Prevention and the identification of high risk groups

Abstract

Prevention of minor psychiatric morbidity in general practice depends on identifying individuals at times of vulnerability. Cross-sectional community studies have shown that psychosocial distress follows closely upon negative life events, and that individuals who lack supportive relationships are at highest risk of poor health outcome. The primary care team is in a good position to identify these undergoing life crises such as bereavement, divorce, childbirth and chronic illness, who appear to lack adequate social support. The theoretical basis of social support interventions is outlined, together with examples of application in primary care. Prevention of postnatal depression and breakdown in carers of demented eldery people are presented as intervention paradigms.