scholarly journals Changes in referral rates following community psychiatric nurse attachment to a primary care team

1992 ◽  
Vol 16 (5) ◽  
pp. 264-265 ◽  
Author(s):  
Andrew D. Wells ◽  
John M. Eagles ◽  
David Hunter ◽  
Douglas G. Fowlie
Keyword(s):  
Primary Care ◽  
Community Care ◽  
Psychiatric Patients ◽  
Psychiatric Nursing ◽  
Psychiatric Nurses ◽  
Psychiatric Nurse ◽  
The Past ◽  
Community Psychiatric ◽  
Nursing Services

Over the past three decades there has been a shift in emphasis from hospital based to community care of psychiatric patients. Central to this change has been the development of the community psychiatric nursing services and an increase in its numbers. Until recently community psychiatric nurses (CPNs) were almost entirely hospital based, working as members of a multidisciplinary team and providing follow-up for psychiatric patients.

Community psychiatric nurses in primary care: consumer survey

1988 ◽  
Vol 12 (11) ◽  
pp. 483-485 ◽  
Author(s):  
Femi Oyebode ◽  
Elaine Gadd ◽  
David Berry ◽  
Mary Lynes ◽  
Patricia Lashley
Keyword(s):  
Primary Care ◽  
Health Care ◽  
General Practitioner ◽  
Primary Prevention ◽  
Psychiatric Patients ◽  
Psychiatric Nurses ◽  
Consumer Survey ◽  
Psychiatric Institutions ◽  
Community Psychiatric ◽  
Chronic Psychiatric Patients

There has been a dramatic increase in the numbers of community psychiatic nurses (CPNs) in the last decade; in the period 1980–1985 the number grew from 1667 to 2758, an overall increase of 65%. Traditionally, CPNs were based within psychiatric institutions. However, in the period 1980–1985 there was growth from 8% to 16.2% in the population of CPNs based in health care centres or General Practitioner (GP) surgeries. Some of the functions of CPNs is also changing, developing away from involvement with chronic psychiatric patients towards patients with minor disorders. CPNs have also argued that work in the community and in GP surgeries is synonymous with primary prevention.

Community Psychiatric Nursing for Neurotic Patients: A Controlled Trial

1982 ◽  
Vol 140 (6) ◽  
pp. 573-581 ◽  
Author(s):  
E. S. Paykel ◽  
S. P. Mangen ◽  
J. H. Griffith ◽  
T. P. Burns
Keyword(s):  
Social Adjustment ◽  
Marked Reduction ◽  
Home Visiting ◽  
Controlled Trial ◽  
Psychiatric Nursing ◽  
Psychiatric Nurses ◽  
Alternative Mode ◽  
Community Psychiatric ◽  
Satisfaction With Treatment

SummarySeventy-one neurotic patients requiring follow-up were randomly assigned to routine psychiatric out-patient care or to supportive home visiting from community psychiatric nurses as their main treatment agents and were assessed every six months for 18 months. No differences were found between effectiveness of the two modes of service on symptoms, social adjustment or family burden. Patients seeing community psychiatric nurses reported greater satisfaction with treatment. Community psychiatric nursing resulted in a marked reduction in out-patient contacts with psychiatrists and other staff, more discharges, and a small increase in general practitioner contact for prescribing. Care of such patients by community psychiatric nurses is a valuable alternative mode of deployment within the psychiatric team.

Patients in receipt of community psychiatric nursing care in Salford 1976–82

1986 ◽  
Vol 16 (2) ◽  
pp. 407-414 ◽  
Author(s):  
K. Wooff ◽  
D. P. Goldberg ◽  
T. Fryers
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Psychiatric Nursing ◽  
Psychiatric Services ◽  
Psychiatric Nurses ◽  
Care Level ◽  
Case Register ◽  
Primary Care Level ◽  
Annual Prevalence ◽  
Community Psychiatric

SynopsisCase register data are used to describe the age and diagnostic distribution of people using the community psychiatric nursing (CPN) service in Salford. Data are related to those in hospital-based psychiatric services. Annual prevalence rates grew dramatically, and increasing numbers of people were found to have received continuous CPN care for 2 years and over. Following the establishment of the CPN service in a primary care setting, the proportion of patients suffering from depression in receipt of CPN care increased, and the resulting overall diagnostic distribution of CPN patients became similar to that of the specialist psychiatric services as a whole. Patients under the sole care of community psychiatric nurses (about 19 % of the total CPN prevalence each calendar year) contributed to an overall increase in treated prevalence. The data indicate that CPN services in Salford are treating the morbidity found at primary care level, rather than reducing the demands made on the traditional services.

scholarly journals Erratum

1986 ◽  
Vol 16 (3) ◽  
pp. 726-726
Keyword(s):  
Primary Care ◽  
Nursing Care ◽  
Psychiatric Nursing ◽  
Psychiatric Nurses ◽  
Community Psychiatric ◽  
Primary Care Teams

In the paper by Wooffe/ al. ‘Patients in receipt of community psychiatric nursing care’ (Vol. 16, p. 408), the following sentence should be added at the end of the section on Background: By January 1979, all community psychiatric nurses were attached to primary-care teams and were accepting direct referrals.

