scholarly journals Patient, client or service user? A survey of patient preferences of dress and address of six mental health professions

2003 ◽  
Vol 27 (08) ◽  
pp. 305-308 ◽  
Author(s):  
Rebecca McGuire-Snieckus ◽  
Rosemarie McCabe ◽  
Stefan Priebe
Keyword(s):  
Therapeutic Relationship ◽  
General Practitioners ◽  
Community Care ◽  
Occupational Therapists ◽  
Demographic Characteristics ◽  
Psychiatric Nurses ◽  
Clinical Implications ◽  
Professional Background ◽  
Community Psychiatric ◽  
Significant Difference

Aims and Method A positive therapeutic relationship is essential to psychiatry and should take into account patients' preferences. Preferences of 133 community care patients were surveyed regarding dress and forms of address of six professions. Participants' sex, age, ethnicity and diagnosis were recorded. Results Ninety-eight per cent of participants expressed a preference. While most preferred to be called ‘patients' by general practitioners (75%) and psychiatrists (67%), there was no statistically significant difference in preference for the term ‘patient’ or ‘client’ when used by community psychiatric nurses, occupational therapists, psychologists or social workers. Participants over the age of 40 preferred the term ‘client’. Asymmetrical relationships were preferred with general practitioners and psychiatrists, evidenced by a preference to be addressed by first name (71% and 68%, respectively), to address the professional by title (81% and 80%, respectively), and the professional to be ‘smartly’ dressed (67% and 66%, respectively). Clinical Implications A more differentiated approach may be suggested by taking professional background and some demographic characteristics into consideration.

scholarly journals Patient, client or service user? A survey of patient preferences of dress and address of six mental health professions

2003 ◽  
Vol 27 (8) ◽  
pp. 305-308 ◽  
Author(s):  
Rebecca Mcguire-Snieckus ◽  
Rosemarie Mccabe ◽  
Stefan Priebe
Keyword(s):  
Therapeutic Relationship ◽  
General Practitioners ◽  
Community Care ◽  
Occupational Therapists ◽  
Demographic Characteristics ◽  
Psychiatric Nurses ◽  
Clinical Implications ◽  
Professional Background ◽  
Community Psychiatric ◽  
Significant Difference

Aims and MethodA positive therapeutic relationship is essential to psychiatry and should take into account patients' preferences. Preferences of 133 community care patients were surveyed regarding dress and forms of address of six professions. Participants' sex, age, ethnicity and diagnosis were recorded.ResultsNinety-eight per cent of participants expressed a preference. While most preferred to be called ‘patients' by general practitioners (75%) and psychiatrists (67%), there was no statistically significant difference in preference for the term ‘patient’ or ‘client’ when used by community psychiatric nurses, occupational therapists, psychologists or social workers. Participants over the age of 40 preferred the term ‘client’. Asymmetrical relationships were preferred with general practitioners and psychiatrists, evidenced by a preference to be addressed by first name (71% and 68%, respectively), to address the professional by title (81% and 80%, respectively), and the professional to be ‘smartly’ dressed (67% and 66%, respectively).Clinical ImplicationsA more differentiated approach may be suggested by taking professional background and some demographic characteristics into consideration.

scholarly journals Prescribing community psychiatric nurses

1992 ◽  
Vol 16 (2) ◽  
pp. 76-77
Author(s):  
Chris Fear ◽  
Greg Wilkinson
Keyword(s):  
Mental Disorders ◽  
General Practitioners ◽  
Psychotropic Drugs ◽  
Information Service ◽  
Psychiatric Nurses ◽  
Community Psychiatric

Community psychiatric nurses (CPNs) fulfil an important role in caring for people with mental disorders in the community. They provide a monitoring and information service for patients and relatives and form a link between general practitioners (GPs) and psychiatrists. Some CPNs provide advice to GPs about prescribing psychotropic drugs. We studied the extent of this activity in a geographically-defined district and the views of GPs, CPNs and psychiatrists towards it.

