Stepped psychological intervention with common mental disorders in Primary Care

  • Julio César Martín Servicio Murciano de Salud
  • Ascensión Garriga Servicio Murciano de Salud
  • Carmen Egea Servicio Murciano de Salud
  • Gonzalo Diaz Servicio Murciano de Salud
  • María-Josefa Campillo Servicio Murciano de Salud
  • Rosa María Espinosa Servicio Murciano de Salud
Keywords: Clinical Psychology, primary care, psychological intervention, mental disorder


A model of psychological intervention for common mental disorders in Primary Care is analized. Two clinical psychologists and four resident psychologists interviewed 566 users to treat mild to moderate anxiety / depression disorders, bereavement or nonorganic insomnia disorders. Standardized assessment leads to a stepped intervention: indication of no treatment, brief group or individual intervention in Primary Care Center (PCC) or referral to Mental Health.

Socio-demographic and clinical variables describe the sample and allow comparison betwen groups. Of the 566 interviewees, the mean age was 37 years, 70% were women, 50% with psychopharmacological treatment and 10% on sick leave. The steps of intervention were: 19% were intervention indication of no treatment, 71% PCC intervention and 10% were referred to Mental Health. Adaptive, emotional and generalized anxiety disorders were predominant, with significant differences between centers depending on the location and clinical psychologist integration mode in PCC.

Integrating the clinical psychologist in PCC improve access to psychological interventions and reduces mild to moderate mental disorders medication. Assessment prevents unnecessary treatment onset and increases the likelihood of appropriate treatment indications, which is cost-effective.


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Author Biographies

Julio César Martín, Servicio Murciano de Salud
Ascensión Garriga, Servicio Murciano de Salud
Coordinadora de Psicología Clínica de la Unidad docente multiprofesional de Salud Mental
Carmen Egea, Servicio Murciano de Salud
Psicóloga clinica
Gonzalo Diaz, Servicio Murciano de Salud
Psicóloglo clínico en centro de salud de Cartagena (Casco y Santa Lucía)
Rosa María Espinosa, Servicio Murciano de Salud
Psicóloga clínica


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How to Cite
Martín, J. C., Garriga, A., Egea, C., Diaz, G., Campillo, M.-J., & Espinosa, R. M. (2017). Stepped psychological intervention with common mental disorders in Primary Care. Anales De Psicología / Annals of Psychology, 34(1), 30-40.
Clinical and Health Psychology