Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-29T05:04:42.379Z Has data issue: false hasContentIssue false

Establishing a mental health liaison attachment with primary care

Published online by Cambridge University Press:  02 January 2018

Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The role of the general practitioner (GP) in the care of individuals with mental health problems has long been recognised. Goldberg & Huxleys' (1980) pioneering work on the pathways to mental health care demonstrated that only a fraction of identified mental health problems are referred on to psychiatrists. Goldberg & Bridges (1987) estimated that between 20 and 25% of a GP's workload concerns mental health, with only about 5% referred on to psychiatrists. Shepherd (1991) insisted that the only real hope for significant improvement in mental health care lay in the improvement of GP provision – there will simply never be enough psychiatrists.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 1997 

References

Balint, M (1964) The Doctor, His Patient and the Illness (2nd edn). London: Pitman Medical.Google Scholar
Burns, T., Silver, T., Freeling, P. et al (1994) GP experience for psychiatrists. A study of feasibility and acceptability. Psychiatric Bulletin, 18, 286288.Google Scholar
Burns, T., MacDonald, L., Sibbald, B. et al (1995) Educational assessment of general practice experience for psychiatric trainees. Medical Education, 29, 159165.Google Scholar
Creed, F. & Marks, B. (1989) Liaison psychiatry in general practice: a comparison of the liaison-attachment scheme and shifted outpatient clinic models. Journal of the Royal College of General Practitioners, 39, 514517.Google Scholar
Essex, B., Doig, R. & Renshaw, J. (1990) Pilot study of records of shared care for people with mental illnesses. British Medical Journal 300, 14421446.Google Scholar
Gask, L., McGrath, G., Goldberg, D. et al (1987) Improving the psychiatric skills of established general practitioners: evaluation of group teaching. Medical Education, 21, 362368.Google Scholar
Gask, L., Goldberg, D., Lesser, A. L. et al (1988) Improving the psychiatric skills of the general practice trainee: as evaluation of a group training course. Medical Education, 22, 132138.Google Scholar
Goldberg, D. P. & Huxley, P. (1980) Mental Illness in the Community. London: Tavistock.Google Scholar
Goldberg, D. P. & Bridges, K. (1987) Screening for psychiatric illness in general practice: the general practitioner versus the screening questionnaire. Journal of the Royal College of General Practitioners, 37, 1518.Google Scholar
Horder, J. (1988) Working with general practitioners. British Journal of Psychiatry, 153, 513520.CrossRefGoogle ScholarPubMed
Jenkins, R. (1992) Developments in the primary care of mental illness – a forward look. International Review of Psychiatry, 4, 237242.Google Scholar
Johnson, S. & Thornicroft, G. (1993) The sectorisation of psychiatric services in England and Wales. Social Psychiatry and Psychiatric Epidemiology, 28, 4547.Google Scholar
Kendrick, T., Sibbald, B., Burns, T. et al (1991) Role of general practitioners in care of long term mentally ill patients. British Medical Journal, 302, 508510.Google Scholar
Kendrick, T., Tylee, A. & Burns, T. (1994) Teamwork in the community. In Psychiatry and General Practice Today (eds Pullen, I., Wilkinson, G., Wright, A. et al), pp. 265279. London: Royal College of Psychiatrists.Google Scholar
Kendrick, T., Tylee, A. & Freeling, P. (eds) (1996) The Prevention of Mental Illness in Primary Care. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Low, B. & Pullen, I. (1988) Psychiatric clinics in different settings. A case register study. British Journal of Psychiatry, 153, 243245.Google Scholar
Melzer, D., Hale, A., Malik, S. et al (1991) Community care for patients with schizophrenia one year after hospital discharge. British Medical Journal, 303, 10231026.Google Scholar
Midgeley, S., Burns, T. & Garland, C. (1996) What do mental health teams and general practitioners talk about? Descriptive analysis of liaison meetings. British Journal of General Practice, 46, 6971.Google Scholar
Pullen, I. & Yellowlees, A. (1985) Is communication improving between general practitioners and psychiatrists? British Medical Journal, 290, 3133.Google Scholar
Scott, C., Scott, J., Tacchi, M. J. et al (1993) Abbreviated cognitive therapy for depression: a pilot study in primary care. Behavioural and Cognitive Psychotherapy, 22, 5764.Google Scholar
Shepherd, M. (1991) Primary care psychiatry: the case for action. British Journal of General Practice, 41, 252255.Google Scholar
Strathdee, G. (1987) Primary care–psychiatry interaction: a British perspective. General Hospital Psychiatry, 9, 102110.Google Scholar
Strathdee, G. & Williams, P. (1984) A survey of psychiatrists in primary care: the silent growth of a new service. Journal of the Royal College of General Practitioners, 34, 615618.Google Scholar
Tyrer, P. (1984) Psychiatric clinics in general practice. An extension of community care. British Journal of Psychiatry, 145, 914.CrossRefGoogle ScholarPubMed
Tyrer, P. (1985) The Hive System. A model for a psychiatric service. British Journal of Psychiatry, 146, 571575.Google Scholar
Tyrer, P., Seivewright, N. & Wollerton, S. (1984) General practice psychiatric clinics. Impact on psychiatric services. British Journal of Psychiatry, 145, 1519.Google Scholar
Tyrer, P., Turner, R. & Johnson, A. (1989) Integrated hospital and community psychiatric services and use of inpatient beds. British Medical Journal, 299, 298300.Google Scholar
Tyrer, P., Ferguson, B. & Wadsworth, J. (1990) Liaison psychiatry in general practice: the comprehensive collaborative model. Acta Psychiatrica Scandinavica, 81, 359363.Google Scholar
Wilkinson, G., Piccinelli, M., Falloon, I. et al (1995) An evaluation of community-based psychiatric care for people with treated long-term mental illness. British Journal of Psychiatry, 167, 2637.Google Scholar
Williams, P. & Clare, A. (1981) Changing patterns of psychiatric care. British Medical Journal, 282, 375377.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.