Epidemiology of Schizophrenia in Salford, 1974–84 Changes in an Urban Community over Ten Years

1991 ◽  
Vol 159 (6) ◽  
pp. 802-810 ◽  
Author(s):  
J. S. Bamrah ◽  
H. L. Freeman ◽  
D. P. Goldberg
Keyword(s):  
Community Care ◽  
Adult Population ◽  
Postal Questionnaire ◽  
Psychiatric Nurses ◽  
Population Movements ◽  
Case Register ◽  
Community Psychiatric ◽  
Schizophrenic Patients ◽  
Similar Survey ◽  
Depot Injections

The prevalence and inception rates of treated schizophrenia in the population of inner-city Salford were compared with those from a similar survey, ten years earlier. Data were obtained from a computerised case register and a postal questionnaire sent to GPs, and case notes rated on the SCL and screened using ICD–9. The point-prevalence rate of 6.26 per 1000 adult population was higher than that previously reported (4.56), despite decreases in total inception rate and in the general population. Changes in rates are presumed to be related primarily to population movements and ageing of the schizophrenic sample. Compared with 1974, the numbers of in-patient days and long-stay in-patients had fallen substantially by 1984, although annual admissions increased over the decade; day-patient and out-patient attendances, and extramural contacts with psychiatrists, community psychiatric nurses, and social workers had also increased. Almost 62% of cases were maintained on depot injections as out-patients in 1984. Over 75% of identified schizophrenic patients were in contact with psychiatrists, but only 7 out of 557 were solely in contact with their GP. In spite of the emphasis on community care, responsibility for schizophrenic patients was still carried overwhelmingly by hospital psychiatric services.

scholarly journals Gatekeeping access to community mental health teams

2002 ◽  
Vol 26 (2) ◽  
pp. 56-58 ◽  
Author(s):  
P. McEvoy ◽  
S. Colgan ◽  
D. Richards
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Affective Disorders ◽  
Alcohol Misuse ◽  
Mental Health Problems ◽  
Health Problems ◽  
Primary Diagnosis ◽  
Psychiatric Nurses ◽  
Clinical Implications ◽  
Community Psychiatric

Aims and MethodA retrospective survey to explore how consultant psychiatrists, senior house officers and community psychiatric nurses prioritised referrals to four sectorised community mental health teams.ResultsReferral outcomes appeared to be comparable for patients with psychoses, sub-threshold mental health problems and personality disorders. However, differences in the outcomes were apparent for patients with a primary diagnosis of drug/alcohol misuse, as well as for patients with affective disorders and neuroses.Clinical ImplicationsIt may be necessary to establish clearer, consistent boundaries in order to consolidate services for patients with severe mental health problems.

scholarly journals Comparison of the assessment by doctors and nurses of deliberate self-harm

2003 ◽  
Vol 27 (02) ◽  
pp. 57-60
Author(s):  
Sian Nerys Weston
Keyword(s):  
Mental Illness ◽  
Psychiatric Nurses ◽  
Deliberate Self Harm ◽  
Use Of Resources ◽  
Community Psychiatric ◽  
Significant Difference ◽  
Referral Practices ◽  
Self Harm ◽  
Doctors And Nurses

Aims and Method To compare the assessment by community psychiatric nurses and junior psychiatric doctors of individuals following deliberate self-harm (DSH) and, in particular, to elicit differences in referral practices and perceptions of mental illness. The health professionals involved completed questionnaires after carrying out DSH assessment. Results There was a significant difference in referral patterns between doctors and nurses after DSH assessment. Doctors were significantly more likely to refer individuals for psychiatric follow-up which involved direct contact with other doctors (51 of 72 (71%) compared with 60 of 175 (34%)). Doctors were also significantly more likely than nurses to perceive individuals as having a mental illness (57 of 72 (79%) compared with 86 of 175 (49%)). Clinical Implications Further research is warranted to establish the precise reasons for these differences, and to determine whether the widespread introduction of nurse-led services is an effective and efficient use of resources.

scholarly journals Comparison of the assessment by doctors and nurses of deliberate self-harm

2003 ◽  
Vol 27 (2) ◽  
pp. 57-60 ◽  
Author(s):  
Sian Nerys Weston
Keyword(s):  
Mental Illness ◽  
Psychiatric Nurses ◽  
Deliberate Self Harm ◽  
Use Of Resources ◽  
Community Psychiatric ◽  
Significant Difference ◽  
Referral Practices ◽  
Self Harm ◽  
Doctors And Nurses

Aims and MethodTo compare the assessment by community psychiatric nurses and junior psychiatric doctors of individuals following deliberate self-harm (DSH) and, in particular, to elicit differences in referral practices and perceptions of mental illness. The health professionals involved completed questionnaires after carrying out DSH assessment.ResultsThere was a significant difference in referral patterns between doctors and nurses after DSH assessment. Doctors were significantly more likely to refer individuals for psychiatric follow-up which involved direct contact with other doctors (51 of 72 (71%) compared with 60 of 175 (34%)). Doctors were also significantly more likely than nurses to perceive individuals as having a mental illness (57 of 72 (79%) compared with 86 of 175 (49%)).Clinical ImplicationsFurther research is warranted to establish the precise reasons for these differences, and to determine whether the widespread introduction of nurse-led services is an effective and efficient use of resources.

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