Table 2 Content and service delivery by intervention
From: Structured communication methods for mental health consultations in primary care: a scoping review
Bellon et al | Brody et al | Jerant et al | Lam et al | Mathieson et al | Morriss et al | Montag Schafer et al | Seal et al | |
|---|---|---|---|---|---|---|---|---|
Intervention | predictD Intervention | Feedback/ + Counselling | SEE-IT | PST-PC | UBI | Reattribution | Shared Decision Making | Peer Coaching |
Integrated into EPR | ? | x | x | x | ✓ | x | ✓ | x |
Other materials | Patient booklet | x | x | x | Printed out action plans; three booklets | x | ? | x |
GPs | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | x | x |
Other profession | x | x | x | x | x | x | Pharmacists | Veteran peers |
Target population | Moderate to high risk for depression | Mental health problems | Not specified | Elderly with unrecognised psychological problems | Psychological distress | Somatised mental disorder | ≥ 1 mental health disorder; ≥ 3 medications | Veterans with ≥ 1 mental health conditions |
Orientation | Bio-psycho-family-social | Feedback/ Problem-solving, restructuring, coping strategies | Self-efficacy, MI, behavioural theories | Problem solving | Problem solving, MI, CBT | Bio-psycho-social | Shared decision making | MI, Coaching |
In-person/remote | In-person | In-person | In-person | In-person | In-person | In-person | In-person | Remote |
Consultation time | 10 min | ≤ 5 min | 20 min | 20-45 min | 30 min, 2 × 15 min | - | 30-60 min | 20-30 min |
Follow-up by clinician | x | x | x | x | Phone call/email | x | ✓ | x |
Self-report assessment | ✓ | ✓ | x | ✓ | ✓ | x | ✓ | ✓ |
Timing of self-assessment | Prior to consultation | Prior to consultation | x | Part of consultation | Prior to consultation | x | Part of consultation | Prior to consultation |
Conversation template | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
Repeated sessions | ✓ | x | x | ✓ | ✓ | x | x | ✓ |
Actions/Goals/Plan | ? | ? | ✓ | ✓ | ✓ | x | ✓ | ✓ |
Training | 10-15 h | Brief one-to-one | 20 min × 3 | 9 h | 2 h | 8 h | Yes – no time given | Yes – no time given |
Training approach | Role-play; video comments; discussion | Overview of protocol; reading material | Standardised Patient visits; 7 min consultation; 13 min scripted teaching; visual aid | Three workshops; reading materials | Presentation; video demonstration; role-play practice; discussion; manual | Instructional video; detailed teaching; role play; video feedback in small group; written information | Overview of SDM theory & template | Not described |
Trainer | ? | MD & clinical psychologist | Physician assistant | Clinical psychologist | Psychologist & PCP | ? | Pharmacists & nurse practitioner | Psychologist |
Supervision/ Booster Training | x | x | x | x | x | x | x | ✓ |