A Systems Re-Design Toolkit for Mental Health in Primary Care
Six Components of the Toolkit
The six components of this toolkit are built on over 15 years of primary care-based depression research. Headed by Professor Jane Gunn and her team of interdisciplinary researchers, this leading program of research has engaged more than 500 general practitioners and 10,000 patients in clinical health services research.
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Participation & Engagement
The guiding questions for this component are:
- Who needs to participate in planning and system re-design?
- What are the best fit models of participation and engagement?
- What considerations might be necessary to meet population needs?

Understanding Context
The guiding questions for this component are:
- Who is the population and what are their needs?
- What services do they currently use to meet mental health needs?
- What services are already available?
- What local community factors contribute to their needs?

Assessing Evidence
The guiding questions for this component are:
- What evidence based mental health interventions are suitable for primary care?
- What is the best delivery modality?
- What are the workforce requirements?

Matching to Needs
The guiding questions for this component are:
- What are the evidence-service gaps?
- How do people get sorted into mental health needs groups?
- How can we tailor treatments to individual needs?

Monitoring & Outcomes
The guiding questions for this component are:
- What outcomes should we measure in stepped care models?
- What tools exist for measuring and monitoring relevant outcomes?
- How do you embed outcome measures into routine care?

Implementation & Evaluation
The guiding questions for this component are:
- What is the program logic model?
- What are implementation strategies?
- What are the evaluation approaches that can be applied?