PURPOSE: To find out the current coordination/cooperation level of
primary care (PC) with the
adult mental health centres (AMHC), the addiction
treatment centres (ATC) and
children and
adolescent mental health centres (CAMHC) of Catalonia (
Spain ). Differences in coordination between urban and non-
urban areas were also evaluated.
DESIGN: Cross-sectional descriptive study.
SETTING: Eighty PC centres representing the seven
health regions of Catalonia.
PARTICIPANTS: Selection was by means of a multi-staged and
stratified sampling method . A total of 356 of the 618 PC
physicians who agreed to participate completed a
survey evaluating different aspects of coordination with the specialised
mental health services .
RESULTS: The PC
physicians indicated that the availability of AMHC was worse than that provided by ACT and CAMHC. However, the
reports on the
state of the referred
patients and the
training courses in
mental health offered by the AMHC were more frequent. There were no significant differences in availability or
training in
mental health between urban and non-
urban areas .
CONCLUSIONS: The cooperation between the PC and the specialised
mental health services of Catalonia is optimal in some aspects, but
patient waiting
time needs to be reduced for first visits to the AMHC and
training activities offered by the CAMHC and the ACT need to be increased.