title: Barriers to the Treatment of Mental Illness in Primary Care Clinics in Israel.
abstract: The present study examined physicians' perceived barriers to the management of mental illness in primary care settings in Israel. Seven focus groups that included a total of 52 primary care Israeli physicians were conducted. Open coding analysis was employed, consisting of constant comparisons within and across interviews. Three major themes emerged: (a) barriers to the management of mental illness at the individual-level, (b) barriers to the management of mental illness at the system-level, and (c) the emotional ramifications that these barriers have on physicians. The findings highlight the parallelism between the experiences of primary care physicians and their patients. The findings also stress the need to attend to physicians' emotional reactions when working with patients who suffer from mental illness and to better structure mental health treatment in primary care.
authors: School of Social Work, Bar Ilan University, 52900, Ramat Gan, Israel. liat.ayalon@biu.ac.il.
authors: Liat
authors: L
authors: Ayalon
authors: Clalit Health Services, Tel Aviv, Israel.|Technion-Israel Institute of Technology, Haifa, Israel.
authors: Khaled
authors: K
authors: Karkabi
authors: Medical Social Work Department, Clalit Health Services, Tel Aviv, Israel.
authors: Igor
authors: I
authors: Bleichman
authors: Nursing Department, Clalit Health Services, Tel Aviv, Israel.
authors: Silvia
authors: S
authors: Fleischmann
authors: Technion-Israel Institute of Technology, Haifa, Israel.|Community Division, Headquarters Clalit Health Services, Tel Aviv, Israel.
authors: Margalit
authors: M
authors: Goldfracht
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities; D014151:Anti-Anxiety Agents / Q000627:therapeutic use; D000928:Antidepressive Agents / Q000627:therapeutic use; D001007:Anxiety / Q000628:therapy*; D001008:Anxiety Disorders / Q000628:therapy; D001291:Attitude of Health Personnel; D003863:Depression / Q000628:therapy*; D003866:Depressive Disorder / Q000628:therapy; D005260:Female; D017144:Focus Groups; D006801:Humans; D007557:Israel; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services; D008875:Middle Aged; D058007:Physicians, Primary Care; D011320:Primary Health Care / Q000458:organization & administration*; D011613:Psychotherapy; D013315:Stress, Psychological
chemical_list: D014151:Anti-Anxiety Agents; D000928:Antidepressive Agents
keywords: Anti-anxiety; Anti-depressants; Anxiety; Depression; Integrated care; Physicians; Primary care; Psychotherapy; Psychotropic