scholarly journals GP use of psychotherapy services

1993 ◽  
Vol 17 (9) ◽  
pp. 526-527 ◽  
Author(s):  
Mary J. Morton ◽  
Jill Staines
Keyword(s):  
General Practitioners ◽  
Local Development ◽  
Psychiatric Services ◽  
Great Awareness ◽  
Psychotherapy Services

In a rapidly changing NHS, there is a great awareness of the need to consult with general practitioners about their expectations of a service. A number of studies have looked at GPs' perceptions of psychological and psychiatric services (e.g. Eastman & McPherson, 1982; Whitfield & Winter, 1980) but to date little is known about how GPs view psychotherapy services. About 40% of the referrals to the Leicestershire psychotherapy department come directly from GPs and the present study aimed to ascertain local GPs' perceptions of the service. This was timely for the purpose of planning local development but clearly has important implications for psychotherapy services in general.

scholarly journals Repeat prescribing policy in New Zealand general practice: making it better

2020 ◽  
Vol 12 (4) ◽  
pp. 373
Author(s):  
Steven Lillis ◽  
Liza Lack
Keyword(s):  
General Practice ◽  
New Zealand ◽  
General Practitioners ◽  
Local Development ◽  
Policy Research ◽  
Practice Research ◽  
Annual Conference ◽  
Protected Time ◽  
Repeat Prescribing ◽  
General Practices

ABSTRACT INTRODUCTIONRepeat prescribing is common in New Zealand general practice. Research also suggests that repeat prescribing is a process prone to error. All New Zealand general practices have to comply with requirements to have a repeat prescribing policy, with the details of the policy to be designed by the practice. AIMTo inform the development of practice policy, research was undertaken with experienced general practitioners to identify and mitigate risk in the process. METHODSAt the 2019 annual conference of the Royal New Zealand College of General Practitioners, a workshop was held with 58 experienced general practitioner participants. The group was divided into six small groups, each with the task of discussing one aspect of the repeat prescribing process. The results were then discussed with the whole group and key discussion points were transcribed and analysed. RESULTSIssues identified included: improving patient education on appropriateness of repeat prescribing; having protected time for medicine reconciliation and the task of repeat prescribing; reducing the number of personnel and steps in the process; and clarity over responsibility for repeat prescribing. DISCUSSIONThis research can inform the local development of a repeat prescribing policy at the practice level or be used to critique existing practice policies. Attention was also drawn to the increasing administrative burden that repeat prescribing contributes to in general practice.

scholarly journals Preventing the Admission of Difficult Psychiatric Patients—A Questionnaire Survey

1996 ◽  
Vol 89 (3) ◽  
pp. 149-151 ◽  
Author(s):  
Jan Neeleman ◽  
Vik Watts
Keyword(s):  
Questionnaire Survey ◽  
Psychiatric Patients ◽  
Postal Survey ◽  
Psychiatric Services ◽  
Equal Access ◽  
The South ◽  
Factors Associated ◽  
Health Districts ◽  
Psychotherapy Services

By means of a postal survey of all consultant psychiatrists (n=143) in the South East Thames Region, the authors examined factors associated with psychiatrists’ decisions to impose restrictions on certain patients’ access to admission. Twenty-two per cent of respondents reported the use of admission restrictions. Usage of this measure was associated with a local absence of psychotherapy services (OR 0.34; 95% CI 0.17–0.63) which might suggest that there is a need for more equal access to specialist psychiatric services across health districts.

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 Pattern of practice on mental health issues and attitude towards referral among general medical practitioners of North India

2021 ◽  
Author(s):  
Sudha Mishra ◽  
Sujita Kumar Kar
Keyword(s):  
General Practitioners ◽  
Psychiatric Illness ◽  
Psychotropic Medications ◽  
Mental Illnesses ◽  
Psychiatric Services ◽  
North India ◽  
Medical Illness ◽  
Cross Sectional Survey ◽  
Medical Practitioners ◽  
General Medical Practitioners

Abstract Background: Still, in a larger part of the world, people with mental illnesses first consult general practitioners (non-psychiatrist practitioners) to treat their mental illness. Many such patients seek psychiatric consultation with reluctance after being referred by general practitioners due to stigma. The study aimed to assess the attitude of general medical practitioners towards consultation-liaison psychiatric services.Methods: In this cross-sectional survey, a total of 61 general medical practitioners, specialists, and subspecialist physicians, surgeons from a city of North India were evaluated in a questionnaire which was designed based on previous studies and observations to assess their attitudes towards liaison psychiatric services.Findings: Nearly 98% of the general practitioners deal with the patient of psychiatric illness, out of which nearly 30% treat the patient of their own. Nearly 88% of practitioners referring a patient to psychiatrists. More than 90% of general practitioners reported psychiatric problems are associated with medical illness. More than 40%prescribe psychotropic medication, out of which benzodiazepine is the most commonly prescribed one. Depression is commonly encountered in general medical practice. More than 70% of practitioners are not comfortable prescribing psychotropic medications. About 16.39% of general practitioners faced difficulty in referring patients to a psychiatrist for various reasons. Conclusion: General practitioners treat many patients with psychiatric illness though they are not comfortable prescribing psychotropic medications.

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.

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