Referrals from General Practitioners to Psychiatrists and Paramedical Mental Health Professionals
The British Journal of PsychiatryPublished 1 January 1989
Greg Wilkinson
Citations26
SJR quartileQ1
SJR score2.47
SNIP2.17
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
The literature on referral of patients by GPs to psychiatrists and mental health specialists is examined, and the proportion of patients referred to psychiatrist and paramedical mental health workers in general practice is unknown, but probably substantial.
Abstract
The literature on referral of patients by GPs to psychiatrists and mental health specialists is examined. Referrals to psychiatrists account for 3% of all those made by GPs, but the individual rates vary widely. The proportion of patients referred to psychiatrists and paramedical mental health workers in general practice is unknown, but probably substantial.
Keywords
MedicineHealth ProfessionsBusiness, Management and Accounting
Archives of General PsychiatryPsychiatric Illness in General Practice.
590 Citations1967Matthew R. Kaufman
This book reports an investigation carried out in London utilizing well-selected practices of physicians which permitted demographic and epidemiological data to be gathered and concluded that psychiatric illness represents an important part of the burden of chronic ill health in the community and is a serious cause of economic disability.
The British Journal of PsychiatryThe Efficacy of Cognitive Therapy in Depression: A Treatment Trial Using Cognitive Therapy and Pharmacotherapy, each Alone and in Combination
560 Citations1981I. M. Blackburn, S. Bishop +3 more
An extensive study which compares cognitive therapy, antidepressant drugs and a combination of these two, in depressed patients seen either in general practice or an out-patient department and results are discussed in terms of Beck's cognitive theory of depression.
Behavioral and Brain SciencesAn analysis of psychotherapy versus placebo studies
262 Citations1983Leslie Prioleau, Martha Murdock +1 more
The British Journal of PsychiatryCognitive Therapy for Major Depressive Disorder in Primary Care
250 Citations1984John D. Teasdale, Melanie Fennell +2 more
At three-month follow-up cognitive therapy patients no longer differed from patients receiving treatment-as-usual, but this was mainly as a result of continuing improvement in the comparison group.
The British Journal of PsychiatryPsychiatric Clinics in General Practice
98 Citations1984Peter Tyrer
It is concluded that GP psychiatric clinics offer a way of achieving better community psychiatry without any need for increased resources.
BMJClinical psychologist in primary care: controlled clinical and economic evaluation.
93 Citations1984Meredith Robson, R France +1 more
Psychological MedicineSpecialist mental health treatment in general practice: a meta-analysis
88 Citations1988Matteo Balestrieri, Paul Williams +1 more
Treatment by specialist mental health professionals in the general practice setting and ‘usual GP treatment’ had a 10% greater success rate than usual GP treatment.
Psychological MedicineMental health care in the community: an evaluative study
87 Citations1975Brian Cooper, Brian Harwin +2 more
The results indicate that the experimental service conferred some benefit on the patient population.
Psychological MedicineThe Psychiatric patient, the general practitioner, and the outpatient clinic: an operational study and a review
84 Citations1971Alexandra Kaeser, Brian Cooper
A sample of general practitioner referrals to a Psychiatric teaching centre was investigated by means of standard interviews, first with the practitioners and subsequently with the patients, related to previous work in this field.
PubMedAn evaluation of the effectiveness of individual and group cognitive therapy in the treatment of depressed patients in an inner city health centre.
78 Citations1985Michael J. Ross, Michael J. Scott
It is concluded that cognitive therapy is an effective treatment which can be applied cost-effectively in general practice and positively affects the quality of life of depressed patients.
The British Journal of PsychiatryGeneral Practice Psychiatric Clinics
62 Citations1984Peter Tyrer, Nicholas Seivewright +1 more
There was a 20 per cent fall in the number of admissions to the psychiatric hospital, which took place at a time when the national trend of falling admission rates was reversed.
PubMedClinical psychology in general practice: a controlled trial evaluation.
59 Citations1982Louise Earll, John Kincey
No differences in general practice consultation rates, in the subjective ratings of psychological distress, in control orientation or life satisfaction were found between the two groups, but the level of patient satisfaction was high.
PubMedCounselling in general practice.
57 Citations1979Sallyann Anderson, John Hasler
There was an improvement, as measured by the feelings of the patients and doctors, and by some reduction of psychotropic drugs and medical consultations, in the first 80 patients of a counselling service in South Oxfordshire.
Psychological MedicineVariations in referral pattern to the psychiatric services by general practitioners
51 Citations1979Norma C. Robertson
Psychotics, severely depressed patients, alcoholics and violent patients were the most frequently referred groups in North-East Scotland.
