Mental Health Nursing in New Zealand Primary Health Care
Anthony J O'Brien
Centre for Mental Health Research, Policy and Service Development, University of Auckland; Liaison Psychiatry, Auckland Healthcare Services Ltd, New Zealand
Frances A Hughes
Professor of Nursing and Director, Centre for Mental Health Research, Policy and Service Development, University of Auckland, New Zealand
Jacquie Dianne Kidd
School of Nursing, University of Auckland, Auckland; Primary Mental Health Practitioner, Hamilton, New Zealand
PP: 142 - 152
Abstract
International literature and New Zealand health policy is giving increased emphasis to the role of the primary health care sector in responding to mental health issues.
These issues include the need for health promotion, improved detection and treatment of mild to moderate mental illness, and provision of mental health care to some of those with severe mental illness who traditionally receive care in secondary services. These developments challenge specialist mental health nurses to develop new roles which extend their practice into primary health care.
In some parts of New Zealand this process has been under way for some time in the form of shared care projects. However developments currently are ad hoc. There is room for considerable development of specialist mental health nursing roles, including roles for nurse practitioners in primary mental health care.
References
Bindman J, Goldberg D, Chisolm D, Amponsah S, Shetty G and Brown J (2001) Primary and secondary care for mental illness: impact of a link worker service on admission rates and costs. Journal of Mental Health 10(4): 637-644.
Bjorklund P (2003) The certified psychiatric nurse practitioner: Advanced practice psychiatric nursing reclaimed. Archives of Psychiatric Nursing XVII(2): 77-87.
Burns T (2005) Shared care, individual expertise. Advances in Psychiatric Treatment 11: 139-141.
Davies BR, Howells S and Jenkins M (2003) Early detection and treatment of postnatal depression in primary care. Journal of Advanced Nursing 44: 248-255.
Gournay K (1999) Future role of the nurse in primary health care. In Tansella M and Thornicroft G (eds) Common mental disorders in primary care. Essays in honour of Sir David Goldberg (pp.91-101). Routledge: London.
Gournay K and Brooking J (1994) The CPN in primary care: An outcome study. British Journal of Psychiatry 165: 231-238.
Haber J and Billings C (1995) Primary mental health care: A model for psychiatric-mental health nursing. Journal of the American Psychiatric Nurses Association 1(5): 154-163.
Hamer H, Finlayson M, Hughes F, Thom K and Tomkins S (2005) National Framework for mental health nursing. (Unpublished discussion document).
Handiside A (2004) Our physical health...who cares? Wellington: Mental Health Commission.
Hannigan B (1997) A challenge for community psychiatric nursing: Is there a future in primary care? Journal of Advanced Nursing 26, 751-757.
Hobbs H, Wilson J H and Archie S (2004) Evaluation of the Alumni Program: a shared-care model for psychosis. Journal of Psychosocial Nursing and Mental Health Services 42(1): 28-36, 48-9.
Horrocks S, Anderson E and Salisbury C (2002) Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. BMJ 324: 819-823.
Hughes F A (2002) Reflections from ‘Down Under’ about NPs ‘Up Top’. Journal of Psychosocial Nursing and Mental Health Services 40(7): 6-8.
Hughes F, Clark S, Sullivan-Marks E and Fairman J (2002) Research in support of nurse practitioners. In Mezey M, McGirven D and Sullivan-Marks E (eds) Nurse, Nurse Practitioners (pp.84-107). New York: Springer.
Hughes F and Carryer J (2002) Nurse practitioners in New Zealand. Wellington: Ministry of Health.
King A (2002) Foreword in Hughes F and Carryer J (2002) Nurse practitioners in New Zealand. Wellington: Ministry of Health.
King A (2005) Health Minister delighted nurse prescribing is underway. (Media statement) 11 September 2005. Available at http://www.beehive.govt.nz/ViewDocument.aspx?DocumentID=11759 [Accessed 18 December 2005].
Lester H (2005) Shared care for people with mental illness: a GP's perspective. Advances in Psychiatric Treatment 11: 133-139.
Lyles JS, Hodges A, Collins C, Lein C, Given CW and Given B (2003) Using nurse practitioners to implement an intervention in primary care for high-utilizing patients with medically unexplained symptoms. General Hospital Psychiatry 25: 63-73.
MagPIe Research Group (2003) The nature and prevalence of psychological problems in New Zealand primary healthcare: A report on mental health and general practice investigation (MaGPIe). The New Zealand Medical Journal 116(1171)
MagPIe Research Group (2004) General practitioner recognition of mental illness in the absence of a gold standard. Australian and New Zealand Journal of Psychiatry 38: 789-794.
Mead N, Bower P and Gask L (1999) Emotional problems in primary care: what is the potential for increasing the role of nurses? Journal of Advanced Nursing 26: 879-890.
Miller C and Martinez R (2003) Shifting physical health care responsibilities at a community mental health center. Issues in mental health nursing 24: 441-456.
