Attitudes and roles of general practitioners in the treatment of schizophrenia compared with community mental health staff and patients
Social Psychiatry and Psychiatric EpidemiologyPublished 1 January 2004
Vaughan J. Carr, Terry J. Lewin, Rosemary E. Barnard, Jane M. Walton, Jennifer L. Allen, Paul M. Constable
Citations56
SJR quartileQ1
SJR score1.89
SNIP1.72
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
GPs fulfil a valuable role in the treatment of schizophrenia, which could be enhanced through improved training, and mental health services need to work more effectively with GPs in treating schizophrenia and acknowledge their complementary roles.
Abstract
GPs fulfil a valuable role in the treatment of schizophrenia, which could be enhanced through improved training. Mental health services need to work more effectively with GPs in treating schizophrenia and acknowledge their complementary roles.
Keywords
PsychologyMedicine
The Medical Journal of Australia“Mental health literacy”: a survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment
2,439 Citations1997Anthony F. Jorm, Ailsa Korten +4 more
Assessment of the public's recognition of mental disorders and their beliefs about the effectiveness of various treatments (“mental health literacy”).
The Journal of Nervous and Mental DiseaseWork and Nonvocational Domains of Functioning in Persons with Severe Mental Illness: A Longitudinal Analysis
292 Citations1997Kim T. Mueser, Deborah R. Becker +5 more
Employment is associated with better functioning in a range of different nonvocational domains, even after controlling for baseline levels of functioning.
American Journal of PsychiatryImproving the Psychiatric Knowledge, Skills, and Attitudes of Primary Care Physicians, 1950–2000: A Review
236 Citations2001Brian Hodges, Cam Inch +1 more
An extensive literature published over five decades identified a strong need for ongoing mental health training for primary care physicians and helpful recommendations exist related to objectives, methods, and evaluation.
Social Psychiatry and Psychiatric EpidemiologyWhom to ask for help in case of a mental disorder? Preferences of the lay public
226 Citations1999M. C. Angermeyer, Herbert Matschinger +1 more
The results suggest that attitudes and belief systems prevalent in society have a major impact on help-seeking behaviour, both through transmission to the person suffering from mental distress via his/her social network and through the person's own attitudes formed in the process of socialization.
Schizophrenia BulletinClinical Benefits of Paid Work Activity in Schizophrenia
181 Citations1996Morris D. Bell, Paul H. Lysaker +1 more
It was concluded that pay increased participation and that participation in work activity was primarily responsible for symptom reduction, which was closely associated with symptom improvement.
Social Psychiatry and Psychiatric EpidemiologyBelief systems of the general public concerning the appropriate treatments for mental disorders
132 Citations1997Anthony F. Jorm, A. E. Korten +5 more
Findings about public belief systems could have implications for the provision of treatment: where there is a discrepancy in belief system between the patient and the clinician there may be poor adherence to treatment.
Australian & New Zealand Journal of PsychiatryBeliefs about the Helpfulness of Interventions for Mental Disorders: A Comparison of General Practitioners, Psychiatrists and Clinical Psychologists
118 Citations1997Anthony F. Jorm, Ailsa Korten +3 more
Despite areas of broad agreement about treatment, health practitioners were more likely to endorse the interventions associated with their own profession than the interventions offered outside their profession, however, younger members of each profession tended take a broader view.
Australian & New Zealand Journal of PsychiatryMental Health Nurses' Beliefs About Interventions for Schizophrenia and Depression: A Comparison with Psychiatrists and the Public
115 Citations2000Tanya Caldwell, Anthony F. Jorm
Nurses were more likely than psychiatrists to believe that certain non-standard interventions such as vitamins, minerals and visiting a naturopath would be helpful, and nurses' beliefs tended to form a bridge between the attitudes of psychiatrists and the public for some of these non- standard interventions.
The British Journal of PsychiatryIntegration between primary and secondary services in the care of the severely mentally ill: patients' and general practitioners' views
107 Citations1997Jonathan Bindman, Sonia Johnson +5 more
Communication between general practitioners and psychiatric teams about a representative group of patients with severe mental illness (SMI) and views on GP involvement in care from the patients and their GPs are sought.
Psychological MedicineGeneral practitioners' attitudes to psychiatric and medical illness
94 Citations1998Stephen M. Lawrie, K. Martin +7 more
The results suggest that some patients with schizophrenia may find it difficult to register with a general practitioner and receive the integrated community-based health care service they require.
Medical Entomology and ZoologyIntegrated mental health care
76 Citations1993Ian R. H. Falloon, Gráinne Fadden
This chapter discusses community management of mental disorders: integrating patients, carers and primary health care with specialist mental health services, and the role of crisis intervention and intensive care for acute episodes.
The Canadian Journal of PsychiatryMental Health Practices of Ontario Family Physicians: A Study Using Qualitative Methodology
58 Citations1997M Craven, Marc Cohen +3 more
Family physicians' descriptions of the range of problems commonly encountered and their detection and management highlight the unique nature of mental health care in the primary care setting, including difficulties at the clinical interface between psychiatry and family medicine.
PubMedThe primary care of patients with schizophrenia: a search for good practice.
56 Citations1997Tom Burns, Tony Kendrick
A consensus group of 14 members met on four occasions, reviewed the relevant literature, and developed good-practice guidelines in five areas: establishing a register and organizing regular reviews; comprehensive assessments; information and advice for patients and carers; indications for involving specialist services; and crisis management.
PubMedA controlled trial of general practitioners' attitudes to patients with schizophrenia.
