Mental Health Referrals to the Falkland Islands British Military Mental Health Team, 1986-96

2007 ◽  
Vol 93 (1) ◽  
pp. 12-16
Author(s):  
G L Micheal ◽  
N. T. Fear ◽  
J. Hacker Hughes

AbstractObjectivesTo examine the pattern of out-patient mental health care referrals for military personnel deployed to the Falklands Islands, 1986-96.MethodsData from referral books of British Military Community Mental Health Nurses based in the Falkland Islands were abstracted, entered into an electronic database and analysed.ResultsOver the period 1986-96, 538 Service personnel were referred to the mental health out-patient facility on the Falkland Islands. The majority were male (96%) and junior ranks (81%). Approximately a third of patients were referred for reasons relating to alcohol (31%) and for over two-thirds of patients no follow-up was required (68%). Differences were observed by Service with the Army having more referrals due to alcohol than the other two Services, whilst the Navy had more deliberate self-harm referrals and the RAF more referrals for anxiety.ConclusionsThe lack of information on the total population deployed to the Falkland Islands over this period limit the interpretation of the results.

2006 ◽  
Vol 189 (1) ◽  
pp. 50-59 ◽  
Author(s):  
Tony Kendrick ◽  
Lucy Simons ◽  
Laurence Mynors-Wallis ◽  
Alastair Gray ◽  
Judith Lathlean ◽  
...  

BackgroundUK general practitioners (GPs) refer patients with common mental disorders to community mental health nurses.AimsTo determine the effectiveness and cost-effectiveness of this practice.MethodRandomised trial with three arms: usual GP care, generic mental health nurse care, and care from nurses trained in problem-solving treatment; 98 GPs in 62 practices referred 247 adult patients with new episodes of anxiety, depression and life difficulties, to 37 nurses.ResultsThere were 212 (86%) and 190 (77%) patients followed up at 8 and 26 weeks respectively. No significant differences between groups were found in effectiveness at either point. Mean differences in Clinical Interview Schedule – Revised scores at 26 weeks compared with GP care were –1.4 (95% Cl –5.5 to 2.8) for generic nurse care, and 1.1 (–2.9 to 5.1) for nurse problem-solving. Satisfaction was significantly higher in both nurse-treated groups. Mean extra costs per patient were £283 (95% Cl 154–411) for generic nurse care, and £315 (183–481) for nurse problem-solving treatment.ConclusionsGPs should not refer unselected patients with common mental disorders to specialist nurses. Problem-solving should be reserved for patients who have not responded to initial GP care.


2008 ◽  
Vol 29 (1) ◽  
pp. 32-42 ◽  
Author(s):  
Julie Henderson ◽  
Eileen Willis ◽  
Bonnie Walter ◽  
Luisa Toffoli

2006 ◽  
Vol 15 (8) ◽  
pp. 1007-1015 ◽  
Author(s):  
Deborah Edwards ◽  
Philip Burnard ◽  
Ben Hannigan ◽  
Linda Cooper ◽  
John Adams ◽  
...  

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