Are specialist mental health services being targeted on the most needy patients? The effects of setting up special services in general practice

British Journal of General Practice

Volumn 50, Issue 451, 2000, Pages 121-126

  Kendrick, Tony ^b   Burns, Tom ^c   Garland, Carol ^c   Greenwood, Nan ^a   Smith, Peter ^c  

^a ST GEORGE'S UNIVERSITY OF LONDON   (United Kingdom)

^b Aldermoor Health Centre   (United Kingdom)

^c NONE

Author keywords

Community based mental health teams; Primary care; Psychiatric services; Specialist services

Indexed keywords

ADULT; ARTICLE; BIPOLAR DEPRESSION; CHRONIC DISEASE; DISEASE SEVERITY; DOCTOR PATIENT RELATION; FEMALE; GENERAL PRACTITIONER; HEALTH CARE NEED; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL SPECIALIST; MENTAL HEALTH SERVICE; PATIENT CARE; PRIMARY MEDICAL CARE; PSYCHOSIS; SCHIZOAFFECTIVE PSYCHOSIS; SCHIZOPHRENIA; SOCIAL DISABILITY;

ANALYSIS OF VARIANCE; COMMUNITY MENTAL HEALTH SERVICES; CROSS-SECTIONAL STUDIES; FAMILY PRACTICE; FEMALE; GREAT BRITAIN; HUMANS; MALE; MIDDLE AGED; NEEDS ASSESSMENT; PRIMARY HEALTH CARE; PSYCHOTIC DISORDERS; REGRESSION ANALYSIS;

EID: 0033984579     PISSN: 09601643     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (22)

1. Department of Health and Social Security. On the state of public health. The annual report of the Chief Medical Officer of the Department of Health and Social Security for 1987. London: HMSO, 1988.
2. Parkes CM, Brown GW, Monck EM. The general practitioner and the schizophrenic patient. BMJ 1962; 1: 972-976.
3. Johnstone EC, Owens DGC, Gold A, et al. Schizophrenic patients discharged from hospital - a follow-up study. Br J Psychiatry 1984; 145: 586-590.
4. Melzer D, Hale AS, Malik SJ, et al. Community care for patients with schizophrenia one year after hospital discharge. BMJ 1991; 303: 1023-1026.
5. Kendrick T, Burns T, Freeling P, Sibbald B. Provision of care to general practice patients with disabling long-term mental illnesses: a survey in 16 practices. Br J Gen Pract 1994; 44: 301-305.
6. Harvey, CA. The Camden schizophrenia surveys I. The psychiatric, behavioural and social characteristics of the severely mentally ill in an inner London health district. Br J Psychiatry 1996; 168: 410-417.
7. Blair G, Deaney C. Inner-city general practice population of people with schizophrenia. Psychiatric Bull 1998; 22: 221-225.
8. Ritchie J, Dick D, Lingham R. The report of the inquiry into the care and treatment of Christopher Clunis. London: HMSO, 1994.
9. Department of Health. The care programme approach for people with a mental illness referred to the specialist psychiatric services. London: HMSO, 1990.
10. Caldicott F. Supervision registers: the College's response. Psychiatric Bull 1994; 18: 385-388.
11. Leff J, Vaughan C. Psychiatric patients in contact and out of contact with services: a clinical and social assessment. In: Wing JK, Hailey AH (eds). Evaluating a community psychiatric service. Oxford: OUP, 1972; 259-274.
12. Jarman B, Bosanquet N. Primary health care in London - changes since the Acheson report. BMJ 1992; 305: 1130-1133.
13. Kendrick T, Sibbald B, Addington-Hall J, et al. Distribution of mental health professionals on site in English and Welsh general practices. BMJ 1993; 307: 544-546.
14. Asberg M, Montgomery SA, Perris C, et al. The comprehensive psychopathological rating scale. Acta Psychiatr Scand 1978; 271(Suppl): 5-27.
15. Krawiecka M, Goldberg D, Vaughan M. A standardised psychiatric assessment scale for rating chronic psychotic patients. Acta Psychiatr Scand 1977; 55: 299-308.
16. Wing JK. The measurement of 'social disablement'. The MRC social behaviour and social role performance schedules. Soc Psychiatry Psychiatr Epidemiol 1989; 24: 173-178.
17. Phelan M, Slade M, Thornicroft G, et al. The Camberwell Assessment of Need: the validity and reliability of an instrument to assess the needs of people with severe mental illness. Br J Psychiatry 1995; 167: 589-595.
18. Oliver JPJ, Huxley PJ, Priebe S, Kaiser W. Measuring the quality of life of severely mentally ill people using the Lancashire Quality of Life profile. Soc Psychiatry Psychiatr Epidemiol 1997; 32: 76-83.
19. Huxley PJ. The General Satisfaction Questionnaire (GSQ-20). University of Manchester: Department of Social Work, 1991.
20. Nagelkerke NJD. A note on the general definition of the coefficient of determination. Biometrika 1991; 78: 691-692.
21. Sibbald B, Addington-Hall J, Brenneman D, Freeling P. Counsellors in English and Welsh general practices: their nature and distribution BMJ 1993; 306: 29-33.
22. Secretary of State for Health. The new NHS - modern, dependable. London: HMSO, 1997.