Reportes

Taken together, the findings of the studies confirm that psychotherapy has not been given due attention in mental health care, despite the knowledge that it is an effective treatment modality in mental illness. Family physicians are practicing psychotherapy and

therapeutic alliance and the patient-physician relationship likely play a role in their practice of psychotherapy. Family physicians are not adequately trained to conduct psychotherapy and would benefit from more formal teaching in this area. Patients benefit from having trained psychotherapists provide services in a team based setting.(27) Collaboration with psychiatrists and other trained psychotherapists that is allied health professionals, is a key facilitator for family physicians’ management of mental illness. Implementing Family Health Teams in Ontario, where patients have access to insured psychotherapeutic services and timely psychiatric care could be one move in the right direction. However, only 40% Ontarians have access to Family Health Teams.(22) Ontario’s health policy supports managing mental illness in primary care, promotes collaborative care and envisions equitable, accessible, evidence based mental health care for patients with mental illness. However, the policy does not provide an adequate platform for the implementation of these goals. An implementation and evaluative strategy is needed. There are many positive steps being taken in Ontario, such as the presentation of a robust mental health and addictions strategy and implementation of Family Health Teams, but they need to be implemented and available across the province. The enormity and effects of mental illness cannot be ignored.

“There is no health without mental health.”

References

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Appendices