Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-22T16:23:36.606Z Has data issue: false hasContentIssue false
  • English
  • Français

Community Psychiatric Nursing for Neurotic Patients: A Controlled Trial

Published online by Cambridge University Press:  29 January 2018

E. S. Paykel ,
S. P. Mangen ,
J. H. Griffith  and
T. P. Burns
E. S. Paykel
Affiliation:
St George's Hospital Medical School, London SW17 0RE
S. P. Mangen
Affiliation:
Univ-Nervenklinik, Kiel, West Germany
J. H. Griffith
Affiliation:
Kedren Community Health Center, Los Angeles, USA
T. P. Burns
Affiliation:
University of Uppsala, Sweden, St George's Hospital Medical School, London, SW17 0RE
Get access Rights & Permissions [Opens in a new window]

Summary

Seventy-one neurotic patients requiring follow-up were randomly assigned to routine psychiatric out-patient care or to supportive home visiting from community psychiatric nurses as their main treatment agents and were assessed every six months for 18 months. No differences were found between effectiveness of the two modes of service on symptoms, social adjustment or family burden. Patients seeing community psychiatric nurses reported greater satisfaction with treatment. Community psychiatric nursing resulted in a marked reduction in out-patient contacts with psychiatrists and other staff, more discharges, and a small increase in general practitioner contact for prescribing. Care of such patients by community psychiatric nurses is a valuable alternative mode of deployment within the psychiatric team.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 140 , Issue 6 , June 1982 , pp. 573 - 581
Copyright
Copyright © Royal College of Psychiatrists, 1982 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Catalan, J., Marsack, P., Hawton, K. E., Whitwell, D., Fagg, J. & Bancroft, J. H. J. (1980) Comparison of doctors and nurses in the assessment of deliberate self-poisoning patients. In: Suicide and Parasiticide, (eds. Farmer, R. D. T. and Hirsch, S. H.). London: Croom Helm Google Scholar
Gillies, L. & Egert, S. (1973) The Psychiatric Out-patient: Clinical and Organizational Aspects. London: Faber and Faber.Google Scholar
Grad, J. & Sainsbury, P. (1968) The effects that patients have on their families in a community care and a control psychiatric service: A two-year follow-up. British Journal of Psychiatry, 114, 265–78.CrossRefGoogle Scholar
Hirsch, S., Platt, S., Knights, A. & Weyman, S. (1979) Shortening hospital stay for psychiatric care: Effects on patients and their families. British Medical Journal, 2, 442–6.Google Scholar
Hunter, P. (1978) Schizophrenia and Community Psychiatric Nursing. The National Schizophrenia Fellowship.Google Scholar
Office of Population Censuses and Surveys (1968) Studies on Medical and Population Subjects, No 22. A Glossary of Mental Disorders. London: HMSO Google Scholar
Mangen, S. P., Paykel, E. S., Griffith, J. H., Burchell, A. & Mancini, P. Cost effectiveness of community psychiatric nurse or outpatient psychiatrist care of neurotic patients. To be published.Google Scholar
Parnell, J. W. (1977) Community Psychiatric Nursing. A Descriptive Study: London: The Queen's Nursing Institute.Google Scholar
Paykel, E. S., Klerman, G. L. & Prusoff, B. A. (1970) Treatment setting and clinical depression. Archives of General Psychiatry, 22, 11–21.CrossRefGoogle ScholarPubMed
Raskin, A., Reatig, N. & McKeon, J. (1970) Differential response to chlorpromazine, imipramine and placebo: A study of sub-groups of hospitalized depressed patients. Archives of General Psychiatry, 23, 164–73.CrossRefGoogle Scholar
Robinson, I. D. (1972) Description and evaluation of a psychiatric home visiting service. New Zealand Medical Journal, 75, 15–19.Google ScholarPubMed
Taves, D. R. (1974) Minimization: A new method of assigning patients to treatment and control groups. Clinical Pharmacology and Therapeutics, 15, 443–53.Google Scholar
Weissman, M. M. & Paykel, E. S. (1974) The Depressed Woman: A Study of Social Relations. Chicago and and London: University of Chicago Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.