scholarly journals An evaluation of general practitioners' knowledge and satisfaction of a local child and family psychiatric service

1990 ◽  
Vol 14 (6) ◽  
pp. 328-329 ◽  
Author(s):  
Aristos Markantonakis ◽  
John Mathai
Keyword(s):  
General Practice ◽  
Psychiatric Disorders ◽  
General Practitioners ◽  
Psychiatric Service ◽  
Psychiatric Services ◽  
Written Communication ◽  
Professional Help ◽  
Child Psychiatric ◽  
Childhood Psychiatric Disorders ◽  
Gain Access

Although childhood psychiatric disorders are commonly seen in general practice, only a few children in the community eventually gain access to professional help (Rutter, Cox, Tupling et al, 1975; Bailey, Graham & Boniface, 1978). Whether a child is referred or not depends on various factors connected with the child and family (Garralda & Bailey, 1988) and others such as what the GP expects from the referral. Whether GPs know of what the child psychiatric services in the area have to offer might also be expected to effect referral. We know that there is a general dissatisfaction with written communication between general practitioners and specialists in terms of the quality on the communication and usefulness to both groups (Pullen & Yellowlees, 1985; Kentish, Jenkins & Lask, 1987).

scholarly journals An evaluation of health visitors' and social workers' level of knowledge and satisfaction of a local child and family psychiatric service

1991 ◽  
Vol 15 (3) ◽  
pp. 140-141 ◽  
Author(s):  
Aristos Markantonakis ◽  
John Mathai
Keyword(s):  
General Practice ◽  
Social Workers ◽  
Psychiatric Service ◽  
Psychiatric Services ◽  
Professional Help ◽  
Health Visitors ◽  
Child Psychiatric ◽  
Level Of Knowledge ◽  
Per Se ◽  
Gain Access

Although childhood psychiatric disorders are commonly seen in general practice, only a few children in the community gain access to professional help. Whether a child is referred or not depends on various factors to do with the child and family and others, such as what the GP expects from the referral. Severity per se is not the only referral determinant. Whether GPs know what the child psychiatric services in the area have to offer could also be expected to affect referral (Markantonakis & Mathai, 1990). We are aware of the need for general practitioners to be made more aware of the services that we have to offer.

Factors influencing general practitioner referral to a child psychiatric service

1993 ◽  
Vol 10 (3) ◽  
pp. 144-147 ◽  
Author(s):  
Ramalingam N Chithiramohan ◽  
Clive G Ballard ◽  
Mark A Baxter ◽  
Linda Jones ◽  
Sumithra Handy ◽  
...  
Keyword(s):  
General Practitioner ◽  
Psychiatric Disorders ◽  
General Practitioners ◽  
Psychiatric Service ◽  
Psychiatric Clinic ◽  
Parental Concern ◽  
Factors Influencing ◽  
Specialist Services ◽  
Child Psychiatric ◽  
Referral Practices

AbstractObjective: To investigate factors influencing general practitioner referrals of children with psychiatric disorders to specialist services. Method: One hundred and sixty seven general practitioners were asked to complete a detailed questionnaire concerning their referral practices. Results: Emotional disorder, conduct disorder, drug abuse and habit disorder were the problems most likely to be referred to the child psychiatric clinic. Parental concern and the severity of the child's illness were considered to be more important than social circumstances in determining referral to specialist services. Conclusions: Many general practitioners indicated that they would have referred children with psychiatric disorders to specialist services other than child psychiatry. Proactive liaison work is needed to increase the awareness and confidence of general practitioners in child psychiatric services.

First episode schizophrenia in general practice: a national survey

2006 ◽  
Vol 23 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Blanaid Gavin ◽  
Walter Cullen ◽  
Brian O'Donoghue ◽  
Juan Carlos Ascencio-Lane ◽  
Gerard Bury ◽  
...  
Keyword(s):  
General Practice ◽  
General Practitioners ◽  
Postal Survey ◽  
Psychiatric Services ◽  
First Episode ◽  
Cross Sectional ◽  
Intervention Service ◽  
Almost All ◽  
First Episode Schizophrenia ◽  
First Episode Of Schizophrenia

