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Psychiatric Clinics in General Practice

Do They Reduce Admissions?

Published online by Cambridge University Press:  02 January 2018

Paul Williams  and
Matteo Balestrieri
Paul Williams*
Affiliation:
General Practice Research Unit, Institute of Psychiatry
Matteo Balestrieri
Affiliation:
General Practice Research Unit, Institute of Psychiatry Cattedra di Psicologia Medica, Istituto di Psichiatria, Università di Verona
*
∗General Practice Research Unit, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
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Abstract

General-practice-based psychiatric clinics have increased substantially in recent years. We investigated the influence on psychiatric admissions of this style of practice in England over an 18-year period. We utilised data from a previous survey concerned with this type of work (Strathdee & Williams, 1984) and compared them with figures on psychiatric admissions. Parts of the country in which there has been greater development of general-practice-based psychiatric clinics were also those in which there has been a steeper decrease in psychiatric admissions. Further analysis showed this to be due primarily to an effect on admission of non-psychotic patients.

Type
Papers
Information
The British Journal of Psychiatry , Volume 154 , Issue 1 , January 1989 , pp. 67 - 71
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Brook, A. (1967) An experiment in GP/psychiatrist cooperation. Journal of the Royal College of General Practitioners, 13, 127–131.Google Scholar
Clare, A. (1980) Community mental health centres. Journal of the Royal Society of Medicine, 73, 75–76.CrossRefGoogle ScholarPubMed
Fink, P. J. & Oken, S. (1976) The role of psychiatry as a primary care speciality. Archives of General Psychiatry, 33, 998–1003.CrossRefGoogle Scholar
Forster, D. P. & Mahadevan, S. (1981) Information sources for planning and evaluating adult psychiatric services. Community Medicine, 3, 160–168.Google ScholarPubMed
Gibson, R., Forbes, J. M., Stoddard, I. W., Cooke, J. T., Jenkins, C. W., Mackeith, S. A., Rosenberg, C., Allchin, W. H. & Shepherd, M. (1966) Psychiatric care in general practice: an experiment in collaboration. British Medical Journal, i, 1287–1289.CrossRefGoogle Scholar
Goyder, J. (1982) Further evidence on factors affecting response rates to mailed questionnaires. American Sociological Review, 47, 550–553.CrossRefGoogle Scholar
Heberlein, T. A. & Baumgartner, R. (1978) Factors affecting response rates to mailed questionnaires: a quantitative analysis of the published literature. American Sociological Review, 43, 447–462.CrossRefGoogle Scholar
Hunter, D. & McCance, C. (1983) Referral to the psychiatric services by general practitioners in relation to the introduction of sessions by psychiatrists in health centres. Health Bulletin (Scotland), 41, 78–83.Google Scholar
Lyons, H. A. (1969) Joint psychiatric consultations. Journal of the Royal College of General Practitioners, 18, 125–127.Google Scholar
McKechnie, A. A., Philip, A. E. & Ramage, J. G. (1981) Psychiatric services in primary care: specialized or not? Journal of the Royal College of General Practitioners, 31, 611–614.Google ScholarPubMed
Mitchell, A. R. K. (1983) Psychiatrists and GPs: working together. Psychiatry in Practice, 10, 15–19.Google Scholar
Shepherd, M., Cooper, B., Brown, A. C. & Kalton, G. (1966) Psychiatric Illness in General Practice. London: Oxford University Press.Google Scholar
Strathdee, G. (1987) Primary care-psychiatric interaction: a British perspective. General Hospital Psychiatry, 9, 69–77.CrossRefGoogle Scholar
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, 615–618.Google ScholarPubMed
Strathdee, G. & Williams, P. (1986) Patterns of collaboration. In Mental Illness in Primary Care Settings (eds Shepherd, M., Wilkinson, G. & Williams, P.). London: Tavistock.Google Scholar
Tait, D. (1983) Shared care between psychiatry and general practice. Update, 26, 177.Google Scholar
Tyrer, P., Seivewright, N. & Wollerton, S. (1984) General practice psychiatric clinics: impact on psychiatric services. British Journal of Psychiatry, 145, 15–19.CrossRefGoogle ScholarPubMed
Williams, P. & Clare, A. (1981) Changing pattern of psychiatric care. British Medical Journal, 282, 375–377.CrossRefGoogle ScholarPubMed
Williams, P. & Clare, A. (1986) Psychiatric general practice. In Essentials of Postgraduate Psychiatry (2nd edn) (eds Hill, P., Murray, R. M. & Thorley, A.), pp. 597–622. London: Academic Press.Google Scholar
Williams, P. & Strathdee, G. (1985) The expanding concept of community psychiatric care: the British experience. New Trends in Experimental and Clinical Psychiatry, 2, 217–228.Google Scholar
Williams, P., De Salvia, D. & Tansella, M. (1986) Suicide, psychiatric reform and the provision of psychiatric services in Italy. Social Psychiatry, 21, 89–95.CrossRefGoogle ScholarPubMed
World Health Organization (1973) Psychiatry and Primary Medical Care. Copenhagen: WHO Regional Office for Europe.Google Scholar
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