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The Psychiatric patient, the general practitioner, and the outpatient clinic: an operational study and a review

Published online by Cambridge University Press:  09 July 2009

A. C. Kaeser
Affiliation:
Institute of Psychiatry, De Crespigny Park, London
Brian Cooper
Affiliation:
Institute of Psychiatry, De Crespigny Park, London

Synopsis

A sample of general practitioner referrals to a Psychiatric teaching centre was investigated by means of standard interviews, first with the practitioners and subsequently with the patients. Hospital treatment and disposal were examined in the light of the doctors' reasons for referral, and of the expectations which they and the patients had held of the hospital service. The findings are related to previous work in this field, and the implications for service planning discussed.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1971

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References

REFERENCES

de Alarcon, R., and Hodson, J. M. (1964). Value of the general practitioner's letter. A further study in medical communication. British Medical Journal, 2, 435438.CrossRefGoogle Scholar
Annear, M. W. (1965). Postgraduate training in psychiatry for doctors. In Psychiatric Hospital Care. Pp. 254261. Edited by Freeman, H.. Baillière: London.Google Scholar
Balint, M. (1964). The Doctor, the Patient and the Illness. 2nd ed.Pitman: London.Google Scholar
Benett, D. H. (1965). The out-patient department and emergency clinic. In Triennial Statistical Report, 1961 3. Edited by E., H. Hare. Bethlem Royal Hospital and Maudsley Hospital.Google Scholar
Birley, J. L. T., and Heine, B. E. (1966). The Psychiatric emergency clinic: an inquiry into the process of referral and disposal. (Unpublished paper.)Google Scholar
Bodkin, N. J., Guze, R. B., Gomez, G., Howlett, M. J., and Leigh, D. (1953). The general practilioner and the psychiatrist. A study in co-operation. British Medical Journal, 2, 723725.CrossRefGoogle Scholar
Brook, A. (1967). An experiment in general practitioner-psychiatrist co-operation. Journal of the College of General Practitioners, 13, 127131.Google Scholar
Brothwood, J. (1965). The work of a Psychiatric emergency clinic. British Journal of Psychiatry, 111, 631634.CrossRefGoogle ScholarPubMed
Carse, J., Panton, N. E., and Watt, A. (1958). A district mental health service. The Worthing experiment. Lancet, 1, 3941.CrossRefGoogle ScholarPubMed
Davies, G. (1971). Personal communication.Google Scholar
Department of Health and Social Security (1969). Digest of Health Statistics for England and Wales, 1969. H.M.S.O.: London.Google Scholar
Department of Health and Social Security (1970). The Future Structure of the National Health Service. H.M.S.O.: London.Google Scholar
Forsyth, G., and Logan, R. F. L. (1968). Gateway or Dividing Line? A study of hospital out-patients in the 1960s. Oxford University Press: London.Google Scholar
Friedman, T. T., Perry, S. E., and Rolfe, P. (1960). Home treatment of Psychiatric patients. American Journal of Psychiatry, 116, 807809.CrossRefGoogle ScholarPubMed
Fry, J. (1959). Why patients go to hospital. British Medical Journal, 2, 13221327.CrossRefGoogle ScholarPubMed
Gibson, R., Forbes, J. M., Stoddart, I. W., Cooke, J. T., Jenkins, C. W., MacKeith, S. A., Rosenberg, Lotte, Allchin, W. H., and Shepherd, Daphne. (1966). Psychiatric care in general practice: an experiment in collaboration. British Medical Journal, 1, 12871289.CrossRefGoogle ScholarPubMed
Guttmann, L. (1945). On cases to be referred to the psychiatrist by the general practitioner. (Unpublished paper.)Google Scholar
Hare, E. H. (1965). Triennial Statistical Report, 1961–3. Bethlem Royal Hospital and Maudsley Hospital.Google Scholar
Hare, E. H. (1968). Triennial Statistical Report, 1964–6. Bethlem Royal Hospital and Maudsley Hospital.Google Scholar
Harwin, B. G., Cooper, B., Eastwood, M. R., and Goldberg, D. P. (1970a). Prospects for social work in general practice. Lancet, 2, 559561.CrossRefGoogle ScholarPubMed
Harwin, B. G., Cooper, B., Eastwood, M. R., and Goldberg, D. P. (1970b). (Unpublished data.)Google Scholar
