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.

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.

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.

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.

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.

scholarly journals Observations from community care for serious mental illness during a controlled study

1996 ◽  
Vol 20 (1) ◽  
pp. 3-7 ◽  
Author(s):  
Joseph Connolly ◽  
Isaac Marks ◽  
Robin Lawrence ◽  
Gary McNamee ◽  
Matt Muijen
Keyword(s):  
Mental Illness ◽  
Inner City ◽  
Serious Mental Illness ◽  
Daily Living ◽  
Psychiatric Care ◽  
Community Care ◽  
Care Team ◽  
Controlled Study ◽  
Community Psychiatric ◽  
Self Harm

A controlled study of community care in serious mental illness (SMI) was carried out. Patients with SMI were randomised to have hospital care or be looked after by a community psychiatric care team in a Daily Living Programme (DIP). The day-to-day work of a clinical team with the difficulties encountered in delivering community psychiatric care in an inner city is described. There were seven deaths from self-harm during the 45-month study. One DIP patient committed homicide. An ordeal by media following this and the suicides are described. Lessons learnt include the need for the community care team to be responsible for discharge from any in-patient phases and for attention to team morale, especially during adversity, and to time spent working under pressure.

scholarly journals The one-day census in clinical audit

1992 ◽  
Vol 16 (10) ◽  
pp. 614-615 ◽  
Author(s):  
Paul Lelliott ◽  
Geraldine Strathdee
Keyword(s):  
Social Services ◽  
Psychiatric Care ◽  
Occupational Therapists ◽  
Psychiatric Nurses ◽  
Hospital Nurses ◽  
Community Based ◽  
Community Psychiatric ◽  
Wide Range ◽  
Day Hospitals ◽  
The One

Psychiatric care is delivered by a wide range of workers (psychiatrists, hospital nurses, community psychiatric nurses, occupational therapists, psychologists, social workers, counsellors and general practitioners) who work as teams with some patients and as individuals with others. Health authority resources for psychiatric care are widely distributed among facilities both hospital-based (wards, day hospitals, out-patient departments, social work departments, occupational therapy departments) and community-based (community psychiatric nursing departments, community mental health centres and facilities funded jointly with social services and voluntary agencies).

Patients in receipt of community psychiatric nursing care in Salford 1976–82

1986 ◽  
Vol 16 (2) ◽  
pp. 407-414 ◽  
Author(s):  
K. Wooff ◽  
D. P. Goldberg ◽  
T. Fryers
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Psychiatric Nursing ◽  
Psychiatric Services ◽  
Psychiatric Nurses ◽  
Care Level ◽  
Case Register ◽  
Primary Care Level ◽  
Annual Prevalence ◽  
Community Psychiatric

SynopsisCase register data are used to describe the age and diagnostic distribution of people using the community psychiatric nursing (CPN) service in Salford. Data are related to those in hospital-based psychiatric services. Annual prevalence rates grew dramatically, and increasing numbers of people were found to have received continuous CPN care for 2 years and over. Following the establishment of the CPN service in a primary care setting, the proportion of patients suffering from depression in receipt of CPN care increased, and the resulting overall diagnostic distribution of CPN patients became similar to that of the specialist psychiatric services as a whole. Patients under the sole care of community psychiatric nurses (about 19 % of the total CPN prevalence each calendar year) contributed to an overall increase in treated prevalence. The data indicate that CPN services in Salford are treating the morbidity found at primary care level, rather than reducing the demands made on the traditional services.

scholarly journals Erratum

1986 ◽  
Vol 16 (3) ◽  
pp. 726-726
Keyword(s):  
Primary Care ◽  
Nursing Care ◽  
Psychiatric Nursing ◽  
Psychiatric Nurses ◽  
Community Psychiatric ◽  
Primary Care Teams

In the paper by Wooffe/ al. ‘Patients in receipt of community psychiatric nursing care’ (Vol. 16, p. 408), the following sentence should be added at the end of the section on Background: By January 1979, all community psychiatric nurses were attached to primary-care teams and were accepting direct referrals.

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.

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