Primary Mental Health Care Part 2: Three European Primary Mental Health Care | Stephy Publishers

 



Primary Mental Health Care Part 2: Three European Primary Mental Health Care Examples as Basis for Change to the Irish System 

Abstract
The successes and limitations of primary mental health care systems in three countries outside of Ireland are examined in order to inform potential change for the Irish primary mental health care system. Systems currently at work within Scotland, England, and the Netherlands are outlined, all of which employ versions of the “stepped-care” approach to primary care. It is acknowledged that Ireland is attempting to modify primary care to include the stepped-care approach. However, there are significant limitations to the current Irish system. With the Scottish, English, and Dutch systems in mind, an alternative vision of primary mental health care for Ireland is suggested.

Keywords: Mental health, Health care, Irish system

Initiatives in primary mental health care

Introduction
The current Irish primary mental health care (PMHC) service in Ireland has been examined in the first article in this series. The model, known as ‘Counseling in Primary Care’ (CIPC) was introduced by the Health Service Executive (HSE) in 2013 and was first evaluated in 2018.1 Shortcomings of this model include: eligibility criteria; service limitations and lengths of waiting lists; and medicalization of the whole system. Currently, in order to access CIPC services, a candidate must be aged over 18 and have a medical card. The CIPC model is a short-term service with a limit of 8 counseling sessions, and access is only available through GP referral. The most recent report on the National Evaluation Study revealed 76-80% of service users waiting 0-4 months and 20-24% waiting between 4-6 months.


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