Ministerial Taskforce on Nursing (1998) Report of the Ministerial Taskforce on Nursing. Releasing the potential of nursing. Wellington: Ministry of Health.
Ministry of Health (1996) Towards better mental health services. The report of the national working party on mental health workforce development. Wellington: Ministry of Health.
Ministry of Health (1997) Moving forward. The national mental health plan for more and better services. Wellington: Ministry of Health.
Ministry of Health (2000) New Zealand health strategy. Wellington: Ministry of Health.
Ministry of Health (2001a) Building on strengths: A guide for action. A new approach to promoting mental health in New Zealand/Aotearoa. Wellington: Ministry of Health.
Ministry of Health (2001b) The primary health care strategy. Wellington: Ministry of Health.
Ministry of Health (2002a) Primary mental. A review of the opportunities. Wellington: Ministry of Health.
Ministry of Health (2002b) Te Puawaitanga. Maori mental health national strategic framework. Wellington: Ministry of Health.
Ministry of Health (2003) Investing in health. Whakatohutia te oranga tangata. A framework for activating primary health care nursing in New Zealand. Report to the Ministry of Health from the Expert Advisory Group on Primary Health Care Nursing. Wellington: Ministry of Health.
Ministry of Health (2004) Primary Health Organisations: Service development toolkit for mental health services in primary health care. Wellington: Ministry of Health.
Ministry of Health (2005a) Established Primary Health Organisations (PHOs). Available at http://www.moh.govt.nz/moh.nsf/wpg_index/-Primary+Health+Care+Established+PHOs+by+DHB [Accessed 18 September 2005].
Ministry of Health (2005b) Te T?huhu: Improving mental health 2005-2015: The second New Zealand mental health and addiction plan. Wellington: Ministry of Health.
Murthy R and Bertolete J (2001) World health report 2001. Mental health: new understanding, new hope. Geneva: World Health Organisation.
Naegle M (2003) Advanced practice psychiatric-mental health nursing. In Mezey M, McGirven D and Sullivan-Marks E (eds) Nurse, nurse practitioners (pp.215-232). New York: Springer.
Nelson K, Fowler S, Cumming J, Peterson D and Phillips B (2003) Evaluation of mental health / primary care shared services. Auckland: Health Research Council of New Zealand.
Newell R and Gournay K (1994) British nurses in behavioural psychotherapy: A 20 year follow up. Journal of Advanced Nursing 20: 53-60.
Nursing Council of New Zealand (2004) New Zealand Regisered Nurses, Midwives, and Enrolled Nurses. Workforce statistics. Wellington: Nursing Council of New Zealand.
Oakley-Browne MA, Joyce PR and Wells PE (1989) Christchurch psychiatric epidemiology study, Part II: Six month prevalence of specific psychiatric disorders. Australian and New Zealand Journal of Psychiatry 23: 327-340.
Plummer S, Gray R and Gournay K (2000) The role of practice nurses in the provision of primary mental health care. Mental Health and Learning Disabilities Care 3(10): 338-340.
Russell G and Potter L (2002) Mental health issues in primary healthcare. Journal of Clinical Nursing 11: 118-125.
Sartorius N (1999) The limits of mental health care. In Tansella M and Thornicroft G (eds) Common mental disorders in primary care. Essays in honour of Sir David Goldberg (pp.3-16). London: Routledge. 211-221.
Saur CD, Harpole LH, Steffers DC, Fulcher CD, Porterfield Y, Haverkamp R, Kivett D and Unützer J (2002) Treating depression in primary care: an innovative role for mental health nurses. Journal of the American Nurses Association 8(5): 159-167.
Secker J, Pidd F, Parham A and Peck E (2000) Mental health in the community: roles responsibilities and organization of primary care and specialist services. Journal of Interprofessional Care 14(1): 49-58.
Sokhela NE (1999) The integration of comprehensive psychiatric/mental health care into the primary health system: diagnosis and treatment. Journal of Advanced Nursing 30: 229-237.
Talley S and Caverly S (1994) Advanced practice psychiatric nursing and health care reform. Hospital and Community Psychiatry 45(6): 545-547.
Vazquez-Barquero, Herran and Simon (1999) in Tansella M and Thornicroft G (eds) Common mental disorders in primary care. Essays in honour of Sir David Goldberg (pp.3-16). London: Routledge.
Venning P, Durie A, Roland M, Roberts C and Leese B (2000) Randomised controlled trial of general practitioners and nurse practitioners in primary care. British Medical Journal 320: 1048-1053.
Weaver T, Patmore C, Cunningham B and Renton A (1999) An assessment of the impact of community psychiatric nurse attachment to primary care upon the monitoring of patients with severe mental illness. Journal of Mental Health 8(4): 403-412.
WHO (2001) Mental health policy and service guidance package: Organisation of services for mental health. Geneva: WHO.
WHO (2002) The World Health Report 2001. Mental health - new understanding, new hope. Geneva: WHO.
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