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Specialist mental health treatment in general practice: a meta-analysis

Published online by Cambridge University Press:  09 July 2009

Matteo Balestrieri
Affiliation:
Cattedra di Psicologia Medica, Istituto di Psichiatria, Universita di Verona, Italy and the General Practice Research Unit, Institute of Psychiatry, London
Paul Williams
Affiliation:
Cattedra di Psicologia Medica, Istituto di Psichiatria, Universita di Verona, Italy and the General Practice Research Unit, Institute of Psychiatry, London
Greg Wilkinson*
Affiliation:
Cattedra di Psicologia Medica, Istituto di Psichiatria, Universita di Verona, Italy and the General Practice Research Unit, Institute of Psychiatry, London
*
1Address for correspondence: Dr G. Wilkinson, General Practice Research Unit, Institute of Psychiatry, De Crespigny Park, London SE5 8AF.

Synopsis

A meta-analysis of studies was carried out to compare treatment by specialist mental health professionals in the general practice setting and ‘usual GP treatment ’. Overall, treatment by specialist mental health professionals had a 10% greater success rate.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1988

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References

Ashurst, P. M. & Ward, D. F. (1983). An evaluation of counseling in general practice. Final report of the Leverhulme Counselling Project. Unpublished Report available from the Mental Health Foundation, London.Google Scholar
Begg, C. B. (1985). A measure to aid in the interpretation of published clinical trials. Statistics in Medicine 4, 19.CrossRefGoogle ScholarPubMed
Broadhurst, A. (1977). What part does general practice play in community clinical psychology? Bulletin of the British Psychological Society 30, 305309.Google Scholar
Chalmers, T. C., Levin, H., Sacks, H. S., Reitman, D., Berrier, J. & Nagalingam, R. (1987). Meta-analysis of clinical trials as a scientific discipline. I. Control of bias and comparison with large cooperative trials. Statistics in Medicine 6, 315325.CrossRefGoogle Scholar
Cooper, B., Harwin, B. J., Depla, C. & Shepherd, M. (1975). Mental health care in the community: an evaluative study. Psychological Medicine 5, 372380.CrossRefGoogle ScholarPubMed
Corney, R. H. (1981). Social work effectiveness in the management of depressed women: a clinical trial. Psychological Medicine 11, 417423.CrossRefGoogle ScholarPubMed
Earll, L. & Kincey, J. (1982). Clinical psychology in general practice: a controlled trial evaluation. Journal of the Royal College of General Practitioners 32, 3237.Google ScholarPubMed
Gilchrist, I. C., Gouch, J. B., Horsfall-Turner, Y. R., Ineson, E. M., Keele, G., Marks, B. & Scott, H. J. (1978). Social work in general practice. Journal of the Royal College of General Practitioners 28, 675686.Google Scholar
Glass, G. V., McGaw, B. & Smith, M. L. (1981). Meta-Analysis in Social Research. Sage Publications: Beverley Hills.Google Scholar
Hankin, J. & Oktay, J. S. (1979). Mental Disorder and Primary Medical Care: An Analytical Review of the Literature. Superintendent of Documents, US. Government Printing Office (Series D, No. 5, DHEW Publications No. ADM 78661): Washington, DC.Google Scholar
Hedges, L. V. (1981). Distribution theory for Glass's estimator of effect size and related estimators. Journal of Educational Statistics 6, 107128.CrossRefGoogle Scholar
Lamb, W. K. & Witla, D. K. (1983). Meta-Analysis and the Integration of Research Findings: a Trend Analysis and Bibliography Prior to 1983. Research report, Harvard University, Cambridge: cited by Rosenthal (1984).Google Scholar
Lush, J. L. (1931). Predicting gains in feeder cattle and pigs. Journal of Agricultural Research 42, 853881.Google Scholar
