Contact and Collaboration with General Practitioners: A Comparison of Social Workers and Community Psychiatric Nurses

1992 ◽  
Keyword(s):  
Social Workers ◽  
General Practitioners ◽  
Psychiatric Nurses ◽  
Community Psychiatric

An Alternative to Group Homes

1978 ◽  
Vol 132 (4) ◽  
pp. 356-360 ◽  
Author(s):  
B. H. Anstee
Keyword(s):  
Social Workers ◽  
Group Homes ◽  
County Council ◽  
Psychiatric Nurses ◽  
Short Stay ◽  
Community Psychiatric ◽  
Statutory Duty

SummaryThis paper describes a supported lodgings scheme as an alternative to group homes. It is pointed out that the County Council has a statutory duty to finance supported lodgings and that schizophrenics are ideally suited to such a scheme. Some short-stay, the majority of the ‘new’ non-demented long-stay, and a large number of the ‘old’ long-stay patients have been discharged by this means. Aftercare facilities were important, as nearly half attended the day centre and over one third were regularly visited in their lodgings by the community psychiatric nurses and social workers.

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.

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 Inner-city general practice population of people with schizophrenia

1998 ◽  
Vol 22 (4) ◽  
pp. 221-225 ◽  
Author(s):  
Grant Blair ◽  
Carl Deaney
Keyword(s):  
General Practice ◽  
Inner City ◽  
Information Sharing ◽  
Social Workers ◽  
Psychiatric Nurses ◽  
Care Plan ◽  
Limited Information ◽  
Social Disability ◽  
Community Psychiatric ◽  
Practice Population

A survey of people with schizophrenia in an inner-city general practice was undertaken to identify levels of social disability, service receipt and patterns of care received. Contacts with general practitioners, psychiatrists, community psychiatric nurses and social workers were quantified, and the nature of the contacts assessed. Overall social disability for the group was marked (mean Health of the Nation Outcome Scales (HoNOS) rating 55.5). There was a correlation coefficient of +0.899 between the numbers of agencies involved and the overall HoNOS scores suggesting appropriate targeting of care. While there were few differences in the HoNOS ratings of the various contact subsets, there were significant differences in the extent of agencies contact with patients, the greatest number of contacts being in general practice. Limited information sharing, the absence of a formal shared care plan and sectorisation of services are thought to obstruct more effective general practice involvement in care.

Further Observations on the Practice of Community Care in Salford

1988 ◽  
Vol 153 (1) ◽  
pp. 30-37 ◽  
Author(s):  
K. Wooff ◽  
D. P. Goldberg
Keyword(s):  
Mental Health ◽  
Social Workers ◽  
Mentally Ill ◽  
Community Care ◽  
Psychiatric Nurses ◽  
Supportive Supervision ◽  
Stable Case ◽  
Professional Managers ◽  
Community Psychiatric ◽  
Attached Community

Differences in the clinical characteristics of clients have not been found to account for the interprofessional differences in community psychiatric nurses' and mental health social workers' practice in Salford. We found the consultant-attached mental health social workers, who worked closely with the specialist psychiatric team and who received supportive supervision from their professional managers, maintained stable case-loads, but the primary-care attached community psychiatric nurses, who were isolated from the specialist psychiatric team, and who received little supportive supervision from their professional managers, carried case-loads of increasing size. Failure to improve the way in which services for the mentally ill in the community are co-ordinated is likely to perpetuate the worst characteristics of life in the old back wards into the era of ‘community care’.

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 Attitudes to developments in community psychiatry among general practitioners

1991 ◽  
Vol 15 (9) ◽  
pp. 542-543 ◽  
Author(s):  
Stephen Stansfeld
Keyword(s):  
General Practitioners ◽  
Psychiatric Morbidity ◽  
Postal Questionnaire ◽  
Psychiatric Services ◽  
Psychiatric Nurses ◽  
New Town ◽  
North East ◽  
Community Psychiatric ◽  
Outreach Services ◽  
New Community

As general practitioners (GPs) are clinically responsible for the majority of recognised psychiatric morbidity in the community, they have an important role to play in deciding the shape of new community psychiatric services. This paper reports the results of a self-completion postal questionnaire survey of Harlow GPs' views on how community psychiatric services should be developed. Harlow is a mature new town (population 79,521: 1981 census) north east of London, served by a typical DGH department of psychiatry with in-patient wards and a day hospital, outreach services being provided largely by community psychiatric nurses (CPNs). GPs work in group practices in purpose-built health centres.

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