Models of Mental Health Training for Primary Care Physicians

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Abstract
Of the 15% of the population with DSM III [Diagnostic and Statistical Manual of Mental Disorders-III] diagnosable disorders, 54% are seen exclusively by their primary care physician or by other health professionas. To understand how primary care physicians are prepared for this task a taxonomy of mental health training programs for primary care physicians was developed by review of the literature, interviews with program sponsors, review of the NIMH [National Institute of Mental Health] training grants and site visits to teaching programs. From this process 6 program types were defined: consultation, liasison, bridge, hybrid, autonomous and postgraduate specialization. The characteristics and emphasis of these model types are described as well as program needs for future training. Competence in psychosomatic medicine, psychophysiologic reactions and the interactions of biologic, psychologic and social factors in health and disease can be imparted to primary care physicans by such mental health training program designs.

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