Community psychiatric nurses in primary care: consumer survey

1988 ◽  
Vol 12 (11) ◽  
pp. 483-485 ◽  
Author(s):  
Femi Oyebode ◽  
Elaine Gadd ◽  
David Berry ◽  
Mary Lynes ◽  
Patricia Lashley
Keyword(s):  
Primary Care ◽  
Health Care ◽  
General Practitioner ◽  
Primary Prevention ◽  
Psychiatric Patients ◽  
Psychiatric Nurses ◽  
Consumer Survey ◽  
Psychiatric Institutions ◽  
Community Psychiatric ◽  
Chronic Psychiatric Patients

There has been a dramatic increase in the numbers of community psychiatic nurses (CPNs) in the last decade; in the period 1980–1985 the number grew from 1667 to 2758, an overall increase of 65%. Traditionally, CPNs were based within psychiatric institutions. However, in the period 1980–1985 there was growth from 8% to 16.2% in the population of CPNs based in health care centres or General Practitioner (GP) surgeries. Some of the functions of CPNs is also changing, developing away from involvement with chronic psychiatric patients towards patients with minor disorders. CPNs have also argued that work in the community and in GP surgeries is synonymous with primary prevention.

Physical Illness in Chronic Psychiatric Patients from a Community Psychiatric Unit

1989 ◽  
Vol 155 (1) ◽  
pp. 58-64 ◽  
Author(s):  
A. Honig ◽  
P. Pop ◽  
E. S. Tan ◽  
H. Philipsen ◽  
M. A. J. Romme
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Psychiatric Patients ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Community Psychiatric ◽  
Health Care Seeking Behaviour ◽  
Physical Diseases ◽  
Chronic Psychiatric Patients ◽  
Care Seeking Behaviour

The prevalence and significance of physical diseases, and health-care-seeking behaviour, were examined in a sample of 218 chronic psychiatric patients from an urban community psychiatric unit. Only 14% declined medical screening. Of the respondents, 53% had one or more probable or certain physical diseases warranting further medical attention. The majority of the diseases found were minor and typical of primary care problems. A severe (i.e. life-threatening) disease was present in 7% of respondents. Of the patients, 87% visited their GP at least once a year. The implications are that frequent consultation with primary care specialists and health-care-seeking behaviour should be noted, and included in any evaluation of the medical needs of chronic patients in community psychiatric care.

Physical Illness in Chronic Psychiatric Patients from a Community Psychiatric Unit Revisited

1992 ◽  
Vol 161 (1) ◽  
pp. 80-83 ◽  
Author(s):  
A. Honig ◽  
P. Pop ◽  
E. De Kemp ◽  
H. Philipsen ◽  
M. A. J. Romme
Keyword(s):  
Internal Medicine ◽  
General Practitioner ◽  
Psychiatric Patients ◽  
Psychiatric Diagnoses ◽  
Psychiatric Unit ◽  
Primary Physician ◽  
Community Psychiatric ◽  
Physical Diseases ◽  
Medical Recommendations ◽  
Chronic Psychiatric Patients

A group of 156 psychiatric patients from an urban community psychiatric unit for chronic psychiatric patients was routinely medically screened and reported on. Re-evaluation of the medical diseases found in those patients was carried out three years later. Those who were still being treated – 73 patients (47%) – were interviewed, as were their psychiatrist and, where necessary, their general practitioner (GP). The implementation of medical recommendations given following the physical screening by the specialist in internal medicine was also assessed. Re-evaluation of the diagnoses confirmed that 36% of this population had one or more physical diseases, rather than the 53% found earlier. The results show that the majority of physical complaints and diseases as well as functional illnesses were as persistent as the psychiatric diagnoses in this patient group. The patients' GP seems to be the person best suited as the primary physician responsible for the patient's physical health.

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.

