Table 5 Impact of the specialist respondent psychiatrist (SRP) function on service improvement
Improvement: | Total (n = 126) | Adult psychiatry (n = 94) | Child-adolescent psychiatry (n = 32) | P_value* |
|---|---|---|---|---|
Of the followed activities: | Meana(SD) | Meana(SD) | Meana(SD) | |
Ability of general practitioners (GP) to establish a diagnosis | 2.95 (0.87) | 3.01 (0.88) | 2.74 (0. 81) | 0.15 |
Pharmacological treatment by GP | 3.39 (0.86) | 3.47 (0.82) | 3.11 0(.93) | 0.05 |
Prescribing and orientation toward counseling and psychotherapy for mental health disorders (MHD) by GP | 3.25 (0.91) | 3.34 (0.86) | 2.96 (1.01) | 0.06 |
Prescribing and orientation toward counseling and psychotherapy for substance-related disorders (SRD) by GP | 2.97 (0.87) | 3.03 (0.83) | 2.76 (0.97) | 0.16 |
In the ability of these services to evaluate a patient | ||||
 MH primary care teams (MH-PCT) | 3.58 (0.98) | 3.41 0.97) | 4.04 (0.85) | 0.00 |
 One-stop MH service teams | 3.53 (0.82) | 3.53 (0.80) | 3.53 (0.90) | 0.98 |
 Youth centers | 3.74 (0.99) | 4.50 (0.70) | 3.65 (0.99) | 0.26 |
In the quality of patient treatment by | ||||
 GP | 0 | 3.25 (0.85) | 3.26 (0.94) | 0.95 |
 MH-PCT | 3.52 (0.98) | 3.35 (0.96) | 3.93 (0.90) | 0.01 |
In the quantity of patients treated by | ||||
 GP | 2.97 (0.93) | 3.01 (0.90) | 2.85 (1.04) | 0.43 |
 MH-PCT | 3.09 (1.14) | 2.96 (1.11) | 3.44 (1.19) | 0.07 |
In timeliness and effectiveness of patient treatment requested by | ||||
 One-stop MH service teams | 3.41 (0.91) | 3.38 (0.96) | 3.50 (0.85) | 0.64 |
 Youth centers | 3.25 (1.15) | 2.88 (1.45) | 3.44 (0.96) | 0.26 |
In coordination with MH primary care services | ||||
 GP | 3.34 (1.08) | 3.30 (1.08) | 3.44 (1.12) | 0.58 |
 MH-PCT | 3.43 (1.08) | 3.25 (1.01) | 3.89 (1.15) | 0.00 |
 One stop MH service teams | 3.54 (0.97) | 3.39 (0.99) | 4.05 (0.70) | 0.00 |
 Youth centers | 3.46 (0.90) | 3.13 (0.83) | 3.61 (0.91) | 0.21 |
In coordination with specialized MH services | ||||
 GP | 3.34 (1.10) | 3.30 (1.08) | 3.44 (1.12) | 0.58 |
 MH-PCT | 3.65 (1.05) | 3.44 (1.07) | 4.18 (0.81) | 0.00 |
 One stop MH service teams | 3.72 (0.88) | 3.59 (0.87) | 4.16 (0.76) | 0.01 |
 Youth centers | 3.69 (1.05) | 3.13 (1.12) | 3.94 (0.93) | 0.06 |
In the capacity to orient patients toward appropriate services | ||||
 GP | 3.40 (1.00) | 3.39 (0.98) | 3.44 (1.08) | 0.80 |
 MH-PCT | 3.29 (1.04) | 3.20 (1.00) | 3.52 (1.12) | 0.19 |
 One stop MH service teams | 3.44 (0.99) | 3.28 (1.02) | 4.00 (0.66) | 0.00 |
 Youth centers | 3.58 (1.04) | 3.50 (1.06) | 3.61 (0.91) | 0.78 |
In the capacity to orient patients toward appropriate services for SRD | ||||
 MH-PCT | 3.43 (1.08) | 3.25 (1.01) | 3.89 (1.15) | 0.01 |
 One stop MH service teams | 3.40 (0.91) | 3.39 (0.92) | 3.41 (0.87) | 0.94 |
 Youth centers | 3.22 (0.99) | 2.75 (0.70) | 3.47 (1.06) | 0.10 |
Overall impact of the SRP function | 3.22 (0.85) | 3.13 0(.81) | 3.49 (0.91) | 0.04 |
 Increase of MH services offered in the network | 2.87 (1.21) | 2.77 (1.18) | 3.16 (1.27) | 0.11 |
 Improvement in patient access to services | 3.10 (1.07) | 3.06 (1.09) | 3.22 (1.03) | 0.48 |
 Improvement in the adequacy of services for responding to patient needs | 3.48 (1.03) | 3.36 (1.03) | 3.81 (0.96) | 0.03 |
 Improvement in patient health and wellbeing | 3.24 (0.96) | 3.11 (0.95) | 3.62 (0.90) | 0.01 |
 Capacity of SRP to support joint follow-up of patient by primary care and specialized MH services | 3.37 (1.02) | 3.30 (0.93) | 3.56 (1.24) | 0.20 |
 Better integration and fluidity of services between primary care and specialized MH services | 3.32 (0.94) | 3.18 (1.10) | 3.72 (.1.14) | 0.02 |