Major changes are summarized below: 1. move "Psychological Factors Affecting a Medical Condition" from "other factors that may be of interest." 2. introduce a new diagnosis "Complex Somatic Symptom Disorder." This disorder is characterized by multiple somatic symptoms, as well as misattributions, excessive concern or preoccupation with symptoms & illness. The workgroup feels that this rubric accurately describes disorders such as somatization disorder, hypochondriasis, undifferentiated somatoform disorder, and pain disorder. 3. The workgroup proposes changes to criteria for conversion disorders. Most notably, we recommend removing the requirement for psychological factors to be associated with symptom onset. This matter is difficult to establish. There is currently discussion regarding whether conversion disorder is most usefully aligned with somatic symptom disorders or anxiety disorders. Background: Chlamydia is a common sexually transmitted infection and is often asymptomatic, so early treatment can be difficult. The National Chlamydia Screening Programme aimed to increase screening of sexually active 15-24 year olds. Half of PCT's are under-performing against the Department of Health's target for all Primary Care Trusts (PCTs) to screen 18% of this population. Therefore there is a need to improve opportunistic screening in GP practices. As part of a wider project to develop an intervention this study assesses individual staff attitudes and intentions to screening, and informs the content of the intervention. Method: A theory based survey was developed from previous qualitative and quantitative data from practice staff. The survey was administered to clinical and non-clinical staff in GP surgeries; of which 466 had been returned Findings: Intention to offer Chlamydia screening was high (mean 5.50, SD=1.07). Subjective norms and PBC scores were also high (mean 6.01, SD=1.16; mean 6.24, SD=.82 respectively), with attitude similarly positive (5.97 (SD=.75). Linear regression analysis showed that intention significantly predicted approximately 13% variation in behaviour in clinical staff (F=34.708, AdjR2=.131, p<.001) but was insignificant for non-clinical staff. Attitude and subjective norms were the most significant predictors of intention (p<.005) whilst PBC did not significantly predict intention. Discussion: Intention to offer screens is directly related to actual behaviour, and those who have more positive attitudes and perceive their colleagues to be more approving are more likely to offer screens. The lack of predictive power with non-clinical staff may reflect their view that offering information is beyond their role, and thus it is important to raise awareness of the value of doing so. The challenge of increasing numbers of elderly in need of mental health services in the developing world will not be adequately met without effective undergraduate education for all health professionals caring for elderly patients. There is a need for continuing professional training to keep the skills, attitudes and performance of care providers appropriate and update for recognizing and treating old age mental health disorders. There is also a need for more research on effective training approaches. Keeping this in mind, the present study sought to investigate the level of psychogeriatric knowledge and attitudes towards care of the elderly among primary care personnel of Orissa, India and an assessment of psycho-geriatric training needs in primary health care.