Cost-effectiveness of community psychiatric nurse or out-patient psychiatrist care of neurotic patients

1983 ◽  
Vol 13 (2) ◽  
pp. 407-416 ◽  
Author(s):  
S. P. Mangen ◽  
E. S. Paykel ◽  
J. H. Griffith ◽  
A. Burchell ◽  
P. Mancini
Keyword(s):  
Consumer Satisfaction ◽  
Public Expenditure ◽  
Direct Costs ◽  
Psychiatric Nursing ◽  
Psychiatric Nurses ◽  
Chronic Patients ◽  
Community Psychiatric ◽  
Significant Difference ◽  
The Mean

SYNOPSISIn a prospective controlled investigation chronic patients, the majority with neurotic conditions, were randomly allocated either to community psychiatric nurses (CPN) as the main therapist or to routine out-patient psychiatrist follow-up. There was no statistically significant difference in the mean public expenditure for the two modes of care. The direct costs of psychiatric care comprised a small proportion of total public expenditure and were initially greater in the nursing group. Subsequently, and over the whole 18-month study period, nursing was the cheaper option in terms of these direct costs. Clinical and social outcomes were comparable in both follow-up groups. Consumer satisfaction was significantly greater among CPN patients. On balance, these results confirm the benefit of community psychiatric nursing for this patient group.

scholarly journals The Chronic Patient in the Community A Two-Year Follow Up of 338 Chronic Patients

1968 ◽  
Vol 13 (3) ◽  
pp. 231-236 ◽  
Author(s):  
M. Herjanic ◽  
A. Stewart ◽  
R. C. Hales
Keyword(s):  
Social Worker ◽  
Living Arrangements ◽  
Community Care ◽  
Psychiatric Patients ◽  
Chronic Patient ◽  
Chronic Patients ◽  
Chronic Psychiatric Patients

Three hundred and thirty-eight chronic psychiatric patients were followed up for two years after their discharge. Information was available on all but four patients. During the twenty-four month follow-up period, 11% had died and 25% required readmission. The source of support and living arrangements for the whole group were discussed, and the opinions about the outcome by the informant, psychiatrist, and social worker, were compared, The opinions correlated remarkably well. Characteristics of community care deemed important by the investigators were discussed briefly.

The Practice of Community Psychiatric Nursing and Mental Health Social Work in Salford Some Implications for Community Care

1988 ◽  
Vol 152 (6) ◽  
pp. 783-792 ◽  
Author(s):  
K. Wooff ◽  
D. P. Goldberg ◽  
T. Fryers
Keyword(s):  
Mental Health ◽  
Psychiatric Symptoms ◽  
Psychiatric Patients ◽  
Psychiatric Nurses ◽  
Health Staff ◽  
Mental Health Staff ◽  
Term Care ◽  
Community Psychiatric ◽  
Wide Range

The context and content of work undertaken with individual clients by community psychiatric nurses (CPNs) and mental health social workers (MHSWs) in Salford were found to be significantly different. Although there were some areas of overlap, the ways in which the two professions worked were quite distinct. MHSWs discussed a wide range of topics and were as concerned with clients' interactions with family and community networks as they were with symptoms. Their interviews with schizophrenic clients followed a similar pattern to those with other groups, and they worked closely with psychiatrists and other mental health staff. CPNs, on the other hand, focused mainly on psychiatric symptoms, treatment arrangements, and medications, and spent significantly less time with individual psychotic clients than they did with patients suffering from neuroses. They were as likely to be in contact with general practitioners as they were with psychiatrists, and had fewer contacts with other mental health staff than the MHSWs. There was evidence that the long-term care of chronic psychiatric patients living outside hospital required more co-ordinated long-term multidisciplinary input.

scholarly journals Links between fund-holding general practices and mental health professionals

1994 ◽  
Vol 18 (10) ◽  
pp. 603-605 ◽  
Author(s):  
T. I. R. Mutale
Keyword(s):  
Mental Health ◽  
Health Professional ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Professional Community ◽  
Postal Questionnaire ◽  
Psychiatric Nurses ◽  
Psychiatric Nurse ◽  
Community Psychiatric ◽  
General Practices

A postal questionnaire was sent to a random sample of 300 fund-holding general practices. Respondents were asked to indicate if they had links with a psychiatrist, community psychiatric nurse or psychologist; 210 (70%) general practitioners returned completed questionnaires. Out of 210 practices 161 (77%) had links with at least one specialist mental health professional. Community psychiatric nurses had links with more practices than psychiatrists or psychologists. Problems with time or space made it difficult for practices to form links.

Psychiatric Out-Patients in Plymouth—An Area Service Analysed

1965 ◽  
Vol 111 (470) ◽  
pp. 10-17 ◽  
Author(s):  
Neil Kessel ◽  
Christine Hassall ◽  
Robert Blair ◽  
John M. Gilroy ◽  
Francis Pilkington ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Mental Hospital ◽  
Psychiatric Care ◽  
Community Care ◽  
Psychiatric Patients ◽  
Patient Department

Out-patient services in Britain for psychiatric patients have expanded enormously under the National Health Service. Well over half a million patients are seen at clinics annually. Concomitant with this increase the out-patient department has changed in function. No longer is it principally concerned with providing follow up and support for discharged mental hospital in-patients; instead, because of the greatly increased demand for psychiatric care for less severe disorders and under the influence of the movement for community care it now should play a part not at all subservient to the in-patient department. The clinic, properly run, should be an arena of treatment in its own right.

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