AbstractObjective: We sought to establish the views of general practitioners about detecting and managing patients with a first episode of schizophrenia in Ireland.Method: Twenty per cent of GPs were invited to participate in a cross-sectional postal survey.Results: Sixty-two per cent (n = 261) participated. Almost all (99.2%) see at least one case of suspected first episode schizophrenia annually. The most commonly (80.7%) encountered symptom is ‘bizarre behaviour’. Many (47.7%) rarely or never prescribe antipsychotics to patients whom they suspect have a first episode of schizophrenia. However, 80.6% of GPs reported that they ‘always’ refer this group of patients to psychiatric services. Over half (57.8%) advised patients with schizophrenia to continue medication for less than a year. A large number of respondents reported that it is difficult to obtain a rapid psychiatric assessment.Conclusions: GPs want more information about identifying early psychosis, a closer liaison with psychiatric services and a rapid intervention service.

scholarly journals A local child psychiatric service as viewed by district social workers

1996 ◽  
Vol 20 (10) ◽  
pp. 588-591 ◽  
Author(s):  
S. J. Dover
Keyword(s):  
Social Workers ◽  
General Practitioners ◽  
Child Psychiatry ◽  
Psychiatric Service ◽  
Child Psychiatric ◽  
The Uk

The study examines the knowledge and views among district social workers of a local child psychiatric service and determines whether their views influence decisions to refer to the service. The results are compared with similar studies of general practitioners (GPs) and paediatricians and discussed with reference to recent national reviews of child psychiatry in the UK.

A Study of the Use of Antidepressant Medication in General Practice

1974 ◽  
Vol 125 (585) ◽  
pp. 186-192 ◽  
Author(s):  
D. A. W. Johnson
Keyword(s):  
General Practice ◽  
Psychiatric Disorders ◽  
General Practitioners ◽  
Present Author ◽  
Antidepressant Medication ◽  
Undergraduate Teaching ◽  
Specific Information ◽  
Clinical Expertise ◽  
Prescribing Habits ◽  
Treatment Of Depression

Several surveys (Carstairs and Bruhn, 1962; Shepherd et al., 1966; and Johnson, 1973a) have demonstrated that the treatment of psychiatric disorders in general practice consists principally of prescribing drugs, with relatively little use of social agencies and psychotherapy. Although Shepherd et al. (1966) comment that the treatment is often haphazard and inadequate, the published surveys of general practice give little specific information about the prescribing habits of doctors. The present author surveyed the prescribing habits of general practitioners in the treatment of depression in the belief that it is necessary to have this information in order to evaluate the need for education in this clinical expertise, and also to act as a comparison for other surveys which will undoubtedly be carried out in the future to test the effectiveness of the current expansion of undergraduate teaching in psychiatry.

scholarly journals What's in a name? Views on psychiatric services for older people

2006 ◽  
Vol 30 (3) ◽  
pp. 97-100
Author(s):  
Fionnuala Kelly ◽  
Julianne Reidy ◽  
Gregory Swanwick
Keyword(s):  
Older People ◽  
Old Age ◽  
General Practitioners ◽  
Psychiatric Service ◽  
Psychiatric Services ◽  
Clinical Implications ◽  
Clinical Use ◽  
Age Related ◽  
Hospital Doctors ◽  
Over Time

Aims and MethodThe aim of this study was to provide a name for a psychiatric service for older people in Dublin. A total of 296 individuals (167 doctors, 129 workshop attendees) were surveyed regarding their views on a name for the service.Results‘Age-related psychiatry’ was a universally popular term. It was chosen by 43% of general practitioners, 56% of hospital doctors and 44% of the workshop attendees, as one of their top three choices. ‘Psychiatry of old age’, ‘geriatric psychiatry’ and ‘psychogeriatrics' were unpopular with all three groups.Clinical ImplicationsNames can gradually become stigmatising over time. This applies to the terms for ‘old’ and ‘psychiatry’. In this survey all groups surveyed rejected some of the terms in widespread clinical use.

scholarly journals The impact of a hospital audit on psychiatrists' letters to general practitioners

1995 ◽  
Vol 19 (9) ◽  
pp. 544-547 ◽  
Author(s):  
Premal J. Shah ◽  
Ian Pullen
Keyword(s):  
General Practitioners ◽  
Psychiatric Services ◽  
Written Communication ◽  
Health Records ◽  
Access To Health ◽  
The Impact

The quality of written communication between psychiatrists and general practitioners has become increasingly important, with the introduction of the Access to Health Records Act as well as with demands placed by the purchasers of psychiatric services. We investigated if a hospital-based audit could be used to monitor the quality of written communications with general practitioners, and if ‘closing the audit loop’ could improve the standards. We found that audit may have helped improve standards, particularly in making letters less potentially offensive and easier to read by non-psychiatrists. A method of measuring the quality of letters is described.

