scholarly journals Advances in psychiatric treatment in primary care

2001 ◽  
Vol 7 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Christopher Dowrick
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
National Health Service ◽  
Health Service ◽  
Health Professionals ◽  
Depressive Disorders ◽  
Mental Health Problems ◽  
Psychiatric Treatment ◽  
Mental Illnesses ◽  
Breaking Work

Following ground-breaking work by Shepherd et al (1966) and, more recently, Goldberg & Huxley (1992), primary care is now recognised as the arena in which most contact occurs between the National Health Service (NHS) and people with mental health problems. General practitioners (GPs) remain the first, and in many cases the only, health professionals involved in the management of a whole range of conditions, from common anxiety and depressive disorders to severe and enduring mental illnesses.

scholarly journals Commissioning mental health services: role of the consultant psychiatrist

2000 ◽  
Vol 6 (1) ◽  
pp. 73-80 ◽  
Author(s):  
Chris Simpson
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practitioner ◽  
National Health Service ◽  
Health Service ◽  
Health Services ◽  
Consultant Psychiatrist ◽  
Health Authorities ◽  
Care Groups

The current National Health Service (NHS) approach to commissioning health services is in flux. The purchasing of care from providers by general practitioner fundholders (GPFHs) and health authorities has changed with the new White Papers. GPFHs no longer exist and the commissioning role is being handed over from health authorities to primary care groups (PCGs). An understanding of the reasons for change and current arrangements will aid the consultant psychiatrist in influencing this process.

scholarly journals No dogs. Guide dogs by prior permission

2006 ◽  
Vol 30 (12) ◽  
pp. 463-463
Author(s):  
James Pease ◽  
Anthony Brown
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Health Service ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Clinical Governance ◽  
Knowledge And Skills ◽  
Guide Dogs ◽  
Rural Locality ◽  
Prior Permission

Esther Rantzen created the Jobsworth Award before the National Health Service (NHS) invented clinical governance. One wonders sometimes if the NHS would have scooped all their awards had the programme continued. Television presenters also caution against involvement with children or animals, or worst of all both simultaneously. Clearly child and adolescent mental health professionals planning to involve animals in therapy should be cautious even in a semi-rural locality. Animals and children are, however, within our knowledge and skills framework, but not so the finer points of clinical governance.

scholarly journals Let us say what we need ourselves: report of the interview of mental health service users with schizophrenia in South-West Nigeria.

2019 ◽  
Author(s):  
Oyeyemi Olajumoke Oyelade ◽  
Nokuthula Gloria Nkosi
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Health Professionals ◽  
Mental Illnesses ◽  
Service Users ◽  
Structured Interviews ◽  
High Tendency ◽  
South West ◽  
Low Middle Income Countries

Abstract Schizophrenia is one of the, most chronic mental illnesses that subjects’ individuals who are suffering from dictatorship and control by close associates/friends, family and health professionals. The productivity of individuals who have schizophrenia is also reduced, due to the debilitating effect of the illness. In some countries, the right of such individuals is protected by laws guiding their treatment, however in the majority of the low-middle income countries (64%), Nigeria included, there are no Mental Health Acts that protect the rights of individuals in such categories. Without law or guidance, individual health professionals engage in trial and error, subjective ideas, or dictatorship. However, in a situation where recovery has been achieved, which is a function of remission of symptoms, there is a need for mental health service users to take part in their care. When a mental health service users’ voice is heard and appreciated, there is a high tendency for quick improvement, and this makes rehabilitation goals achievable. This study, therefore, describes the rehabilitation activities for individuals with schizophrenia in South-West Nigeria. A descriptive qualitative approach and semi-structured interviews were used to gather information from mental health service users at the eight clinics of the two tertiary psychiatric institutions in South-West Nigeria. Twenty-nine mental health service users were interviewed. The results of the interview were analysed independently by both researchers through a content analysis approach, using NVIVO version 11. The results of the analysis were compared, and an agreement reached on the conclusion. This study revealed that there was no uniform approach to rehabilitation of individuals with schizophrenia in South-West Nigeria, and instances of dictatorship and dependence by professional on the choice of activities were eminent. For the few who were able to make an informed decision, the mental health service users did better on what they chose to do themselves than what the family and health professionals suggested. However, when the mental health service users, did what they felt was best for them; this indicated a certain level of rehabilitation. This study, therefore, encourages the development of practice guidelines for the rehabilitation of individuals with schizophrenia in Nigeria.

Development of Croydon's Primary Care Protocols for Common Mental Illnesses 2001: a bottom-up approach

2003 ◽  
Vol 27 (6) ◽  
pp. 221-224 ◽  
Author(s):  
Maggie Bruce
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Eating Disorders ◽  
Mental Health Problems ◽  
Good Practice ◽  
Mental Illnesses ◽  
Health Authorities ◽  
Care Groups ◽  
National Service Framework ◽  
Common Mental Health Problems

The Mental Health National Service Framework (NSF) states that primary care groups (PCGs) should work with primary care teams and specialist services to agree protocols for common mental health problems. The Primary Care Protocols for Common Mental Illnesses developed in Croydon were circulated by the Department of Health to all regional offices, as an example of good practice, and 20 health authorities and primary care organisations have requested final electronic versions to adapt for local use. The protocol dealing with eating disorders has been adapted by the Royal College of Psychiatrists Eating Disorders Special Interest Group and appears on the College's website. This paper describes how all the protocols were developed and how they can be accessed.

scholarly journals Impact of COVID-19 on loneliness, mental health, and health service utilisation: a prospective cohort study of older adults with multimorbidity in primary care

