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

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.

2003 ◽  
Vol 27 (06) ◽  
pp. 221-224
Author(s):  
Maggie Bruce

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.


2001 ◽  
Vol 7 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Christopher Dowrick

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.


2000 ◽  
Vol 6 (1) ◽  
pp. 73-80 ◽  
Author(s):  
Chris Simpson

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.


2009 ◽  
Vol 2 (1) ◽  
pp. 61-64 ◽  
Author(s):  
Louise Falbe-Hansen ◽  
Corin Le Huray ◽  
Brendar Phull ◽  
Clare Shakespeare ◽  
Jon Wheatley

2010 ◽  
Vol 183 (12) ◽  
pp. E959-E967 ◽  
Author(s):  
L. J. Kirmayer ◽  
L. Narasiah ◽  
M. Munoz ◽  
M. Rashid ◽  
A. G. Ryder ◽  
...  

2011 ◽  
Vol 2011 ◽  
pp. 1-10 ◽  
Author(s):  
K. Bristow ◽  
S. Edwards ◽  
E. Funnel ◽  
L. Fisher ◽  
L. Gask ◽  
...  

Background. In the UK, most people with mental health problems are managed in primary care. However, many individuals in need of help are not able to access care, either because it is not available, or because the individual's interaction with care-givers deters or diverts help-seeking. Aims. To understand the experience of seeking care for distress from the perspective of potential patients from “hard-to-reach” groups. Methods. A qualitative study using semi-structured interviews, analysed using a thematic framework. Results. Access to primary care is problematic in four main areas: how distress is conceptualised by individuals, the decision to seek help, barriers to help-seeking, and navigating and negotiating services. Conclusion. There are complex reasons why people from “hard-to-reach” groups may not conceptualise their distress as a biomedical problem. In addition, there are particular barriers to accessing primary care when distress is recognised by the person and help-seeking is attempted. We suggest how primary care could be more accessible to people from “hard-to-reach” groups including the need to offer a flexible, non-biomedical response to distress.


Author(s):  
Chantal Simon ◽  
Hazel Everitt ◽  
Françoise van Dorp ◽  
Matt Burkes

Mental health assessment Mental health symptoms and signs Psychological therapies Anxiety Other anxiety-type disorders Chronic stress Depression Drugs for treating depression Psychosis Schizophrenia and mania Acute delirium Dementia Eating disorders Other psychological conditions Assessing a patient with mental health problems in primary care can be challenging. Aims (may need >1 appointment to achieve):...


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