Abstract
We compare referrals made to a psychiatric service by two comparable general practices. One practice made its referrals through conventional channels; the other referred patients to a multi-professional team who saw patients at a clinic held on the practice premises. The members of the team and the general practitioners in the second practice also met regularly to discuss matters of mutual interest. More patients were referred by this method, which also made greater use of the multiple disciplines involved in psychiatric care.
Patients referred through conventional channels were more likely to have had previous contact with the psychiatric service, were more likely to be admitted to hospital and spent 70 per cent more time as inpatients.
These results confirm the findings of other workers in demonstrating that there are tangible benefits in a multidisciplinary specialist team working in primary care.
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- Brook P., Cooper B. Community mental health care: primary team and specialist services. J R Coll Gen Pract. 1975 Feb;25(151):93-8, 103-10. [PMC free article] [PubMed] [Google Scholar]
- Cooper B., Fry J., Kalton G. A longitudinal study of psychiatric morbidity in a general practice population. Br J Prev Soc Med. 1969 Nov;23(4):210–217. doi: 10.1136/jech.23.4.210. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Corser C. M., Ryce S. W. Community mental health care: a model based on the primary care team. Br Med J. 1977 Oct 8;2(6092):936–938. doi: 10.1136/bmj.2.6092.936. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fenton F. R., Tessier L., Struening E. L. A comparative trial of home and hospital psychiatric care. One-year follow-up. Arch Gen Psychiatry. 1979 Sep;36(10):1073–1079. doi: 10.1001/archpsyc.1979.01780100043003. [DOI] [PubMed] [Google Scholar]
- Johnson D. A. Treatment of depression in general practice. Br Med J. 1973 Apr 7;2(5857):18–20. doi: 10.1136/bmj.2.5857.18. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McAllister T. A., Philip A. E. The clinical psychologist in a health centre: one year's work. Br Med J. 1975 Nov 29;4(5995):513–514. doi: 10.1136/bmj.4.5995.513. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pullen I. Description of an extramural service for psychiatric emergencies. Health Bull (Edinb) 1980 Jul;38(4):163–166. [PubMed] [Google Scholar]