Mental health treatment provided by primary care psychologists in The Netherlands. 2013

Peter F M Verhaak, and Hans Kamsma, and Anneke van der Niet
Netherlands Institute for Health Services Research, P.O. Box 1568, 3500 BN, Utrecht, Netherlands. p.verhaak@nivel.nl

OBJECTIVE The study examined outcomes of clients treated by primary care psychologists in 2010 in the Netherlands. METHODS Data for 55,067 clients treated by 613 primary care psychologists were analyzed for three outcomes: regular conclusion of treatment, improvement of >10 points on the Global Assessment of Functioning (GAF), and treatment conclusion in eight or fewer sessions. Logistic regression analyses examined relationships between client characteristics and outcome. RESULTS For 73% of clients, treatment reached a regular conclusion, and for 71% of these clients treatment was concluded in eight or fewer sessions. An improvement of >10 GAF points was achieved by 47%. Women, clients with more years of education, those born in the Netherlands, and those with adjustment problems or child problems were more likely to have a regular treatment conclusion and an improvement of >10 GAF points. CONCLUSIONS Clients with psychopathology of a low or moderate severity were treated successfully by primary care psychologists.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009426 Netherlands Country located in EUROPE. It is bordered by the NORTH SEA, BELGIUM, and GERMANY. Constituent areas are Aruba, Curacao, and Sint Maarten, formerly included in the NETHERLANDS ANTILLES. Holland,Kingdom of the Netherlands
D011320 Primary Health Care Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192) Primary Care,Primary Healthcare,Care, Primary,Care, Primary Health,Health Care, Primary,Healthcare, Primary
D011586 Psychology, Clinical The branch of psychology concerned with psychological methods of recognizing and treating behavior disorders. Clinical Psychology
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001523 Mental Disorders Psychiatric illness or diseases manifested by breakdowns in the adaptational process expressed primarily as abnormalities of thought, feeling, and behavior producing either distress or impairment of function. Mental Illness,Psychiatric Diseases,Psychiatric Disorders,Psychiatric Illness,Behavior Disorders,Diagnosis, Psychiatric,Mental Disorders, Severe,Psychiatric Diagnosis,Illness, Mental,Mental Disorder,Mental Disorder, Severe,Mental Illnesses,Psychiatric Disease,Psychiatric Disorder,Psychiatric Illnesses,Severe Mental Disorder,Severe Mental Disorders

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