scholarly journals Attitudes to developments in community psychiatry among general practitioners

1991 ◽  
Vol 15 (9) ◽  
pp. 542-543 ◽  
Author(s):  
Stephen Stansfeld
Keyword(s):  
General Practitioners ◽  
Psychiatric Morbidity ◽  
Postal Questionnaire ◽  
Psychiatric Services ◽  
Psychiatric Nurses ◽  
New Town ◽  
North East ◽  
Community Psychiatric ◽  
Outreach Services ◽  
New Community

As general practitioners (GPs) are clinically responsible for the majority of recognised psychiatric morbidity in the community, they have an important role to play in deciding the shape of new community psychiatric services. This paper reports the results of a self-completion postal questionnaire survey of Harlow GPs' views on how community psychiatric services should be developed. Harlow is a mature new town (population 79,521: 1981 census) north east of London, served by a typical DGH department of psychiatry with in-patient wards and a day hospital, outreach services being provided largely by community psychiatric nurses (CPNs). GPs work in group practices in purpose-built health centres.

General practitioners' selection of patients for treatment in community psychiatric services

1986 ◽  
Vol 16 (3) ◽  
pp. 611-619 ◽  
Author(s):  
Povl Munk-Jørgensen
Keyword(s):  
General Practitioners ◽  
Psychiatric Service ◽  
Psychiatric Morbidity ◽  
Psychiatric Services ◽  
Social Impairment ◽  
Social Contacts ◽  
Community Psychiatric ◽  
Community Psychiatric Service ◽  
Selection Of Patients ◽  
Selection Of

SynopsisIn a Danish community psychiatric service the patients referred from general practitioners (GPs) to the community psychiatric service (CPS) are compared with matched individuals with conspicuous psychiatric morbidity treated in general practice only. The psychopathology of the referred patients is more severe, as estimated by two different methods. They make fewer social contacts and their work situations are unfavourable. It was found that to a great extent the GPs refer their patients with mental disorders to the CPS so that the ‘filter’ between the GP and the CPS is very permeable. Of the patients treated by the GPs only (the matched group), no more than 54% were assessed by a psychiatrist as psychiatric ‘cases’. Psychopathology thus only partly determines the GPs' assessment of psychiatric ‘caseness’, in which social impairment plays an important part. The GPs diagnose more mental disorder than the psychiatrists, possibly because of an intimate acquaintance with the anamnesis.

Attitudes of general practitioners to the psychiatric services

1994 ◽  
Vol 11 (1) ◽  
pp. 44-46 ◽  
Author(s):  
Liam Watters ◽  
Miriam Gannon ◽  
Denis Murphy
Keyword(s):  
General Practitioners ◽  
Catchment Area ◽  
Psychiatric Treatment ◽  
Psychiatric Patients ◽  
Psychiatric Service ◽  
Psychiatric Morbidity ◽  
Psychiatric Hospitals ◽  
Psychiatric Services ◽  
Community Psychiatric ◽  
High Level

Structural AbstractObjective: General practitioners play a crucial role in the delivery of psychiatric treatment to patients who have many similarities to those attending the general psychiatric services. The purpose of this study was to elicit attitudes of general practitioners to an existing local service. Methods: We used an anonymous questionaire hand delivered to 54 general practitioners with practices in the catchment area of one of Dublin's psychiatric hospitals. Results: We received responses from 40 of the GP's indicating a high level of psychiatric morbidity in the primary care setting, a moderate level of satisfaction with psychiatric service, a low level of knowledge of the catchment area system, limited interest in taking on an increased role in the care of psychiatric patients and a high popularity rating for the community psychiatric nurse. Conclusions: This study confirms previous estimates of psychiatric morbidity in general practice, a need for improved communication between psychiatrists and general practitioners to identify more realistic expectations on both sides of the equation, and a huge potential for the expanding community psychiatric services to improve liaison between general practitioners and psychiatrists and yield considerable patient and doctor gains.

scholarly journals Links between fund-holding general practices and mental health professionals

1994 ◽  
Vol 18 (10) ◽  
pp. 603-605 ◽  
Author(s):  
T. I. R. Mutale
Keyword(s):  
Mental Health ◽  
Health Professional ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Professional Community ◽  
Postal Questionnaire ◽  
Psychiatric Nurses ◽  
Psychiatric Nurse ◽  
Community Psychiatric ◽  
General Practices

A postal questionnaire was sent to a random sample of 300 fund-holding general practices. Respondents were asked to indicate if they had links with a psychiatrist, community psychiatric nurse or psychologist; 210 (70%) general practitioners returned completed questionnaires. Out of 210 practices 161 (77%) had links with at least one specialist mental health professional. Community psychiatric nurses had links with more practices than psychiatrists or psychologists. Problems with time or space made it difficult for practices to form links.

scholarly journals Prescribing community psychiatric nurses

1992 ◽  
Vol 16 (2) ◽  
pp. 76-77
Author(s):  
Chris Fear ◽  
Greg Wilkinson
Keyword(s):  
Mental Disorders ◽  
General Practitioners ◽  
Psychotropic Drugs ◽  
Information Service ◽  
Psychiatric Nurses ◽  
Community Psychiatric

Community psychiatric nurses (CPNs) fulfil an important role in caring for people with mental disorders in the community. They provide a monitoring and information service for patients and relatives and form a link between general practitioners (GPs) and psychiatrists. Some CPNs provide advice to GPs about prescribing psychotropic drugs. We studied the extent of this activity in a geographically-defined district and the views of GPs, CPNs and psychiatrists towards it.