Hopkins, P. (1956). Referrals in general practice. British Medical Journal, 2, 873877.CrossRefGoogle ScholarPubMed
Hopkins, P., and Cooper, B. (1969). Psychiatric referral from a general practice. British Journal of Psychiatry, 115, 11631174.CrossRefGoogle ScholarPubMed
Humphrey, M. E. (1968). Ideals and realities of the Psychiatric out-patient clinic. British Journal of Medical Psychology, 41, 249253.CrossRefGoogle ScholarPubMed
Kessel, N. (1963). Who ought to see a psychiatrist? Lancet. 1, 10921095.CrossRefGoogle Scholar
Kessel, N., and Shepherd, M. (1962). Neurosis in hospital and general practice. Journal of Mental Science, 108, 159166.CrossRefGoogle ScholarPubMed
Kiev, A. Ed. (1964). Magic, Faith, and Healing. Free Press of Glencoe: New York.Google Scholar
King Edward's Hospital Fund for London (1963). Report on Communications and Relalionships between General Practitioners and Hospital Medical Staff.Google Scholar
Leyberg, J. T. (1959). A district Psychiatric service. The Bolton pattern. Lancet, 2, 282284.CrossRefGoogle ScholarPubMed
Lyons, H. A. (1969). Joint Psychiatric consultations. Journal of the Royal College of General Practitioners, 18, 125127.Google Scholar
Macmillan, D. (1958). Mental health services of Nottingham. International Journal of Social Psychiatry, 4, 59.CrossRefGoogle Scholar
Marinker, M. (1970). Balint seminars and vocational training in general practice. Journal of the Royal College of General Practitioners, 19, 7991.Google ScholarPubMed
Martin, F. M., Brotherston, J. H. F., and Chave, S. P. W. (1957). Incidence of neurosis in a new housing estate. British Journal of Preventive and Social Medicine, 11, 196202.Google Scholar
May, A. R., Sheldon, A. P., and MacKeith, S. A. (1962). Future of district psychiatry. Lancet, 2, 13191320.CrossRefGoogle ScholarPubMed
May, A. R., and Gregory, E. (1968). Participation of general Practitioners in community psychiatry. British Medical Journal, 2, 168171.CrossRefGoogle ScholarPubMed
Mowbray, R. M., Blair, W., Jubb, L. G., and Clarke, A. (1961). The general practitioner's attitude to psychiatry. Scottish Medical Journal, 6, 314321.CrossRefGoogle ScholarPubMed
Nielsen, J. (1963). Home visits by psychiatrists. Comprehensive Psychiatry, 4, 442460.CrossRefGoogle ScholarPubMed
Orr, R. (1971). Personal communication.Google Scholar
Parkes, C. M., Brown, G. W. and Monck, E. M. (1962). The general practitioner and the schizophrenic patient. British Medical Journal, 1, 972976.CrossRefGoogle ScholarPubMed
Querido, A. (1955). The Amsterdam Psychiatric First Aid Scheme and some proposals for new legislation. Proceedings of the Royal Society of Medicine, 48, 741748.CrossRefGoogle ScholarPubMed
Rawnsley, K., and Loudon, J. B. (1961). The attitudes of general practitioners to psychiatry. Sociological Review Monograph No. 5. Edited by Halmos, P.. University of Keele.Google Scholar
Rawnsley, K., and Loudon, J. B. (1962). Factors influencing the referral of patients to psychiatrists by general practitioners. British Journal of Preventive and Social Medicine, 16, 174182.Google ScholarPubMed
Richards, H. (1960). Psychiatric Referrals from General Practice. (Unpublished dissertation.) University of London.Google Scholar
Seebohm Report (1968). Report of the Committee on Local Authority and Allied Personal Social Services. Cmnd. 3703. H.M.S.O.: London.Google Scholar
Shepherd, M., Cooper, B., Brown, A. C. and Kalton, G. K. (1966). Psychiatric Illness in General Practice. Oxford University Press: London.Google Scholar
Smith, C. M., and McKerracher, D. G. (1967). The family doctor in a programme of comprehensive Psychiatric care. In New Aspects of the Mental Health Services, pp. 237245. Edited by Freeman, H. and Farndale, J.. Pergamon: Oxford.Google Scholar
Taylor, , Lord, S. J., and Chave, S. (1964). Mental Health and Environment. Longmans: London.Google Scholar
Watt, D. (1962). Unpublished data.Google Scholar
Wing, J. K., Wing, L., Hailey, A., and Taylor, C. (1970). Camberwell Psychiatric Case Register. 1964–8. In Psychiatric Case Registers. Edited by J. K. Wing, and E. R. Bransby. Department of Health and Social Security Statistical Report Series No. 8.Google Scholar