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A standardized assessment of patients referred to primary care and hospital psychiatric clinics

Published online by Cambridge University Press:  09 July 2009

G. Strathdee ,
M. B. King ,
R. Araya  and
S. Lewis
G. Strathdee*
Affiliation:
Department of Psychiatry, Greenwich District Hospital; Academic Department of Psychiatry, Royal Free Hospital; Institute of Psychiatry; Department of Psychiatry, Charing Cross and Westminster Medical School, London
M. B. King
Affiliation:
Department of Psychiatry, Greenwich District Hospital; Academic Department of Psychiatry, Royal Free Hospital; Institute of Psychiatry; Department of Psychiatry, Charing Cross and Westminster Medical School, London
R. Araya
Affiliation:
Department of Psychiatry, Greenwich District Hospital; Academic Department of Psychiatry, Royal Free Hospital; Institute of Psychiatry; Department of Psychiatry, Charing Cross and Westminster Medical School, London
S. Lewis
Affiliation:
Department of Psychiatry, Greenwich District Hospital; Academic Department of Psychiatry, Royal Free Hospital; Institute of Psychiatry; Department of Psychiatry, Charing Cross and Westminster Medical School, London
*
1Address for correspondence: Dr Geraldine Strathdee, Department of Psychiatry, Greenwich District Hospital, Vanburgh Hill, London SE10.
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Synopsis

General practice based psychiatric clinics have increased in number in recent years. Case-note and case-register data examining the nature of the psychiatric disorder of the patients seen in this setting have shown contradictory findings. In this study comparison of 113 patients referred to primary care and hospital out-patient clinics is made using standardized clinical and social measures. Our results show that both groups had similar degrees of physical and social dysfunction and comparable levels of psychiatric morbidity. However, in the primary care population there were more women, and schizophreniform psychoses predominated. In the hospital sample affective illnesses and personality disorders were more common. The majority of patients preferred to consult in the primary care setting.

Type
Original Articles
Information
Psychological Medicine , Volume 20 , Issue 1 , February 1990 , pp. 219 - 224
Copyright
Copyright © Cambridge University Press 1990

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