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The Clinical Evaluation of a New Community Psychiatric Service Based on General Practice Psychiatric Clinics

Published online by Cambridge University Press:  02 January 2018

Brian Ferguson ,
Sylvia Cooper ,
Judith Brothwell ,
Aristos Markantonakis  and
Peter Tyrer
Brian Ferguson*
Affiliation:
Clinical Research Department, Mapperley Hospital, Nottingham
Sylvia Cooper
Affiliation:
Clinical Research Department, Mapperley Hospital, Nottingham
Judith Brothwell
Affiliation:
St James' Hospital, Leeds
Aristos Markantonakis
Affiliation:
Institute of Family Psychiatry, Ipswich
Peter Tyrer
Affiliation:
St Charles' Hospital, London
*
∗Correspondence
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Abstract

A new community psychiatric service in Nottingham based on general practice clinics was compared with a conventional hospital-orientated model. Despite providing treatment for an inner-city population of significantly greater social disadvantage, the community service was associated with similar levels of symptom morbidity as assessed by the CPRS and the SFS. It also involved greater use of day-hospital facilities, more extensive multidisciplinary care, and a commitment to longer-term follow-up of chronically ill patients. Such a model is offered as a basis for future developments of urban community psychiatric services.

Type
Papers
Information
The British Journal of Psychiatry , Volume 160 , Issue 4 , April 1992 , pp. 493 - 497
Copyright
Copyright © Royal College of Psychiatrists, 1992 

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