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PRIMARY CARE FOR WOMEN: Comprehensive Assessment and Management of Common Mental Health Problems

Authors

  • Toni Abrams Weintraub MD,

    1. Toni Abrams Weintraub is a physician fellow in the Community-Oriented Primary Care (COPC) Residency Training Program in Preventive Medicine in Boston. Dr. Abrams Weintraub received her medical education at Cornell University Medical College, completed a transitional internship at St. Vincent's Hospital in New York, and spent a year in training as a psychiatric resident in Boston. She is currently involved in the delivery of primary health and mental health care to adolescents in the City of Boston Department, of Health and Hospitals'school-based health program. In addition, Dr. Abrams Weintraub is a master in public health candidate at the Boston University School of Public Health and a member of the Maternal and Child Health Leadership Program.
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  • Lisa L. Paine CNM, DRPH, FACNM,

    Corresponding author
    1. Lisa L. Paine is an associate professor and director of the Maternal and Child Health Program at the Boston University School of Public Health. Dr. Paine received her nurse midwifery education at the University of Utah and her public health education at the Johns Hopkins University School of Hygiene and Public Health. She has extensive clinical experience working in primary care teams in both rural and urban areas. Dr. Paine is currently a member of the board of trustees of the A.C.N.M. Foundation, Inc., and she has provided executive direction for the Journal of Nurse-Midwifery home study series on primary core for women.
      Address correspondence to Lisa L. Paine, CNM, DRPH, FACNM, Boston University School of Public Health. Maternal and Child Health Program, 80 E. Concord St., Room A 207, Boston, MA 02118.
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  • David H. Weintraub MD

    1. David H. Weintraub is a board-certified internist with New England Health Associates and runs a primary care satellite office in Roslindale, Massachusetts, Dr. Weintraub received his medical education at State University of New York Health Science Center at Syracuse, New York, and completed his residency training in internal medicine at St. Vincent's Hospital in New York. In addition, Dr. Weintraub is an associate professor of internal medicine of New England Medical Center Hospital in Boston, and the Medical Director of an area nursing home.
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Address correspondence to Lisa L. Paine, CNM, DRPH, FACNM, Boston University School of Public Health. Maternal and Child Health Program, 80 E. Concord St., Room A 207, Boston, MA 02118.

ABSTRACT

This article emphasizes the importance of the role of the certified nurse-midwife (CNM) in the primary care assessment of, and appropriate referral for women with mental health problems, especially in cases of psychiatric emergencies. Essential aspects of assessment, diagnosis, and treatment of the more common psychiatric problems are included, and the treatment modalities that are considered when referral results in psychiatric intervention are reviewed. In addition, the overall prevalence of mental health problems in women, the frequency with which primary care providers may encounter mental health problems, and issues of mental health care utilization are discussed.

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