39 Citations1996S M Lawrie, Cynthia Parsons +6 more
This controlled trial of primary care physicians' attitudes towards patients with schizophrenia amounts to an empirical demonstration of medical discrimination against the sufferers of this and potentially of other long term psychiatric disorders.
Psychiatric ServicesThe Effect of Intensive Case Management on the Relatives of Patients With Severe Mental Illness
33 Citations2002Kate Harvey, Tom Burns +4 more
Reducing case managers' caseloads alone will not guarantee adequate support for relatives, and providing more support will need to be an explicit aim, and staff will require specific additional training to achieve it.
Psychiatry ResearchPotential sampling and recruitment source impacts in schizophrenia research
32 Citations2004Carmel M. Loughland, Vaughan J. Carr +4 more
Data from a volunteer schizophrenia research register and two recent Australian studies are reported, the Low Prevalence (psychotic) Disorders Study and an associated study of schizophrenia in general practice, in which all participants completed the same clinical assessment interview.
The Medical Journal of Australia2. Collaboration between general practice and community psychiatric services for people with chronic mental illness
32 Citations1997Nicholas A Keks, Tobie Sacks +3 more
General practitioners are often the patient's preferred source of psychiatric care; they can also play a role as coordinators of the care team for patients with complex needs.
PsychosomaticsDetermining the Effect That Consultation-Liaison Psychiatry in Primary Care Has on Family Physicians’ Psychiatric Knowledge and Practice
31 Citations1997Vaughan J. Carr, Catherine Faehrmann +3 more
Community C-L services in family practice appear to have a limited role in the provision of psychiatric care and are not an efficient way for improving family physicians' levels of psychiatric knowledge or altering their practices.
Australian & New Zealand Journal of PsychiatryThe NISAD Schizophrenia Research Register: why do we need a database of schizophrenia volunteers?
31 Citations2001Carmel M. Loughland, Vaughan J. Carr +1 more
The Schizophrenia Research Register is established to provide a volunteer pool of people with a clinical diagnosis of schizophrenia who are willing to consider participating in research projects and provides a unique and invaluable educational and research resource.
Acta Psychiatrica ScandinavicaComparisons between schizophrenia patients recruited from Australian general practices and public mental health services
30 Citations2002Vaughan J. Carr, Terry J. Lewin +5 more
Differences between samples of schizophrenia patients recruited from general practice and public mental health services are examined to examine differences between patient characteristics.
Primary Care PsychiatryAttitudes of general practitioners and community mental health team staff towards the locus of care for people with chronic psychotic disorders
25 Citations2000Tom Burns, Nan Greenwood +2 more
The results showed that the MHWs wanted GPs to take more responsibility for physical treatment than the GPs themselves wanted, that the Gps had mixed feelings about relapse monitoring and that theMHWs found patients with chronic psychosis more rewarding and less difficult to work with.
Journal of Advanced NursingComparison of integrated and consultation‐liaison models for providing mental health care in general practice in New South Wales, Australia
24 Citations2000Karen Harmon, Vaughan J. Carr +1 more
The new integrated psychiatry service in general practice in New South Wales, Australia is highly accessible, acceptable to GPs and patients, caters for a broad range of psychopathology, including severe mental illness, and appears to be sufficiently versatile to be adaptable to a variety of treatment settings.
PubMedCommunity care of patients with schizophrenia: the role of the primary health care team.
21 Citations1996Michael King, Irwin Nazareth
The role of general practitioner in the management of schizophrenia is considered, considering in turn drug and psychological therapies, family interventions, innovations in care, the effects of community care developments, and the liasion between primary health care and mental health professionals.
The Canadian Journal of PsychiatryImproving the Management of Patients with Schizophrenia in Primary Care: Assessing Learning Needs as a First Step
18 Citations1996John Toews, Jocelyn Lockyer +4 more
The study was helpful in identifying the types of education that physicians wanted as well as the duration of the programming prior to the development of teaching interventions.
PubMedThe role of general practitioners in mental health care: a survey of needs and problems.
17 Citations1996Ian R. H. Falloon, Bacon Fung Leung Ng +2 more
This survey suggested that liaison between general practice and specialist mental health services in central Auckland is poor, but that general practitioners are eager to seek ways to improve the care of people suffering mental disorders.
The Medical Journal of AustraliaRates of treatment of schizophrenia by general practitioners: A pilot study
16 Citations1998Terry J. Lewin, Vaughan J. Carr
To investigate how many people with schizophrenia are being treated by general practitioners (GPs) and what the associations are between GP characteristics and the number of patients with schizophrenia in their practice, a large number of GP characteristics are examined.
The Medical Journal of AustraliaThe role of the general practitioner in the treatment of schizophrenia: specific issues
15 Citations1997Vaughan J. Carr
Practical guidelines for general practitioners in treating schizophrenia are provided, specific areas include pharmacological treatment, supportive therapy, depression and suicide, alcohol and drug abuse, sexuality, and physical health.
The Medical Journal of AustraliaThe role of the general practitioner in the treatment of schizophrenia: general principles
9 Citations1997Vaughan J. Carr
Some of the general principles involved in the treatment of schizophrenia are described and a set of practical guidelines to assist general practitioners are provided.
International Review of PsychiatrySchizophrenia: community care and the family physician
7 Citations1992Irwin Nazareth, Michael King
Although patients with schizophrenia attend significantly more often than patients with other chronic disorders, few family physicians have specific practice policies for their care and Liaison with specialist services is in the process of continuous evolution.
The Medical Journal of Australia8. Psychoses: a primary care perspective
5 Citations1998David Copolov
General practitioners are well placed for early intervention and continuing care of people with psychoses, according to a report by the Royal College of Psychiatrists.
