The first day presentations
were keynoted by Herbert Pardes, M.D., Director, National Institute
of Mental Health; Merle Cunningham, M.D., Bureau of Community Health
Services, Health Services Administration, speaking on behalf of Edward
Martin, M.D., Director, Bureau of Community Health Services; and
Gerald L. Klerman' M.D., Administrator, Alcohol, Drug Abuse and Mental
Health Administration. Michael Shepherd, M.D., Professor of Epidemio-
logical Psychiatry, Institute of of Psychiatry, University of London,
addressed the conferees at the plenary session opening the second
OCR for page 2
2
day of the meeting. His paper "Mental Health as an Integrant of
Primary Care" highlighted some key issues that were considered in
the smaller workshop sessions held following his presentation. The
papers presented at the plenary sessions are summarized in Section IV
An integrated summary of the three invitational workshop discussions
is contained in Section V.
to attend the workshops.
. . ~ . .
Appendix B lists the participants invited
The afternoon of the second day concluded
with a pane' discuss' on, summarized in Section VI, on future directions
in coordination of mental health services in primary care settings.
Julius Richmond, M.D., Assistant Secretary for Health, Department
of Health, Education and Welfare; George Lythcott, M.D., Administrator,
Health Services Administration and Gerald Klerman, M.D., were the
discussants.
Five papers were commissioned by the Institute of Medicine speci-
fically for this conference. An abstract of each of these papers
appears in Section IV where major presentations are summarized. The
full text of each is contained in Section VII.
The design of this conference included an opportunity for pari-
cipants to submit post-meeting comments on issues raised in the
sessions. or on areas ~ ~ ~
_ that, in the writer~s opinion, need rurtner
examination. These "postscripts" are included as Appendix C of this
conference summary.
Volume 2 consists entirely of a principal background paper for
the conference, "Coordinated Mental Health Care in Neighborhood
Health Centers," by Jonathan Borus, M.D. and colleagues. An earlier
version of this monograph had been developed in 1977-78, for submis-
sion to the President's Commission on Mental Health.
Representative terms from entire chapter:
care settings
