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Provision for people with anxiety disorder by a community health care trust

Published online by Cambridge University Press:  02 January 2018

Hugh Middleton ,
Lisa Ball ,
David Blore ,
Helen Dunn ,
Margaret Foster ,
Barbara Hart ,
Ifti Majid  and
Peter Rajan
Hugh Middleton*
Affiliation:
Nottingham University Department of Psychiatry, Duncan Macmillan House, Porchester Road, Nottingham NG3 6AA
Lisa Ball
Affiliation:
Cognitive/Behavioural Psychotherapy
David Blore
Affiliation:
Cognitive/Behavioural Psychotherapy
Helen Dunn
Affiliation:
Central Nottinghamshire Community Health Care Trust, Forest Hospital Mansfield
Margaret Foster
Affiliation:
Central Nottinghamshire Community Health Care Trust, Forest Hospital Mansfield
Barbara Hart
Affiliation:
Central Nottinghamshire Community Health Care Trust, Forest Hospital Mansfield
Ifti Majid
Affiliation:
Central Nottinghamshire Community Health Care Trust, Forest Hospital Mansfield
Peter Rajan
Affiliation:
Central Nottinghamshire Community Health Care Trust, Forest Hospital Mansfield
*
∗Correspondence
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Abstract

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Aims and method

Provision for patients with loosely defined anxiety disorders has been reviewed. During a two-week period. 66 of the 69 adult mental health practitioners working in a modestly sized community health care trust surveyed all patients with anxiety disorder currently under their care.

Results

These practitioners were seeing a total of 758 patients who fitted a loose definition of anxiety disorder. A further 134 patients had been treated in anxiety management groups during the preceding year. Disparate treatments were being used, reflecting idiosyncratic approaches to this otherwise homeogenous group of patients.

Clinical implications

Less than one-tenth of the estimated population of anxiety disorder patients were receiving specialised treatment. Among those that were, choices of treatment were arbitrarily determined and idiosyncratic. It was clear that the management of these patients does not fulfill the requirements of ‘evidence-based practice’.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 22 , Issue 10 , October 1998 , pp. 618 - 621
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1998 The Royal College of Psychiatrists

References

Barlow, D. H. & Lehman, C. L. (1996) Advances in the psychosocial treatment of anxiety disorders. Archives of General Psychiatry, 83, 727–735.CrossRefGoogle Scholar
Commander, M. J., Sashidharan, S. P., Odell, S. M., et al (1997) Access to mental health care in an inner-city health district. I: Pathways into and within specialist psychiatric services. British Journal of Psychiatry, 170, 312–316.CrossRefGoogle Scholar
Goldberg, D. P. & Huxley, P. (1980) Mental Illness in the Community: The Pathway to Psychiatric Care. London: Tavistock.Google Scholar
Meltzer, H., Gill, B., Petticrew, M., et al (1995) The Prevalence of Psychiatric Morbidity among Adults Living in Private Households. London: HMSO.Google Scholar
Salvador-Carulla, L., Seguí, J., Fernández-Cano, P., et al (1995) Costs and offset effect in panic disorders. British Journal of Psychiatry, 166 (suppl. 27), 23–28.CrossRefGoogle Scholar
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