Psychological MedicinePrimary care as the middle ground for psychiatric epidemiology
43 Citations1988Michael Shepherd, Gregor Wilkinson
The purpose of the present commentary is to re-assess the current evidence on mental disorder in primary care settings and to outline the rationale for siting the middle ground for epidemiological studies in psychiatry at the level of primary care.
The British Journal of PsychiatryAn Analysis of Out-patient Services
39 Citations1973D. A. W. Johnson
The psychiatric out-patient department fulfils a comprehensive role in the diagnosis and treatment of a wide range of psychiatric disorders; it is no longer an annexe of the mental hospital principally concerned with providing follow-up and support for discharged patients.
Psychological MedicineSocial work effectiveness in the management of depressed women: a clinical trial
37 Citations1981Roslyn Corney
It is suggested that social work help benefited those with ‘acute on chronic’ illness but had no effect on those with more acute conditions.
Present State and Future Needs in General Practice
36 Citations1983John Fry
Psychological MedicinePatients in receipt of community psychiatric nursing care in Salford 1976–82
31 Citations1986K. Wooff, David Goldberg +1 more
The data indicate that CPN services in Salford are treating the morbidity found at primary care level, rather than reducing the demands made on the traditional services.
PubMedThe clinical psychologist in general practice: a six-year study of consulting patterns for psychosocial problems.
28 Citations1984George Freeman, Eric Button
Examination of the records of all patients with at least one psychosocial problem over a six-year period during which they were registered with the practice has shown that encounters forPsychosocial problems tended to be concentrated in a relatively short period - the ;worst year' - rather than being evenly distributed over the whole six years.
The British Journal of PsychiatryA Further Study of Psychiatric Out-patient Services in Manchester
25 Citations1973D. A. W. Johnson
The present study attempts to answer the following questions about patients referred to the psychiatric outpatient department of a provincial teaching hospital.
Family PracticeChanges in Psychological Diagnosis and Prescription in a Practice Employing a Counsellor
24 Citations1985Edwin Martin, P M L MARTIN
No major change was detected in the number of prescriptions for psychotropic drugs or the consultation rates during the years that counselling was available and three years after counselling more than three-quarters of patients who had been counselled were receiving no medical attention for psychiatric problems.
PubMedStress self-help packages in primary care: a controlled trial evaluation.
24 Citations1986Brian G. Kiely, Ian McPherson
A controlled trial study which examined the clinical effectiveness of a stress self-help package administered by general practitioners to patients presenting with psychological problems which were potentially stress-related found significant advantages for patients who received the package.
Psychological MedicineSocial work and the primary care of mental disorder
23 Citations1979Michael Shepherd, Brian Harwin +2 more
The role of an attached social worker to a primary care team in the management of chronic neurotic illness in the community and the medico-social implications of the findings are discussed.
PubMedPsychiatric services in primary care: specialized or not?
19 Citations1981A. A. McKechnie, Alistair E. Philip +1 more
Patients referred through conventional channels were more likely to have had previous contact with the psychiatric service, were morelikely to be admitted to hospital and spent 70 per cent more time as inpatients.
BMJConsultation for physical illnesses by patients diagnosed and treated for psychiatric disorders by a general practitioner: 20 year follow up study.
18 Citations1988Greg Wilkinson, Nigel Smeeton +2 more
Mental health care by general practitioners for patients with psychiatric disorders does not seem to have an offset effect on general health care of these patients.
PubMedPsychological treatment in general practice: its effect on patients and their families.
18 Citations1986Richard Blakey
Patients and their children consulted more and had more medication prescribed before referral than control groups, and there were long-term decreases in psychotropic drug prescriptions for patients and in both consultations and prescriptions for their children.
PubMedA counsellor in general practice: a one-year survey.
17 Citations1983Edwin Martin, H. S. Mitchell
A counsellor was included within the professional staff of a practice of 11,000 patients cared for by five partners and patients perceived the service as giving relief by allowing them to talk and helping them to work out their problems.
PubMedGroup treatment of general practice anxiety problems.
13 Citations1986Chris Trepka, Ingrid Laing +1 more
It is shown that there is no close correspondence between reduction of anxiety and reduction of service costs and underline the importance of evaluating treatment effects with reference to the specific objectives of treatment.
PubMedCommunity psychiatric nursing: a survey of patients and problems.
10 Citations1985Helen Robertson, D.J. Scott
The work of a community psychiatric nursing service for acute psychiatric conditions was reviewed for the period 1980-82 and the age structure of all referrals was found to be significantly related to sex.