2020 ◽  
Vol 70 (700) ◽  
pp. e817-e824
Author(s):  
Samuel Yeung Shan Wong ◽  
Dexing Zhang ◽  
Regina Wing Shan Sit ◽  
Benjamin Hon Kei Yip ◽  
Roger Yat-nork Chung ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Primary Care ◽  
Health Service ◽  
Psychological Health ◽  
Mental Health Problems ◽  
Health Service Utilisation ◽  
Rank Test ◽  
Service Utilisation ◽  
Record System

BackgroundThe COVID-19 pandemic has impacted the psychological health and health service utilisation of older adults with multimorbidity, who are particularly vulnerable.AimTo describe changes in loneliness, mental health problems, and attendance to scheduled medical care before and after the onset of the COVID-19 pandemic.Design and settingTelephone survey on a pre-existing cohort of older adults with multimorbidity in primary care.MethodMental health and health service utilisation outcomes were compared with the outcomes before the onset of the COVID-19 outbreak in Hong Kong using paired t-tests, Wilcoxon’s signed-rank test, and McNemar’s test. Loneliness was measured by the De Jong Gierveld Loneliness Scale. The secondary outcomes (anxiety, depression, and insomnia) were measured by the 9-item Patient Health Questionnaire, the 7-item Generalized Anxiety Disorder tool, and the Insomnia Severity Index. Appointments attendance data were extracted from a computerised medical record system. Sociodemographic factors associated with outcome changes were examined by linear regression and generalised estimating equations.ResultsData were collected from 583 older (≥60 years) adults. There were significant increases in loneliness, anxiety, and insomnia, after the onset of the COVID-19 outbreak. Missed medical appointments over a 3-month period increased from 16.5% 1 year ago to 22.0% after the onset of the outbreak. In adjusted analysis, being female, living alone, and having >4 chronic conditions were independently associated with increased loneliness. Females were more likely to have increased anxiety and insomnia.ConclusionPsychosocial health of older patients with multimorbidity markedly deteriorated and missed medical appointments substantially increased after the COVID-19 outbreak.

scholarly journals The College's Anti-Stigma Campaign, 1998–2003

2004 ◽  
Vol 28 (4) ◽  
pp. 133-136 ◽  
Author(s):  
Arthur Crisp ◽  
Liz Cowan ◽  
Deborah Hart
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Depressive Disorders ◽  
Mental Health Problems ◽  
Public Attitudes ◽  
Working Party ◽  
Mental Illnesses ◽  
Similar Range ◽  
The Media ◽  
Illness Anxiety

In autumn 1996, under the Presidency of Dr Robert Kendell, the College decided to mount a campaign to tackle the stigmatisation of people with mental illnesses. In 1997, a working party proposed goals, content, process and a 5-year governance. Other campaigns, both here and abroad, have either generically addressed ‘mental health problems' (e.g. Mind's ‘Respect’ Campaign) or targeted a specific mental illness, e.g. the World Psychiatric Association's anti-stigma campaign in respect of people with schizophrenia. Our working party decided that it might be timely to recognise the differences in public attitudes to the variety of mental illnesses. The campaign thus addressed six categories of mental illness: anxiety disorders, depressive disorders, schizophrenia, the dementias, eating disorders, and drug and alcohol misuse/addiction. Target populations were identified as doctors, children and adolescents, the workplace, the media and the general public. The working party had also secured funding and arranged for a survey, in July 1998, by the Office for National Statistics of opinions of the British public concerning people with these mental illnesses (Crisp et al, 2000). The Campaign started on 7 October 1998. Since that time, and drawing upon our survey findings within its initial literature review (Kelly, 1999) the Department of Health mounted its own anti-stigma campaign, ‘Mind Out for Mental Health’, which addressed a similar range of mental illnesses.

scholarly journals Clinical Guidelines in Mental Health I: the National Collaborating Centre for Mental Health

2004 ◽  
Vol 28 (5) ◽  
pp. 156-159 ◽  
Author(s):  
Tim Kendall ◽  
Steve Pilling ◽  
Catherine Pettinari ◽  
Craig Whittington
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Clinical Guidelines ◽  
Clinical Guideline ◽  
Mental Health Problems ◽  
Clinical Excellence ◽  
Severe Form

The first national clinical guideline for the National Health Service (NHS) was produced by the National Collaborating Centre for Mental Health (NCCMH) for the National Institute for Clinical Excellence (NICE) and launched in December 2002. That the first guideline to emerge was a guideline in mental health was important. Furthermore, that the guideline was about the treatment of the most severe form of mental illness, schizophrenia, has drawn a great deal of attention to the plight of people with mental health problems, both within NICE, its Citizens Council and Partners Council, and in the medical press (Battacharya & Gough, 2002; Mayor, 2002; Hargreaves, 2003).

scholarly journals Effects of opt-in letters in a National Health Service psychotherapy service

2010 ◽  
Vol 34 (12) ◽  
pp. 507-510 ◽  
Author(s):  
Simon Houghton ◽  
Dave Saxon ◽  
Amanda Smallwood
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Mental Health Problems ◽  
Clinical Implications ◽  
Attendance Rates ◽  
Common Mental Health Problems ◽  
Published Research ◽  
Historical Controls

Aims and methodUp to a third of clients referred to National Health Service (NHS) mental health services will miss their first appointment. Opt-in systems are widely used to reduce non-attendance but there has been little published research examining the effects of such methods on clients. A cohort study with non-randomised historical controls was used to examine the introduction of an opt-in letter as the route to a first appointment in an NHS psychotherapy service.ResultsThe introduction of the opt-in letter slightly reduced non-attendance rates for first appointments, but this was at the expense of overall access to the service for the highest prevalence disorders.Clinical implicationsIt appears that although an opt-in system can reduce non-attendance at first appointments, it may have an unintended consequence of denying access to clients with the most common mental health problems such as anxiety disorders and depression.

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