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APPENDIX A
INSTITUTE OF MEDICINE
An Invitational Conference:
The Provision of Mental Health Services
in Primary Care Settings
National Academy of Sciences
Washington, D.C.
April 2-3, 1979
AGENDA
Monday, April 2
2101 Constitution Avenue, N.W
National Academy of Sciences
Lecture Room
8:00 a.m.
8:45 a.m.
9:00 a.m.
9:15 a.m.
9:20 a.m.
9:45 a.m
Registration
Welcome
David A. Hamburg, M.D.
President, Institute of Medicine
Opening Remarks
Herbert Pardes, M.D.
Director, National Institute of Mental
Health
Merle Cunningham, M.D.
Bureau of Community Health Services
Health Services Administration
Policy Issues on Provision of Mental
Health Services in Primary Care Settings
A Federal View
Gerald L. Klerman, M.D.
Administrator, Alcohol, Drug Abuse
and Mental Health Administration
Discussion
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10:00 a.m.
10:15 arm.
10:35 a.m.
10:45 a.m.
11:45 a.m.
12:15 p.m.
1:15 p.m.
Coffee Break
Nature and Scope of Mental Health
Problems in Primary Care
Darrel Regier, M.D.
Division of Biometry and Epidemiology
National Institute of Mental Health
Questions
Delivering Mental Health Services in
Primary Care Settings: Some Successful
Models
Chairman: Jonathan Borus, M.D.
Massachusetts General Hospital
Neighborhood Health Center Model
Barbara Burns, Ph.D.
Primary Care Research Section
Applied Biometrics Research Branch, NIMH
Mental Health in a Fee-for-Service
Pediatric Practice
Lawrence Pakula, M.D.
Timonium, Maryland
Treatment of Emotional Problems by Primary
Physicians in an HMO
Jules Coleman, M.D.
Community Health Center Plan
New Haven, Connecticut
Discussion
Lunch -- NAS Refectory
Identification and Management of Mental
Health Problems in Primary Care Settings
Chain: David A. Hamburg, M.D.
Training of Family Physicians in Mental
Health Skills: Implications of Recent
Research
David Goldberg, M.D.
University of Manchester
England
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Observations on the Impact of Psychiatric
Disorder upon Primary Medical Care
Edwin Hoeper, M.D.
Marshfield Clinic
Marshfield, Wisconsin
Literature Review on Management of Emotionally
Disturbed Patients in Primary Care Settings
Janet Hankin, Ph.D.
Johns Hopkins Health Services Research
and Development Center
Suicide Prevention by Family Physicians
Opportunities and Limitations
Thomas Madden, M.D.
Department of Preventive Medicine
Rush-Presbyterian -- St.Lukes Medical Center
Chicago, Illinois
2:30 p.m.
3:00 p.m.
3:15 p.m.
Discussion
Coffee Break
Issues in Training, Organizational
Structure and Financing
Chairman: Steven Sharfstein, M.D.
Division of Mental Health Service
Programs
National Institute of Mental Health
The Primary Care Physician:
Robert Lawrence, M.D.
Harvard Medical School
Mental Health Skills
The Role of the Psychiatrist in the Primary Care
Setting: Issues and Problems
Alan Jacobson, M.D.
Joslin Clinic
Boston, Massachusetts
Reimbursement for Mental Health Services
in Primary Care Settings
Alexander Richman, M.D. in collaboration
with Murray G. Brown, Ph.D. and
Vernon Hicks, M.D.
Dalhousie University
Halifax, Nova Scotia
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Problems in Analyzing the Cost-Offset in
Providing Mental Health Services in Primary
Care Settings
Herbert Schlesinger, Ph.D. in collaboration
Emily Mumford, Ph.D. and Gene V. Glass, Ph.D.
University of Colorado Medical School
Denver, Colorado
4:40 p.m
5:00 p.m. - 7:00 p.m.
Tuesday, Anri 1
8:30 a.m.
9:30 a.m.
12:30 p.m.
1:30 p.m.
2:00 p.m.
Discussion
Reception -- Great Hall
Plenary Session -- Lecture Room
Introductory Remarks -- David A. Hamburg, M.D.
Mental Health as an Integrant of Primary Care
Michael Shepherd, M.D.
Professor of Epidemiological Psychiatry
Institute of Psychiatry
University of London
Workshops
Group A
Chair: A. Alan Fischer, M.D.
Rapporteur: Fredric Solomon, M.D.
Group B
Chair: Lisbeth Schorr
Rapporteur:
William Lybrand, Ph.D.
Group C
Chair: Barbara Starfield, M.D.
Rapporteur: Elena Nightingale, M.D.
Lunch -- NAS Refectory
Workshop Summaries
__
Lecture Room
Panel: Future Directions in Coordination
of Mental Health Services and Primary Care
Julius Richmond, M.D.
Assistant Secretary for Health
Department of Health, Education and Welfare
Gerald Klerman, M.D.
Administrator, Alcohol, Drug Abuse and
Mental Health Administration, DREW
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George Lythcott, M. D.
Admini s tra tar
Health Services Administration, DHEW
3:00 p.m.
3:30 p.m.
Di sc us s ion -- Final Remarks
Adjourn
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Representative terms from entire chapter:
community health