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Writing letters to patients

Published online by Cambridge University Press:  02 January 2018

Phil Thomas*
Affiliation:
Department of Social and Economic Studies, University of Bradford, Richmond Building, Richmond Street, Bradford BD7 1DP
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Abstract

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Recent changes in the law and mental health policy have forced psychiatrists and other mental health professionals to review the traditional cloak of secrecy that surrounds record keeping and letter writing. This paper establishes what proportion of patients attending a psychiatric out-patient clinic are interested in receiving letters from their psychiatrist. Those who are interested tend to be better educated, whereas those who are not interested are much more likely to have an ICD–10 diagnosis of schizophrenia. Overall, there appear to be high levels of satisfaction with the nature of the letters received. The significance of these findings is discussed in relation to the difficulty of engaging people with the most severe and enduring forms of mental health problems as active participants in the process of care.

Type
Original Papers
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1998 The Royal College of Psychiatrists

References

Asch, R., Price, J. S. & Hawks, G. (1991) Psychiatric outpatients' reactions to summary letters of their consultations. British Journal of Medical Psychology. 64, 39.CrossRefGoogle ScholarPubMed
Bernadt, M., Gunning, L. & Questedt, M. (1991) Patients' access to their own psychiatric records. British Medical Journal, 303, 967.CrossRefGoogle ScholarPubMed
Brahams, D. (1994) Right of access to medical records. Lancet, 344, 743.CrossRefGoogle ScholarPubMed
Corin, E. & Lauzon, G. (1992) Positive withdrawal and the quest for meaning: the reconstruction of experience among schizophrenics. Psychiatry, 55, 266278.CrossRefGoogle ScholarPubMed
Department of Health (1996) The National Health Service: A Service with Ambitions. London: HMSO.Google Scholar
McLaren, P. (1991) The right to know: Patients' records should be understandable by patients, too. British Medical Journal, 303, 937938.CrossRefGoogle Scholar
Parrott, J., Strathede, G. & Brown, P. (1988) Patient access to psychiatric records: the patients' view. Journal of the Royal Society of Medicine, 81, 520522.CrossRefGoogle ScholarPubMed
Shah, P. J. & Pullen, I. (1995) The impact of a hospital audit on psychiatrists' letters to general practitioners. Psychiatric Bulletin, 19, 544547.CrossRefGoogle Scholar
Thomas, P. (1997) The Dialectics of Schizophrenia. London: Free Association Books.Google Scholar
Thomas, P., Romme, M. & Hemmelinik, J. (1996) Psychiatry and the politics of the underclass. British Journal of Psychiatry, 169, 401404.CrossRefGoogle ScholarPubMed
Weil, F. (1993) The right of the mental patient to be medically informed. Medicine and Law, 12, 681686.Google ScholarPubMed
Williams, B. (1994a) Users' views of community mental health services. In Community Care: Evaluating the Provision of Mental Health Care (eds Crosby, C. & Barry, M. M.). Aldershot: Avebury.Google Scholar
Williams, B. (1994b) Patient satisfaction: a valid concept? Social Science and Medicine, 38, 509516.CrossRefGoogle ScholarPubMed
World Health Organization (1992) The Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD–10). Geneva: WHO.Google Scholar
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