McKechnie, A., Philip, A. E. & Ramage, J. G. (1981). Psychiatric services in primary care: specialized or not? Journal of the Royal College of General Practitioners 31, 611614.Google Scholar
Marks, I. (1985). Controlled trial of psychiatric nurse therapists in primary care. British Medical Journal 290, 11811184.CrossRefGoogle ScholarPubMed
Martin, E. (1985). Counselling in general practice. Journal of the Royal Society of Medicine 78, 186188.CrossRefGoogle ScholarPubMed
Martin, E. & Martin, P.M.L. (1985). Changes in psychological diagnosis and prescription in a practice employing a counsellor. Family Practice 2, 241243.CrossRefGoogle Scholar
Mellor, P. (1986). Multidisciplinary and consumer views: society of psychiatric nursing, Royal College of Nursing. In The Provision of Mental Health Services in Britain: The Way Ahead (ed. Wilkinson, G. Freeman, H.), pp. 145146. Gaskell: London.Google Scholar
Peto, R. (1987). Why do we need systematic overviews of randomised trials? Statistics in Medicine 6, 233240.CrossRefGoogle Scholar
Prioleau, L., Murdock, M. & Brody, N. (1983). An analysis of psychotherapy versus placebo studies. The Behavioural and Brain Sciences 6, 275310.CrossRefGoogle Scholar
Robson, M. H., France, R. & Bland, M. (1984). Clinical psychologist in primary care: controlled clinical and economic evaluation. British Medical Journal 288, 18051808.CrossRefGoogle ScholarPubMed
Rosenthal, R. (1979). The ‘file drawer problem’ and tolerance for null results. Psychological Bulletin 86, 638641.CrossRefGoogle Scholar
Rosenthal, R. (1984). Meta-Analytic Procedures for Social Research. Sage Publications: Beverley Hills.Google Scholar
Rosenthal, R. & Rubin, D. B. (1982). A simple, general purpose display of magnitude of experimental effect. Journal of Educational Psychology 74, 166169.CrossRefGoogle Scholar
Ross, M. & Scott, M. (1985). An evaluation of the effectiveness of individual and group cognitive therapy in the treatment of depressed patients in an inner city health centre. Journal of the Royal College of General Practitioners 35, 239242.Google Scholar
Shepherd, M., Cooper, B., Brown, A. C. & Kalton, G. (1966). Psychiatric Illness in General Practice. Oxford University Press: LondonGoogle Scholar
Smith, M. L. & Glass, G. V. (1977). Meta-analysis of psychotherapy outcome studies. American Psychologist 32, 752760.CrossRefGoogle ScholarPubMed
Smith, M. L., Glass, G. V. & Miller, T. I. (1980). The Benefits of Psychotherapy. Johns Hopkins University Press: Baltimore.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 ScholarPubMed
Teasdale, J. D., Fennell, M. J. V., Hibbert, G. A. & Amies, P. L. (1984). Cognitive therapy for major depressive disorder in primary care. British Journal of Psychiatry 144, 400406.CrossRefGoogle ScholarPubMed
Thorndike, R. L. (1933). The effect of the interval between test and retest on the constancy of the IQ. Journal of Educational Psychology 24, 543549.CrossRefGoogle Scholar
Tyrer, P., Seivewright, N. & Wollerton, S. (1984). General practice psychiatric clinics: impact on psychiatric services. British Journal of Psychiatry 145, 1519.CrossRefGoogle Scholar
Wilkinson, G. (1985). Mental Health Practices in Primary Care Settings. An Annotated Bibliography 1977–1985. Tavistock: London.Google Scholar
Wilkinson, G. & Williams, P. (1985). Priorities for research on mental health in primary care settings. Psychological Medicine 15, 507514.CrossRefGoogle ScholarPubMed
Williams, P. & Balestrieri, M. (1987). Psychiatric clinics in general practice: do they reduce admissions? Research report, General Practice Research Unit, Institute of Psychiatry, London.Google Scholar