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Attitudes of general practitioners to the psychiatric services

  • Liam Watters (a1), Miriam Gannon (a2) and Denis Murphy (a3)

Structural abstract

Objective: General practitioners play a crucial role in the delivery of psychiatric treatment to patients who have many similarities to those attending the general psychiatric services. The purpose of this study was to elicit attitudes of general practitioners to an existing local service. Methods: We used an anonymous questionaire hand delivered to 54 general practitioners with practices in the catchment area of one of Dublin's psychiatric hospitals. Results: We received responses from 40 of the GP's indicating a high level of psychiatric morbidity in the primary care setting, a moderate level of satisfaction with psychiatric service, a low level of knowledge of the catchment area system, limited interest in taking on an increased role in the care of psychiatric patients and a high popularity rating for the community psychiatric nurse. Conclusions: This study confirms previous estimates of psychiatric morbidity in general practice, a need for improved communication between psychiatrists and general practitioners to identify more realistic expectations on both sides of the equation, and a huge potential for the expanding community psychiatric services to improve liaison between general practitioners and psychiatrists and yield considerable patient and doctor gains.



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1.The psychiatric service – planning for the future: report of a study group on the development of the psychiatric services. Dublin: Stationery Office, 1984.
2.Shepherd, M, Cooper, B, Brown, AC, Kalton, GK. Psychiatric illness in general practice. London: Oxford University Press, 1966.
3.Kaesar, A, Cooper, B. The psychiatric patient, the general practitioner and the out patient clinic: an operational study and a review. Psychol Med 1971; 1: 312–25.
4.Goldberg, D, Huxley, P. Common mental disorders: a bio social model. London: Routledge, 1991.
5.Goldberg, RL, Haas, MR, Eaton, JS, Grubbes, JH. Psychiatry and the primary care physician. JAMA 1976; 236: 944–5.
6.Henderson, S. Social relationships, adversity and neurosis: an analysis of prospective observations. Br J Psychiatry 1981; 138: 391–8.
7.Dilling, H, Wegener, S. Prevalance of mental disorders in the smalltown – rural region: Fraunstein (Upper Bavaria). Acta Psychiatr Scand 1984; 69: 6079.
8.Fahy, TJ. Pathways of specialist referral of depressed patients from general practice. Br J Psychiatry 1974; 124: 231–9.
9.Fahy, TJ. Depression in hospital and general practice: a direct clinical comparison. Br J Psychiatry 1974; 124: 240–2.
10.Horder, J. Working with general practitioners. Br J Psychiatry 1988; 153: 513–20.
11.Mowbray, RM, Blair, W, Jubb, LG, Clarke, A. The general practitioner's attitude to psychiatry. Scott Med J 1961; 6: 314–21.
12.Rawnsley, K, Loudon, JB. The attitudes of general practitioners to psychiatry. In: Sociological Review, Monograph No 5. Liverpool: University of Keele, 1961.
13.Goldberg, D, Blackwell, B. Psychiatric illness in general practice: a detailed study using a new method of case identification. BMJ 1970; 2: 439–3.
14.Johnstone, A, Goldberg, D. Psychiatric screening in general practice. Lancet 1976; 1: 605–8.
15.Strathdee, G, Williams, P. A survey of psychiatrists in primary care: the silent growth of a new service. J R Coll Gen Pract 1984; 34: 615–8.
16.Pullen, I, Yellowlees, A. Scottish psychiatrists in primary care settings. Br J Psychiatry 1989; 153: 663–6.
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Irish Journal of Psychological Medicine
  • ISSN: 0790-9667
  • EISSN: 2051-6967
  • URL: /core/journals/irish-journal-of-psychological-medicine
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