A brief scale to assess hospital doctors' attitudes toward collaborative care for mental health.

摘要: Objective: Collaborative care may improve mental health management in hospital settings. However, no scales assess doctors' attitudes toward its 2 core components: by nonpsychiatric physicians and psychiatric consultation. Our objective was to develop the reliability validity of Doctors' Attitudes Toward Care for Mental Health (DACC-MH) Scale. Method: Fifteen items assessing problems (10 items) consultation (5 were administered 225 surgeons from a London hospital. Item responses dichotomous (agree or disagree). Confirmatory factor analysis models conducted using Mplus data identify inclusion DACC-MH test hypothesized factors. Known-groups tested comparing scores physicians, as have been shown view more favourably. Results: The 8-item included 4-item Management Problems (Cronbach's α = 0.65) Psychiatric Consultation (α 0.67; overall scale 0.70). Model fit good (χ^sup 2^ 12.7, df 11, P 0.31 ; Comparative Fit Index 0.99; Tucker-Lewis root mean square error approximation 0.03) with all loadings 0.46 greater. As hypothesized, physician significantly higher than surgeon on both subscales, indicating positive Conclusions: Preliminary evidence found DACC-MH, which will facilitate efforts evaluate readiness doctors engage collaborative care. Can J Psychiatry. 2010;55(4):264-267. Clinical Implications * can be used clinically also investigate factors related provision outcomes. Limitations agree disagree format less ideal Likert-item format, could measurement characteristics. Scores not linked actual behaviours. validated single UK, research is needed different medical Key Words: health, depression, services, care, assessment, psychometrics Abbreviations this article CFA confirmatory CFI NICE National Institute Excellence RMSEA TLI Depression common disabling among patients illness,1 improving depression has prioritized policy-makers. Canadian Task Force Preventive Care,2 US Services Force,3,4 UK NICE,5 varying degrees, advocate screening primary advocates at high risk depression,5 whereas task forces broadly, but emphasize that only appropriate when integrated systems include diagnostic, treatment, follow-up services are place.2-4 endorsed specialty settings, such cardiovascular care6 obstetrics,7 although suggests likely benefit these settings without changes models. …