Selective access: prioritizing referrals at the primary care/community mental health team interface
Clinical Effectiveness in NursingPublished 1 December 2000
Phil McEvoy, David Richards, J.A. Owen
Citations7
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TL;DR
It is suggested that providing a single gateway to the CMHT may help to clarify the referral process and help to manage the demand for care at the primary care/CMHT interface.
Abstract
Objective: To examine how community psychiatric nurses (CPNs) in a nurse-led system for dealing with referrals to community mental health teams (CMHTs) from primary care prioritized referrals. Design: A retrospective survey of patients’ assessment records. Setting: Four CMHTs in Salford which provide specialist mental health care for the adult population (16–65 age group). Participants: A cohort of 874 patients referred by GPs and seen by CPNs for initial assessment. Measures: Referral outcome, demographic characteristics, general ICD-10 diagnosis and the Health of the Nation Outcome Scales. Results: Access to support appeared to be restricted to patients with diagnosable disorders, as opposed to sub-threshold problems of living. Three main factors were identified which explained how patients were prioritized: diagnosis; previous history; and the severity of their presenting problems. Conclusion: The findings suggested that providing a single gateway to the CMHT may help to clarify the referral process and help to manage the demand for care at the primary care/CMHT interface.
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