Community Psychiatric Nursing for Neurotic Patients: A Controlled Trial

1982 ◽  
Vol 140 (6) ◽  
pp. 573-581 ◽  
Author(s):  
E. S. Paykel ◽  
S. P. Mangen ◽  
J. H. Griffith ◽  
T. P. Burns
Keyword(s):  
Social Adjustment ◽  
Marked Reduction ◽  
Home Visiting ◽  
Controlled Trial ◽  
Psychiatric Nursing ◽  
Psychiatric Nurses ◽  
Alternative Mode ◽  
Community Psychiatric ◽  
Satisfaction With Treatment

SummarySeventy-one neurotic patients requiring follow-up were randomly assigned to routine psychiatric out-patient care or to supportive home visiting from community psychiatric nurses as their main treatment agents and were assessed every six months for 18 months. No differences were found between effectiveness of the two modes of service on symptoms, social adjustment or family burden. Patients seeing community psychiatric nurses reported greater satisfaction with treatment. Community psychiatric nursing resulted in a marked reduction in out-patient contacts with psychiatrists and other staff, more discharges, and a small increase in general practitioner contact for prescribing. Care of such patients by community psychiatric nurses is a valuable alternative mode of deployment within the psychiatric team.

Care of Chronic Neurotic Out-patients by Community Psychiatric Nurses

1991 ◽  
Vol 158 (5) ◽  
pp. 685-690 ◽  
Author(s):  
Tom Burns ◽  
E. S. Paykel ◽  
A. Ezekiel ◽  
S. Lemon
Keyword(s):  
Psychiatric Care ◽  
Controlled Trial ◽  
Psychiatric Service ◽  
Treatment Patterns ◽  
Original Study ◽  
Psychiatric Nurses ◽  
Social Disability ◽  
Community Psychiatric ◽  
Care Patterns

Ninety-nine neurotic patients from a controlled trial of CPN v. psychiatric out-patient aftercare were followed up seven years later. Of the 92 survivors, 76 were successfully interviewed. Few differences were found between the groups. Chronic mild symptoms and moderate social disability persisted, and tended to worsen a little. Treatment patterns persisted for one to two years beyond the original study; the CPN group had more CPN contacts, fewer psychiatric out-patient contacts and less psychiatric care. Thereafter, more out-patients were discharged from psychiatric care and care patterns for the two groups became similar. Out-patients attended more non-psychiatric out-patient clinics than the CPN group, but it is possible that this reflected pre-existing differences. About a third of patients remained in contact with the psychiatric service during follow-up.

scholarly journals Changes in referral rates following community psychiatric nurse attachment to a primary care team

1992 ◽  
Vol 16 (5) ◽  
pp. 264-265 ◽  
Author(s):  
Andrew D. Wells ◽  
John M. Eagles ◽  
David Hunter ◽  
Douglas G. Fowlie
Keyword(s):  
Primary Care ◽  
Community Care ◽  
Psychiatric Patients ◽  
Psychiatric Nursing ◽  
Psychiatric Nurses ◽  
Psychiatric Nurse ◽  
The Past ◽  
Community Psychiatric ◽  
Nursing Services

Over the past three decades there has been a shift in emphasis from hospital based to community care of psychiatric patients. Central to this change has been the development of the community psychiatric nursing services and an increase in its numbers. Until recently community psychiatric nurses (CPNs) were almost entirely hospital based, working as members of a multidisciplinary team and providing follow-up for psychiatric patients.

Cost-effectiveness of community psychiatric nurse or out-patient psychiatrist care of neurotic patients

1983 ◽  
Vol 13 (2) ◽  
pp. 407-416 ◽  
Author(s):  
S. P. Mangen ◽  
E. S. Paykel ◽  
J. H. Griffith ◽  
A. Burchell ◽  
P. Mancini
Keyword(s):  
Consumer Satisfaction ◽  
Public Expenditure ◽  
Direct Costs ◽  
Psychiatric Nursing ◽  
Psychiatric Nurses ◽  
Chronic Patients ◽  
Community Psychiatric ◽  
Significant Difference ◽  
The Mean

SYNOPSISIn a prospective controlled investigation chronic patients, the majority with neurotic conditions, were randomly allocated either to community psychiatric nurses (CPN) as the main therapist or to routine out-patient psychiatrist follow-up. There was no statistically significant difference in the mean public expenditure for the two modes of care. The direct costs of psychiatric care comprised a small proportion of total public expenditure and were initially greater in the nursing group. Subsequently, and over the whole 18-month study period, nursing was the cheaper option in terms of these direct costs. Clinical and social outcomes were comparable in both follow-up groups. Consumer satisfaction was significantly greater among CPN patients. On balance, these results confirm the benefit of community psychiatric nursing for this patient group.

