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. 1993 Dec;43(377):507–511.

Effects of a community mental health service on the practice and attitudes of general practitioners.

R W Warner 1, R Gater 1, M G Jackson 1, D P Goldberg 1
PMCID: PMC1372615  PMID: 8312022

Abstract

Recent years have seen closer links developing between general practitioners and mental health specialists. A study was undertaken in Manchester to determine the effects of a new community mental health service on the practice and attitudes of general practitioners. Ten doctors had access to the community based psychiatric team over a three year period while another 10 doctors continued to use hospital services. Those with access to the team were significantly more satisfied with the specialist support services, and were more likely to give high priority to community psychiatric nurses and psychiatric social workers working as part of a primary health care team than those without access to the service. Those with access were more willing than those without access to share with psychiatrists the care of patients with chronic neurotic disorders. The community mental health team was considered particularly helpful in reducing the burden posed by patients with neurotic and psychosocial problems, but this resulted in the general practitioners doing less counselling themselves. The study did not find that the new service had an effect on the general practitioners' ability to detect or manage psychiatric illness.

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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. 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]
  3. 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]
  4. Gask L., McGrath G., Goldberg D., Millar T. Improving the psychiatric skills of established general practitioners: evaluation of group teaching. Med Educ. 1987 Jul;21(4):362–368. doi: 10.1111/j.1365-2923.1987.tb00377.x. [DOI] [PubMed] [Google Scholar]
  5. Goldberg D., Kay C., Thompson L. Psychiatric morbidity in general practice and the community. Psychol Med. 1976 Nov;6(4):565–569. doi: 10.1017/s0033291700018183. [DOI] [PubMed] [Google Scholar]
  6. Jackson G., Gater R., Goldberg D., Tantam D., Loftus L., Taylor H. A new community mental health team based in primary care. A description of the service and its effect on service use in the first year. Br J Psychiatry. 1993 Mar;162:375–384. doi: 10.1192/bjp.162.3.375. [DOI] [PubMed] [Google Scholar]
  7. Marks J. N., Goldberg D. P., Hillier V. F. Determinants of the ability of general practitioners to detect psychiatric illness. Psychol Med. 1979 May;9(2):337–353. doi: 10.1017/s0033291700030853. [DOI] [PubMed] [Google Scholar]
  8. Mitchell A. R. Psychiatrists in primary health care settings. Br J Psychiatry. 1985 Oct;147:371–379. doi: 10.1192/bjp.147.4.371. [DOI] [PubMed] [Google Scholar]
  9. Rutz W., Wålinder J., Eberhard G., Holmberg G., von Knorring A. L., von Knorring L., Wistedt B., Aberg-Wistedt A. An educational program on depressive disorders for general practitioners on Gotland: background and evaluation. Acta Psychiatr Scand. 1989 Jan;79(1):19–26. doi: 10.1111/j.1600-0447.1989.tb09229.x. [DOI] [PubMed] [Google Scholar]
  10. Shepherd M. Primary care psychiatry: the case for action. Br J Gen Pract. 1991 Jun;41(347):252–255. [PMC free article] [PubMed] [Google Scholar]
  11. Shepherd M. The management of psychiatric disorders in the community. The research magnificent. J R Soc Med. 1990 Apr;83(4):219–222. doi: 10.1177/014107689008300406. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Strathdee G. Psychiatrists in primary care: the general practitioner viewpoint. Fam Pract. 1988 Jun;5(2):111–115. doi: 10.1093/fampra/5.2.111. [DOI] [PubMed] [Google Scholar]

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