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Table 3 Number (%) of mental disorder cases given nonpharmacological or pharmacological treatments by GP’s, among GP-diagnosed cases, GP-diagnosed depression and GP-diagnosed anxiety; comparison of GP treatment before and after-implementation of the SOP and PCCL models

From: Effect of implementation of mental health services within primary care on GP detection and treatment of mental disorders in Israel

 

GP diagnosed cases

GP diagnosed depression

GP diagnosed anxiety

SOP

PCCL

SOP

PCCL

SOP

PCCL

Pre-model

Post-model

Pre-model

Post-model

Pre-model

Post-model

Pre-model

Post-model

Pre-model

Post-model

Pre-model

Post-model

Non-pharmacological interventions

No non-pharmacological treatment

40 (42.6)

31 (49.2)

66 (53.7)

38 (39.6)1

7 (41.2)

0 (0.0)4

21 (80.8)

13 (41.9)5

16(42.1)

11 (45.8)

27 (79.4)

12 (52.2)

General psychosocial interventionsa

8 (8.5)

9 (14.3)

7 (5.7)

14 (14.6)

2 (11.8))

1 (5.3)

0(0.0)

1 (3.2)

3 (7.9)

1 (4.2)

3 (8.8)

6 (26.1)

Referral to Mental Health Professional

18 (19.1)

18 (28.6)

20 (16.3)

26 (27.1)2

4 (23.5)

15 (78.9) 6

2 (7.7)

15 (48.4)7

5 (13.2)

9 (37.5)8

2 (5.9)

3 (13.0)

Counselingb

21 (22.3)

4 (6.3) 3

19 (15.4)

8 (8.3)

3(17.6)

2(10.5)

3(11.5)

2(6.5)

13(34.2)

2 (8.3)9

2 (5.9)

2 (8.7)

Otherc

7 (7.4)

1 (1.6)

11 (8.9)

10 (10.4)

1(5.9)

1(5.3)

0 (0.0)

0 (0.0)

1(2.6)

1(4.2)

0 (0.0)

0 (0.0)

Total

94 (100)

63 (100)

123 (100)

96 (100)

17 (100)

19 (100)

26 (100)

31 (100)

38 (100)

24 (100)

34 (100)

23 (100)

Pharmacological treatments

No drug treatment

31 (35.6)

21 (32.8)

55 (44.7)

38 (42.2)

4 (23.5)

4 (21.1)

5 (19.2)

8 (25.8)

11 (28.9)

11 (45.8)

19 (55.9)

13 (56.5)

Anxiolytics, tranquilizers hypnotics

22 (25.3)

12 (18.8)

17 (13.8)

12 (13.3)

0 (0.0)

2 (10.5)

4 (15.4)

4 (12.9)

14 (36.8)

6 (25.0)

6 (17.6)

5 (21.7)

Antidepressant

19 (21.8)

27 (42.2)10

26 (21.1)

28 (31.1)

11 (64.7)

12 (63.2)

11 (42.3)

15 (48.4)

5 (13.2)

6 (25.0)

5 (14.7)

2 (8.7)

Antipsychotic

8 (9.2)

0 (0.0)11

9 (7.3)

7 (7.8)

2 (11.8)

0 (0.0)

3 (11.5)

3 (9.7)

3 (7.9)

0 (0.0)

3 (8.8)

1 (4.3)

Otherd

7 (8.0)

4(6.2)

16 (13.0)

5 (5.6)

0 (0.0)

1 (5.3)

3 (11.5)

1 (3.2)

5 (13.2)

1 (4.2)

1 (2.9)

2 (8.7)

Total

87 (100)

64 (100)

123 (100)

90 (100)

17 (100)

19 (100)

26 (100)

31 (100)

38 (100)

24 (100)

34 (100)

23 (100)

  1. aGiving practical/social help, referral to primary care nurse
  2. bDiscussing problems, advice
  3. cFurther physical investigation and other non-pharmacological interventions
  4. dNon psychotropic medication –vitamins, herbal, analgesics
  5. Significant differences in GP treatment pre and post model: 1 p = 0.038; 2 p = 0.051; 3 p = 0.007; 4 p = 0.007 (Yates correction); 5 p = 0.003; 6 p = 0 0.001; 7 p = 0.001; 8 p = 0.019; 9 p = 0.025; 10 p = 0.007; 11 p = 0.034(Yates correction)