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Managing complex problems: treatment for common mental disorders in the UK

Published online by Cambridge University Press:  18 May 2011

Andre Tylee  and
Mark Haddad
Andre Tylee*
Affiliation:
Department of Population & Health Service Research, King's College, London (United Kingdom)
Mark Haddad
Affiliation:
Department of Population & Health Service Research, King's College, London (United Kingdom)
*
Address for correspondence: Professor A. Tylee, Department of Population & Health Service Research, King's College London, PO28 Institute of Psychiatry, De Crespigny Park, London SE5 8AF (United Kingdom). Fax: 444(0)207 848 0333 E-mail: [email protected]; [email protected]
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Summary

Aims – This paper aims to describe current trends in the UK primary care management of common mental disorders and explore the appropriateness of differing management approaches in light of the course and common complications of these disorders. Methods – It highlights key findings concerning the course and comorbidity of depression to indicate that depression and associated mental illnesses may often form part of more complex patterns of ill health and that these conditions have a clear potential for chronicity. A narrative review of studies providing detail of depression prevalence in selected comorbid conditions is presented for this purpose. Conclusion – The presentation and course of common mental disorders indicate organizational changes in health service delivery, and - for a sizeable patient group – the use of chronic disease management strategies.

Declaration of Interest: None.

Keywords

depressioncomorbidityprimary caredelivery of health care
Type
Special Articles
Information
Epidemiology and Psychiatric Sciences , Volume 16 , Issue 4 , December 2007 , pp. 302 - 308
Copyright
Copyright © Cambridge University Press 2007

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