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. 1994 Nov;44(388):527–530.

The relationship between primary care and psychiatry: an opportunity for change.

B G Ferguson 1, M A Varnam 1
PMCID: PMC1239052  PMID: 7748651

Abstract

The past two decades have seen the development of a symbiotic relationship between primary care and psychiatric services. The changes which have taken place, however, have been piecemeal and variable in their extent. With some exceptions, they have followed an empirical route, and have come about largely because individual practitioners intuitively felt that they yielded positive results or attractive patterns of working. For the most part, they have not followed the elaboration of a specific theory and although a great deal of subsequent research has been carried out in order to analyse their benefits and limitations, routine practice has been slow to change. The recent reorganization of the health service has yet to exert an appreciable effect on the relationship between the two disciplines. Owing to the newly developing structures and patterns of care, future change is inevitable and brings with it both opportunities and dangers. This paper sets out some of the arguments in favour of a new contract between psychiatry and primary care based on an equal partnership.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bennett C. The Worcester development project: general practitioner satisfaction with a new community psychiatric service. J R Coll Gen Pract. 1989 Mar;39(320):106–109. [PMC free article] [PubMed] [Google Scholar]
  2. Blaney D., Pullen I. Communication between psychiatrists and general practitioners: what style of letters do psychiatrists prefer? J R Coll Gen Pract. 1989 Feb;39(319):67–67. [PMC free article] [PubMed] [Google Scholar]
  3. Corney R. H. Factors affecting the operation and success of social work attachment schemes to general practice. J R Coll Gen Pract. 1980 Mar;30(212):149–157. [PMC free article] [PubMed] [Google Scholar]
  4. Creed F., Marks B. Liaison psychiatry in general practice: a comparison of the liaison-attachment scheme and shifted outpatient clinic models. J R Coll Gen Pract. 1989 Dec;39(329):514–517. [PMC free article] [PubMed] [Google Scholar]
  5. Hardy-Thompson C., Orrell M. W., Bergmann K. Evaluating a psychogeriatric domiciliary visit service: views of general practitioners. BMJ. 1992 Feb 15;304(6824):421–422. doi: 10.1136/bmj.304.6824.421. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Horder J. Working with general practitioners. Br J Psychiatry. 1988 Oct;153:513–520. doi: 10.1192/bjp.153.4.513. [DOI] [PubMed] [Google Scholar]
  7. Lesser A. L. Is training in psychiatry relevant for general practice? J R Coll Gen Pract. 1983 Oct;33(255):617–618. [PMC free article] [PubMed] [Google Scholar]
  8. Link B., Levav I., Cohen A. The primary medical care practitioner's attitudes toward psychiatry. An Israeli study. Soc Sci Med. 1982;16(15):1413–1420. doi: 10.1016/0277-9536(82)90136-8. [DOI] [PubMed] [Google Scholar]
  9. Melzer D., Hale A. S., Malik S. J., Hogman G. A., Wood S. Community care for patients with schizophrenia one year after hospital discharge. BMJ. 1991 Oct 26;303(6809):1023–1026. doi: 10.1136/bmj.303.6809.1023. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Milne D., Souter K. A re-evaluation of the clinical psychologist in general practice. J R Coll Gen Pract. 1988 Oct;38(315):457–460. [PMC free article] [PubMed] [Google Scholar]
  11. Ormel J., Koeter M. W., van den Brink W., van de Willige G. Recognition, management, and course of anxiety and depression in general practice. Arch Gen Psychiatry. 1991 Aug;48(8):700–706. doi: 10.1001/archpsyc.1991.01810320024004. [DOI] [PubMed] [Google Scholar]
  12. Priest R. G. A new initiative on depression. Br J Gen Pract. 1991 Dec;41(353):487–487. [PMC free article] [PubMed] [Google Scholar]
  13. Pringle M., Laverty J. A counsellor in every practice? BMJ. 1993 Jan 2;306(6869):2–3. doi: 10.1136/bmj.306.6869.2. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Rowland N., Irving J. Towards a rationalization of counselling in general practice. J R Coll Gen Pract. 1984 Dec;34(269):685–687. [PMC free article] [PubMed] [Google Scholar]
  15. Rutz W., von Knorring L., Wålinder J. Long-term effects of an educational program for general practitioners given by the Swedish Committee for the Prevention and Treatment of Depression. Acta Psychiatr Scand. 1992 Jan;85(1):83–88. doi: 10.1111/j.1600-0447.1992.tb01448.x. [DOI] [PubMed] [Google Scholar]
  16. Skuse D., Williams P. Screening for psychiatric disorder in general practice. Psychol Med. 1984 May;14(2):365–377. doi: 10.1017/s0033291700003615. [DOI] [PubMed] [Google Scholar]
  17. Smith L. C., Hawley C. J., Grant R. L. Questions frequently asked about the problem-oriented record in psychiatry. Hosp Community Psychiatry. 1974 Jan;25(1):17–22. doi: 10.1176/ps.25.1.17. [DOI] [PubMed] [Google Scholar]
  18. Sowerby P. Balint reassessed: the doctor, his patient, and the illness: a reappraisal. J R Coll Gen Pract. 1977 Oct;27(183):583–589. [PMC free article] [PubMed] [Google Scholar]
  19. Strathdee G., Williams P. A survey of psychiatrists in primary care: the silent growth of a new service. J R Coll Gen Pract. 1984 Nov;34(268):615–618. [PMC free article] [PubMed] [Google Scholar]
  20. Whitfield M. J., Winter R. D. Psychiatry and general practice: results of a survey of Avon general practitioners. J R Coll Gen Pract. 1980 Nov;30(220):682–686. [PMC free article] [PubMed] [Google Scholar]
  21. Williams P., Clare A. Changing patterns of psychiatric care. Br Med J (Clin Res Ed) 1981 Jan 31;282(6261):375–377. doi: 10.1136/bmj.282.6261.375. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Wright A. F., Perini A. F. Hidden psychiatric illness: use of the general health questionnaire in general practice. J R Coll Gen Pract. 1987 Apr;37(297):164–167. [PMC free article] [PubMed] [Google Scholar]

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