General practitioners' selection of patients for treatment in community psychiatric services

1986 ◽  
Vol 16 (3) ◽  
pp. 611-619 ◽  
Author(s):  
Povl Munk-Jørgensen
Keyword(s):  
General Practitioners ◽  
Psychiatric Service ◽  
Psychiatric Morbidity ◽  
Psychiatric Services ◽  
Social Impairment ◽  
Social Contacts ◽  
Community Psychiatric ◽  
Community Psychiatric Service ◽  
Selection Of Patients ◽  
Selection Of

SynopsisIn a Danish community psychiatric service the patients referred from general practitioners (GPs) to the community psychiatric service (CPS) are compared with matched individuals with conspicuous psychiatric morbidity treated in general practice only. The psychopathology of the referred patients is more severe, as estimated by two different methods. They make fewer social contacts and their work situations are unfavourable. It was found that to a great extent the GPs refer their patients with mental disorders to the CPS so that the ‘filter’ between the GP and the CPS is very permeable. Of the patients treated by the GPs only (the matched group), no more than 54% were assessed by a psychiatrist as psychiatric ‘cases’. Psychopathology thus only partly determines the GPs' assessment of psychiatric ‘caseness’, in which social impairment plays an important part. The GPs diagnose more mental disorder than the psychiatrists, possibly because of an intimate acquaintance with the anamnesis.

scholarly journals Hostages returned from the Gulf

1991 ◽  
Vol 15 (10) ◽  
pp. 600-600
Author(s):  
Ann Gath
Keyword(s):  
General Practitioner ◽  
General Practitioners ◽  
Emergency Treatment ◽  
Psychiatric Service ◽  
Initial Point ◽  
Psychiatric Services ◽  
Traumatic Experience ◽  
Department Of Health

Recent reports show that continuing problems are being experienced by the returned hostages and their families. The Department of Health advised at the time of the hostages return that, apart from those who needed immediate emergency treatment, the initial point of referral ought to be the persons general practitioner. General practitioners in many cases now employ their own staff who are able to offer support and counselling. In some cases the general practitioner may, however, decide that the most appropriate response is referral to the psychiatric service. All local psychiatric services should be able to respond to the needs of people suffering continuing stress as a result of traumatic experience.

Child and Adolescent Psychiatry in General Practice

2001 ◽  
Vol 35 (3) ◽  
pp. 308-314 ◽  
Author(s):  
Elena Garralda
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practice ◽  
Psychiatric Disorders ◽  
General Practitioners ◽  
Mental Health Problems ◽  
Child And Adolescent ◽  
Health Problems ◽  
Undergraduate Teaching ◽  
Further Development

Objective: This review discusses the role of general practitioners and primary care health staff in the assessment, treatment and prevention of child and adolescent psychiatric disorders and to consider implications for service delivery. Method: Literature review. Papers were selected as having an empirical evidence base or as describing and documenting new initiatives in general practice. Results: A small proportion of about 3% of children present to general practice with behavioural or emotional problems, but psychiatric disorders in the context of somatic presentations are considerably more common. They are probably higher than in the general population reflecting an increased tendency by children with disorders to consult. Recognition by general practitioners is limited and few children with disorders are referred to specialist clinics. However, referrals are mostly appropriate: the more severely affected children in difficult psychosocial circumstances. A number of pilot studies have shown the feasibility and potential usefulness of setting up shifted specialist clinics in primary care and of training primary care doctors and other staff in the recognition or management of child mental heath problems. Conclusion: Primary care is an appropriate resource to help increase attention to child and adolescent mental health problems. Its potential requires further development and rigorous evaluation. Areas lending themselves to development include: improved medical undergraduate teaching and postgraduate training; suitable information and advice-giving on child mental health problems by the primary care team; the development of specific child and adolescent psychiatric interventions for use in the primary care setting; careful and discriminating development of shifted outpatient clinics for selected child psychiatric disorders; the development of focused protocols for referral to specialist services; further development of mental health promotion clinics in primary care.

Sign in / Sign up

Export Citation Format

Share Document