Epidemiology of Schizophrenia in Salford, 1974–84 Changes in an Urban Community over Ten Years

1991 ◽  
Vol 159 (6) ◽  
pp. 802-810 ◽  
Author(s):  
J. S. Bamrah ◽  
H. L. Freeman ◽  
D. P. Goldberg
Keyword(s):  
Community Care ◽  
Adult Population ◽  
Postal Questionnaire ◽  
Psychiatric Nurses ◽  
Population Movements ◽  
Case Register ◽  
Community Psychiatric ◽  
Schizophrenic Patients ◽  
Similar Survey ◽  
Depot Injections

The prevalence and inception rates of treated schizophrenia in the population of inner-city Salford were compared with those from a similar survey, ten years earlier. Data were obtained from a computerised case register and a postal questionnaire sent to GPs, and case notes rated on the SCL and screened using ICD–9. The point-prevalence rate of 6.26 per 1000 adult population was higher than that previously reported (4.56), despite decreases in total inception rate and in the general population. Changes in rates are presumed to be related primarily to population movements and ageing of the schizophrenic sample. Compared with 1974, the numbers of in-patient days and long-stay in-patients had fallen substantially by 1984, although annual admissions increased over the decade; day-patient and out-patient attendances, and extramural contacts with psychiatrists, community psychiatric nurses, and social workers had also increased. Almost 62% of cases were maintained on depot injections as out-patients in 1984. Over 75% of identified schizophrenic patients were in contact with psychiatrists, but only 7 out of 557 were solely in contact with their GP. In spite of the emphasis on community care, responsibility for schizophrenic patients was still carried overwhelmingly by hospital psychiatric services.

scholarly journals Patient, client or service user? A survey of patient preferences of dress and address of six mental health professions

2003 ◽  
Vol 27 (8) ◽  
pp. 305-308 ◽  
Author(s):  
Rebecca Mcguire-Snieckus ◽  
Rosemarie Mccabe ◽  
Stefan Priebe
Keyword(s):  
Therapeutic Relationship ◽  
General Practitioners ◽  
Community Care ◽  
Occupational Therapists ◽  
Demographic Characteristics ◽  
Psychiatric Nurses ◽  
Clinical Implications ◽  
Professional Background ◽  
Community Psychiatric ◽  
Significant Difference

Aims and MethodA positive therapeutic relationship is essential to psychiatry and should take into account patients' preferences. Preferences of 133 community care patients were surveyed regarding dress and forms of address of six professions. Participants' sex, age, ethnicity and diagnosis were recorded.ResultsNinety-eight per cent of participants expressed a preference. While most preferred to be called ‘patients' by general practitioners (75%) and psychiatrists (67%), there was no statistically significant difference in preference for the term ‘patient’ or ‘client’ when used by community psychiatric nurses, occupational therapists, psychologists or social workers. Participants over the age of 40 preferred the term ‘client’. Asymmetrical relationships were preferred with general practitioners and psychiatrists, evidenced by a preference to be addressed by first name (71% and 68%, respectively), to address the professional by title (81% and 80%, respectively), and the professional to be ‘smartly’ dressed (67% and 66%, respectively).Clinical ImplicationsA more differentiated approach may be suggested by taking professional background and some demographic characteristics into consideration.

Role of General Practitioners in Care of Long-Term Mentally Ill Patients

1991 ◽  
Vol 159 (5) ◽  
pp. 703-706 ◽  
Author(s):  
Amanda Poynton ◽  
Peter Higgins
Keyword(s):  
General Practitioners ◽  
Mentally Ill ◽  
Postal Questionnaire ◽  
Care Plan ◽  
Physical Problems ◽  
Community Psychiatric ◽  
Specific Practice ◽  
General Practices ◽  
Key Worker

“Objective – To assess general practitioners' involvement with long term mentally ill patients and attitudes towards their care.Design – Postal questionnaire survey.Setting – General practices in South West Thames region.Subjects – 507 general practitioners, 369 (73%) of whom returned the questionnaire.Main outcome measures – The number of adult long term mentally ill patients whom general practitioners estimate they have on their lists and general practitioners' willingness to take responsibility for them.Results – 110 respondents had noticed an effect of the discharge of adult long term mentally ill patients on their practices. Most (225) respondents estimated that they had 10 or fewer such patients each on their lists. Having higher numbers was significantly associated with practising in Greater London or within three miles of a large mental hospital and having contact with a psychiatrist visiting the practice. 333 general practitioners would agree to share the care of long term mentally ill patients with the psychiatrist by taking responsibility for the patients' physical problems. Only 59 would agree to act as a key worker, 308 preferring the community psychiatric nurse to do it. Only nine had specific practice policies for looking after long term mentally ill patients and 287 agreed that such patients often come to their general practitioner's attention only when there is a crisis.Conclusions – The uneven distribution of long term mentally ill patients suggests that community psychiatric resources might be better targeted at those practices with higher numbers of such patients. Most general practitioners seem to be receptive to a shared care plan where the consultant takes responsibility for monitoring psychiatric health with the community nurse as key worker. The lack of practice policies for reviewing the care of long term mentally ill patients must limit general practitioners' ability to prevent crises developing in their care.”

Sign in / Sign up

Export Citation Format

Share Document