Clinical activity * | General practitioner † | Community Mental Health Service and mental health nurses ‡ | Hospital | Private or public outpatient psychiatrist § |
---|---|---|---|---|
Diagnosis of severe mental illness | ++ | ++ | ++ | |
Initiation of psychiatric medication | ++ | ++ | ||
Monitoring psychiatric medication | + | ++ | ++ | |
Adjusting psychiatric medication | ++ | |||
Managing medication related side effects | + | + | + | + |
Managing acute exacerbations of mental illness | + | + | ++ | ++ |
Managing long‐term physical health risks | + | + | ||
Facilitating and tracking regular follow up | + | ++ | + |
+ = clinical activity conducted for some patients; ++ = clinical activity conducted for most patients.
Not all patients access GP services.
Many areas lack these services.
Many access barriers including cost and availability.