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Referrals from General Practitioners to Psychiatrists and Paramedical Mental Health Professionals

Published online by Cambridge University Press:  02 January 2018

Greg Wilkinson*
Affiliation:
General Practice Research Unit, Institute of Psychiatry, London SE5 8AF

Abstract

The literature on referral of patients by GPs to psychiatrists and mental health specialists is examined. Referrals to psychiatrists account for 3% of all those made by GPs, but the individual rates vary widely. The proportion of patients referred to psychiatrists and paramedical mental health workers in general practice is unknown, but probably substantial.

Type
Papers
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Anderson, S. & Hasler, J. C. (1979) Counselling in general practice. Journal of the Royal College of General Practitioners, 29, 352356.Google Scholar
Ashurst, P. M. & Ward, D. F. (1983) An Evaluation of Counselling in General Practice. Final report of the Leverhulme Counselling Project. Report available from the Mental Health Foundation, London.Google Scholar
Balestrieri, M., Williams, P. & Wilkinson, G. (1988) Specialist mental health treatment in general practice: a meta-analysis. Psychological Medicine, 18, 711717.Google Scholar
Blackburn, I. M., Bishop, S., Glen, A. I. M., et al (1981) The efficacy of cognitive therapy in depression: a treatment trial using cognitive therapy and pharmacotherapy, each alone and in combination. British Journal of Psychiatry, 139, 181189.Google Scholar
Blakey, R. (1986) Psychological treatment in general practice: its effect on patients and their families. Journal of the Royal College of General Practitioners, 36, 209211.Google Scholar
Broadhurst, A. (1977) What part does general practice play in community clinical psychology? Bulletin of the British Psychological Society, 30, 305309.Google Scholar
Community Psychiatric Nurses Association (1985) The 1985 CPNA National Survey Update. Bristol: Community Psychiatric Nurses Association.Google Scholar
Cooper, B., Harwin, B. J., Depla, C., et al (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.Google Scholar
Dowie, R. (1983) General Practitioners and Consultants: A Study of Outpatient Referrals. London: King Edward's Hospital Fund for London.Google Scholar
Earll, L. & Kincey, J. (1982) Clinical psychology in general practice. Journal of the Royal College of General Practitioners, 32, 3237.Google ScholarPubMed
Freeman, G. K. & Button, E. J. (1984) The clinical psychologist in general practice: a six-year study of consulting patterns for psychosocial problems. Journal of the Royal College of General Practitioners, 34, 377380.Google ScholarPubMed
Fry, J. (1983) Present State and Future Needs in General Practice. Lancaster: MTP Press.CrossRefGoogle Scholar
Goldberg, D. & Huxley, P. (1980) Mental Illness in the Community. The Pathway to Psychiatric Care. London: Tavistock Publications.Google Scholar
Johnson, D. A. W. (1973a) An analysis of outpatient services. British Journal of Psychiatry, 122, 301306.Google Scholar
Johnson, D. A. W. (1973b) A further study of psychiatric outpatient services in Manchester. An operational study of general practitioner and patient expectation. British Journal of Psychiatry, 123, 185191.CrossRefGoogle ScholarPubMed
Kaeser, A. C. & Cooper, B. (1971) The psychiatric patient, the general practitioner, and the outpatient clinic: an operational study and a review. Psychological Medicine, 1, 312325.Google Scholar
Kessel, N. (1963) Who ought to see a psychiatrist? Lancet, i, 10921094.Google Scholar
Kiely, B. G. & McPherson, I. G. (1986) Stress self-help packages in primary care: a controlled trial evaluation. Journal of the Royal College of General Practitioners, 36, 307309.Google Scholar
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
Martin, E. & Mitchell, H. (1983) A counsellor in general practice: a one-year survey. Journal of the Royal College of General Practitioners, 33, 366367.Google ScholarPubMed
McKechnie, A. A., Philip, A. E. & Ramage, J. G. (1981) Psychiatric services in primary care: specialised or not? Journal of the Royal College of General Practitioners, 31, 611614.Google Scholar
Murgatroyd, S. (1983) Counselling and the doctor. Journal of the Royal College of General Practitioners, 33, 323326.Google ScholarPubMed
Prioleau, L., Murdock, M. & Brody, N. (1983) An analysis of psychotherapy versus placebo studies. Behavioral and Brain Sciences, 6, 275310.Google Scholar
Robertson, N. C. (1979) Variations in referral pattern to the psychiatric services by general practitioners. Psychological Medicine, 9, 355364.Google Scholar
Robertson, H. & Scott, D. J. (1985) Community psychiatric nursing: a survey of patients and problems. Journal of the Royal College of General Practitioners, 35, 130132.Google ScholarPubMed
Robson, M. H., France, R. & Bland, M. (1984) Clinical psychologist in primary care: controlled clinical and economic evaluation. British Medical Journal, 288, 18051808.Google 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. (1982) Who should treat mental disorders? Lancet, i, 11731175.CrossRefGoogle Scholar
Shepherd, M., Cooper, B., Brown, A. C., et al (1966) Psychiatric Illness in General Practice. London: Oxford University Press.Google Scholar
Shepherd, M., Harwin, B. G., Depla, C., et al (1979) Social work and the primary care of mental disorder. Psychological Medicine, 9, 661669.CrossRefGoogle ScholarPubMed
Shepherd, M., & Wilkinson, G. (1988) Primary care as the middle ground for psychiatric epidemiology. Psychological Medicine, 18, 263267.CrossRefGoogle ScholarPubMed
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 Scholar
Teasdale, J. D., Fennell, M. J. V., Hubert, G. A., et al (1984) Cognitive therapy for major depressive disorder in primary care. British Journal of Psychiatry, 144, 400406.CrossRefGoogle ScholarPubMed
Trepka, C., Laing, I. & Smith, S. (1986) Group treatment of general practice anxiety problems. Journal of the Royal College of General Practitioners, 36, 114117.Google Scholar
Tyrer, P. (1984) Psychiatric clinics in general practice. An extension of community care. British Journal of Psychiatry, 145, 914.CrossRefGoogle ScholarPubMed
Tyrer, P., Seivewright, N. & Wollerton, S. (1984) General practice psychiatric clinics: impact on psychiatric services. British Journal of Psychiatry, 145, 1519.Google Scholar
Wilkinson, G. (1982) Social work: effective or affective? British Medical Journal, 284, 16591660.Google Scholar
Wilkinson, G. (1985) Mental Health Practices in Primary Care Settings. An annotated bibliography 1977–1985. London: Tavistock.Google Scholar
Wilkinson, G., Smeeton, N., Skuse, D., et al (1988) GP consultations for physical illness following GP diagnosis and psychotropic drug treatment of psychiatric disorder: data from a 20-year followup. British Medical Journal, 297, 776778.CrossRefGoogle Scholar
Wooff, K., Goldberg, D. P. & Fryers, T. (1986) Patients in receipt of community psychiatric nursing care in Salford 1976–82. Psychological Medicine, 16, 407414.CrossRefGoogle ScholarPubMed
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