Home visiting intervention for vulnerable families with newborns: follow-up results of a randomized controlled trial

2000 ◽  
Vol 24 (11) ◽  
pp. 1399-1429 ◽  
Author(s):  
Jennifer A Fraser ◽  
Kenneth L Armstrong ◽  
Jeanette P Morris ◽  
Mark R Dadds
Keyword(s):  
Randomized Controlled Trial ◽  
Home Visiting ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Vulnerable Families

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 Community child psychiatric nursing

1989 ◽  
Vol 13 (11) ◽  
pp. 617-618
Author(s):  
D. J. Cottrell ◽  
P. J. Redford ◽  
H. R. Smith ◽  
Y. Parker
Keyword(s):  
Psychiatric Nursing ◽  
Psychiatric Nurses ◽  
Steady Growth ◽  
Community Psychiatric ◽  
Child Psychiatric

There has been a steady growth in the number of community psychiatric nurses (CPNs) working in this country over the last few years. Despite this there are still relatively few community child psychiatric nurses (CCPNs) and those that there are often work in relative isolation. It is difficult to find any articles concerning community child psychiatric nursing, either anecdotal accounts of individual practice or evaluations of a particular service.

scholarly journals The future of community psychiatric nursing: some research findings

1990 ◽  
Vol 14 (9) ◽  
pp. 550-551 ◽  
Author(s):  
Peter Tyrer ◽  
Michael Gelder
Keyword(s):  
General Practitioner ◽  
Daily Living ◽  
Psychiatric Care ◽  
Psychiatric Nursing ◽  
Psychiatric Nurses ◽  
Research Committee ◽  
Community Psychiatric ◽  
Recent Developments ◽  
Research Findings ◽  
Working Practices

A workshop organised by the Research Committee of the College took place on 20 November 1989, in which 14 invited delegates from nursing, psychiatry and general practice presented and discussed the implications of recent research developments in community psychiatric nursing. Papers were given by Helen Hally, Chairman of the Community Psychiatric Nurses Association, on recent developments in the workload of community psychiatric nurses. Dr Joseph Connolly presented the preliminary findings of the ‘Daily Living Project’ at the Maudsley Hospital in which comprehensive community care is given primarily by community psychiatric nurses. Professor Brandon outlined some of the difficulties in obtaining data on the working practices of community psychiatric nurses arising from a study in Leicester and this was followed by an account by Dr Alastair Wright, a general practitioner in Glenrothes, Fife, of the typical psychiatric workload of a general practitioner and the ways in which community psychiatric nurses may be of value in treating this without the necessity of referral to psychiatric care.

Community Psychiatric Nurses in Primary Health Care

1994 ◽  
Vol 165 (2) ◽  
pp. 231-238 ◽  
Author(s):  
Kevin Gournay ◽  
Julia Brooking
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Mental Health Problems ◽  
Controlled Trial ◽  
Nursing Intervention ◽  
Drop Out ◽  
Psychiatric Nurses ◽  
Primary Health ◽  
Community Psychiatric ◽  
Gp Care

Background.Community psychiatric nurses (CPNs) are increasingly working in primary health care with non-psychotic patients. This study was designed to test the efficacy of this work.Method.The study was carried out in six health centres in north London with a total of 36 participating general practitioners (GPs) and 11 CPNs. Using a randomised controlled trial, 177 patients were referred by their GP and randomly allocated to continuing GP care, immediate community psychiatric nursing intervention, or placed on a 12-week waiting-list, after which time the patient was offered CPN intervention. A range of measures of symptoms and social function were used, and ratings were carried out at assessment and at 24 weeks.Results.Patients improved on all measures over time (P < 0.001 for all measures). However, there was no difference between the group of patients receiving GP care and patients seen by the CPN. Improvements seemed to be independent of the amount of contact. Drop-out rates from CPN intervention were high (50%). CPN drop-outs were more disabled to start with, but did as well as CPN treatment completers. Patients were more likely to drop out with trained than untrained CPNs. There was no evidence that referral to a CPN saved GP time.Conclusions.The results add weight to the argument that CPNs should refocus their activity on people with serious mental health problems, and indicate that CPN education should focus on skill acquisition and interventions of proven effectiveness.

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