scholarly journals Role of general practitioners in the care of long-term mentally ill patients

1992 ◽  
Vol 160 (4) ◽  
pp. 568-569 ◽  
Author(s):  
Jim Boddington
Keyword(s):  
General Practitioners ◽  
Mentally Ill

scholarly journals Role of general practitioners in care of long term mentally ill patients.

BMJ ◽  
1991 ◽  
Vol 302 (6775) ◽  
pp. 508-510 ◽  
Author(s):  
T Kendrick ◽  
B Sibbald ◽  
T Burns ◽  
P Freeling
Keyword(s):  
General Practitioners ◽  
Mentally Ill

Role of General Practitioners in Care of Long-Term Mentally Ill Patients

1991 ◽  
Vol 159 (5) ◽  
pp. 703-706 ◽  
Author(s):  
Amanda Poynton ◽  
Peter Higgins
Keyword(s):  
General Practitioners ◽  
Mentally Ill ◽  
Postal Questionnaire ◽  
Care Plan ◽  
Physical Problems ◽  
Community Psychiatric ◽  
Specific Practice ◽  
General Practices ◽  
Key Worker

“Objective – To assess general practitioners' involvement with long term mentally ill patients and attitudes towards their care.Design – Postal questionnaire survey.Setting – General practices in South West Thames region.Subjects – 507 general practitioners, 369 (73%) of whom returned the questionnaire.Main outcome measures – The number of adult long term mentally ill patients whom general practitioners estimate they have on their lists and general practitioners' willingness to take responsibility for them.Results – 110 respondents had noticed an effect of the discharge of adult long term mentally ill patients on their practices. Most (225) respondents estimated that they had 10 or fewer such patients each on their lists. Having higher numbers was significantly associated with practising in Greater London or within three miles of a large mental hospital and having contact with a psychiatrist visiting the practice. 333 general practitioners would agree to share the care of long term mentally ill patients with the psychiatrist by taking responsibility for the patients' physical problems. Only 59 would agree to act as a key worker, 308 preferring the community psychiatric nurse to do it. Only nine had specific practice policies for looking after long term mentally ill patients and 287 agreed that such patients often come to their general practitioner's attention only when there is a crisis.Conclusions – The uneven distribution of long term mentally ill patients suggests that community psychiatric resources might be better targeted at those practices with higher numbers of such patients. Most general practitioners seem to be receptive to a shared care plan where the consultant takes responsibility for monitoring psychiatric health with the community nurse as key worker. The lack of practice policies for reviewing the care of long term mentally ill patients must limit general practitioners' ability to prevent crises developing in their care.”

scholarly journals Effects of the diagnostic label ‘schizophrenia’, actively used or passively accepted, on general practitioners’ views of this disorder

2017 ◽  
Vol 63 (3) ◽  
pp. 224-234 ◽  
Author(s):  
Lorenza Magliano ◽  
Antonella Strino ◽  
Rosanna Punzo ◽  
Roberta Acone ◽  
Gaetana Affuso ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Psychosocial Factors ◽  
General Practitioners ◽  
Social Distance ◽  
Health Professionals ◽  
Process Of Care ◽  
Diagnostic Label ◽  
Psychiatric Problems