The Practice of Community Psychiatric Nursing and Mental Health Social Work in Salford Some Implications for Community Care

1988 ◽  
Vol 152 (6) ◽  
pp. 783-792 ◽  
Author(s):  
K. Wooff ◽  
D. P. Goldberg ◽  
T. Fryers
Keyword(s):  
Mental Health ◽  
Psychiatric Symptoms ◽  
Psychiatric Patients ◽  
Psychiatric Nurses ◽  
Health Staff ◽  
Mental Health Staff ◽  
Term Care ◽  
Community Psychiatric ◽  
Wide Range

The context and content of work undertaken with individual clients by community psychiatric nurses (CPNs) and mental health social workers (MHSWs) in Salford were found to be significantly different. Although there were some areas of overlap, the ways in which the two professions worked were quite distinct. MHSWs discussed a wide range of topics and were as concerned with clients' interactions with family and community networks as they were with symptoms. Their interviews with schizophrenic clients followed a similar pattern to those with other groups, and they worked closely with psychiatrists and other mental health staff. CPNs, on the other hand, focused mainly on psychiatric symptoms, treatment arrangements, and medications, and spent significantly less time with individual psychotic clients than they did with patients suffering from neuroses. They were as likely to be in contact with general practitioners as they were with psychiatrists, and had fewer contacts with other mental health staff than the MHSWs. There was evidence that the long-term care of chronic psychiatric patients living outside hospital required more co-ordinated long-term multidisciplinary input.

scholarly journals Health professionals' views of services for schizophrenia – fragmentation and inequality

2000 ◽  
Vol 24 (2) ◽  
pp. 47-50 ◽  
Author(s):  
Peter Haddad ◽  
Martin Knapp
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Great Britain ◽  
Mental Health Care ◽  
Inner City ◽  
Health Professionals ◽  
Psychiatric Nurses ◽  
Mental Health Care System ◽  
Educational Grant ◽  
Community Psychiatric

There has been much debate about effective treatments, service configurations and costs within Britain's mental health care system, but it has largely taken place in academic and management circles. We were interested in the views of those providing care. We organised a meeting of community psychiatric nurses, general practitioners and consultant psychiatrists (funded with an educational grant from Zeneca Pharmaceuticals). Participants worked in various parts of Great Britain, including rural and inner city areas. The authors facilitated the discussion, the emphasis of which was on participants' clinical experience.

scholarly journals General medical care of long-stay psychiatric patients: a pilot study

1992 ◽  
Vol 16 (6) ◽  
pp. 332-334
Author(s):  
Danny Allen ◽  
Sally Pugh-Williams
Keyword(s):  
Health Care ◽  
General Practice ◽  
General Practitioner ◽  
Pilot Study ◽  
Medical Care ◽  
Psychiatric Patients ◽  
The Elderly ◽  
General Medical Care ◽  
Psychiatric Units ◽  
Physical Morbidity

Studies have shown that significant physical morbidity exist within psychiatric units (Honig et al, 1989), yet general medical care is often left in the hands of psychiatrists who may not always be the most appropriate people to deliver it (Colenda et al, 1988). The new general practice contract places certain obligations on the general practitioner (GP) with regard to his or her patients, especially the elderly, yet these provisions do not extend to many of our patients. Our study looks at four areas of health care and examines how they are delivered to long-stay patients in a district pyschiatric unit with no GP input.

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.

Patterns of health care in non-fatal deliberate self-harm

1979 ◽  
Vol 9 (3) ◽  
pp. 487-492 ◽  
Author(s):  
Richard J. Turner ◽  
H. Gethin Morgan
Keyword(s):  
Health Care ◽  
General Practitioner ◽  
Primary Prevention ◽  
Special Reference ◽  
Patient Attitudes ◽  
Deliberate Self Harm ◽  
Positive Attitudes ◽  
Seeking Help ◽  
Self Harm ◽  
Account Variation

SynopsisA series of 80 patients who had deliberately but not fatally harmed themselves and had been admitted to hospital was examined with special reference to their use of available services during the period of distress prior to the episode. They were followed up for 4 months and the ways in which they subsequently made use of helping agencies were also monitored.Three broad groups of patient attitudes to help and its utilization are described. ‘General practitioner help-seekers’ (29) defaulted least often and appeared to have more positive attitudes towards seeking help for their problem. The ‘psychiatric help-seekers’ (17) appeared to be a chronically disorganized group who, though previously often in treatment, seemed unable to cooperate: they defaulted frequently and apparently gained little. ‘Non-help-seekers’ (34) had been reluctant to ask for help concerning psychological problems and subsequently defaulted just as frequently as did the ‘psychiatric help seekers’.The need to take into account variation in patient attitude to help and its utilization in designing services for the primary prevention of non-fatal deliberate self-harm is emphasized.

Sign in / Sign up

Export Citation Format

Share Document