Background: General practitioners (GPs) play a key role in the care of somatic and psychiatric problems in people diagnosed with schizophrenia (PWS). It is probable that, like other health professionals, GPs are not all free of prejudices toward PWS. In clinical practice, GPs sometimes interact with clients diagnosed with schizophrenia by specialists, passively accepting this diagnosis. Other times, GPs interact with clients having symptoms of schizophrenia but who have not been diagnosed. In this case, GPs are expected to actively make a diagnosis. Giving the key role of GPs in the process of care, it is worthwhile examining whether passive acceptance and active usage of the diagnosis schizophrenia have differential effects on GPs’ attitudes toward people with this disorder. Aims: To investigate GPs’ views of schizophrenia and whether they were influenced by a ‘schizophrenia’ label, passively accepted or actively used. Methods: A total of 430 randomly selected GPs were invited to complete a questionnaire about their views of schizophrenia, either after reading a description of this disorder and making a diagnosis, or without being provided with a description but passively accepting the label ‘schizophrenia’ given in the questionnaire. Results: The GPs who passively accepted the label schizophrenia ( n = 195) and those who actively identified schizophrenia from the description ( n = 127) had similar views. Compared to the GPs who did not identify schizophrenia in the description ( n = 65), those who used the diagnosis, actively or passively: more frequently reported heredity and less frequently psychosocial factors as causes of the disorder; were more skeptical about recovery; were more convinced of the need for long-term pharmacotherapies; believed more strongly that PWS should be discriminated against when in medical hospital; and perceived PWS as more dangerous and as kept at greater social distance. Conclusion: The diagnosis ‘schizophrenia’, however used, is associated with pessimistic views. Stigma education should be provided to GPs.

Prescribing for the Long-term Mentally Ill

1988 ◽  
Vol 152 (4) ◽  
pp. 511-515 ◽  
Author(s):  
F. Holloway
Keyword(s):  
Drug Treatment ◽  
Clinical Review ◽  
General Practitioners ◽  
Mentally Ill ◽  
Psychiatric Illness ◽  
Antipsychotic Drugs ◽  
Psychiatric Service ◽  
Treatment Practices

A survey of the drug treatment of long-term mentally ill users of a district psychiatric service is described. The appropriateness of prescriptions was assessed against standard criteria after a detailed clinical review of each patient. Overprescribing, particularly of sedative/hypnotic and of anticholinergic and antipsychotic drugs, was common. Junior psychiatrists and general practitioners are in need of improved training in the management of chronic psychiatric illness: a review of treatment practices might be an appropriate medium for this training.

scholarly journals The Role of the Health Advisory Service in Psychiatry

1986 ◽  
Vol 10 (6) ◽  
pp. 145-146 ◽  
Author(s):  
Peter Horrocks
Keyword(s):  
Social Security ◽  
Mentally Ill ◽  
Long Term Care ◽  
Health Advisory ◽  
Term Care ◽  
Advisory Service ◽  
Department Of Health

The climate in 1969, in which the HAS was created, was one of increasing anxiety and embarrassment about the quality of long term care being offered to elderly, mentally ill and mentally handicapped patients in England and Wales. The need for a body to advise the Secretary of State, independently of the Department of Health and Social Security, was recognised and, with the wise guidance of Dr Alex Baker, the concept of multidisciplinary review by professional colleagues was established. Both these important principles have been maintained and stoutly defended by subsequent Directors, including myself.

The Subsistence Adaptation of Homeless Mentally Ill Women

1998 ◽  
Vol 57 (2) ◽  
pp. 190-199 ◽  
Author(s):  
Dana Baldwin
Keyword(s):  
Social Support ◽  
Social Service ◽  
Mentally Ill ◽  
Money Management ◽  
Long Term Effects ◽  
Homeless Mentally Ill ◽  
Ethnographic Data ◽  
Study Participants

This paper explores the day-to-day adaptation of mentally ill women to the rigors of homelessness. The research on which it is based is unique in having collected extensive ethnographic data on the subsistence adaptation of a small yet heterogeneous sample of homeless mentally ill women over the course of more than three years. The subsistence adaptations of these women in a number of areas are described; these include shelter, food, clothing, hygiene, income and money management, safety and victimization, health and health care, social support, and social service utilization. The role of severe mental illness and the long-term effects of homelessness are also examined. Study participants employed a wide variety of strategies in dealing with their living environments, strategies which were at times both functional and adaptive and at times maladaptive and harmful. Homeless mentally ill women are shown to be a heterogeneous group whose lives are marked by recurring and unpredictable change, as are their adaptations to these changes.

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