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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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References

Blacker, C. P. (1964). Neurosis in the Mental Health Services. Oxford University Press: Oxford.Google Scholar
Boardman, J. (1987). The Mental Health Advice Centre in Lewisham. Service Usage L Trends from 1978–1984. Research report No. 3. The National Unit for Psychiatric Research and Development: Lewisham.Google Scholar
Brown, R. M. A., Strathdee, G., Christie-Brown, J. R. W. & Robinson, P. H. (1988). A comparison of referrals to primary care and hospital outpatients clinics. British Journal of Psychiatry 153, 168–173.CrossRefGoogle Scholar
Browning, S. M., Ford, M. F., Goddard, C. A. & Brown, A. C. (1987). A psychiatric clinic, in general practice: a description and comparison with an out-patient clinic. Bulletin of the Royal College of Psychiatrists 11, 114–117.CrossRefGoogle Scholar
Corney, R. H. & Clare, A. W. (1985). The construction, development and testing of the self report questionnaire to identify social problems. Psychological Medicine 15, 637–644.CrossRefGoogle ScholarPubMed
Corney, R. H., Strathdee, G., Higgs, R., King, M., Williams, P., Sharp, D. & Pelosi, A. J. (1988). Managing the difficult patient: practical suggestions from a study day. Journal of the Royal College of General Practitioners 38, 349–353.Google ScholarPubMed
Culpepper, L. (1985). Research on mental health issues in primary care. A primary care perspective. Paper presented at a workshop on mental health liaison in primary care. National Institute of Mental Health.Google Scholar
Eastwood, M. R. & Trevelyan, M. H. (1972). Relationship between physical and psychiatric disorder. Psychological Medicine 2, 363–372.CrossRefGoogle ScholarPubMed
Fink, R., Shapiro, S., Goldenshon, S. & Daly, E. (1969). The filter-down process to psychotherapy in a group practice medical care programme. American Journal of Public Health 59, 245–260.CrossRefGoogle Scholar
Goldberg, D. & Huxley, p. (1980). Mental Illness in the Community: The Pathway to Psychiatric Care. Tavistock: London.Google Scholar
Goldberg, D. P. & Williams, P. (1988). A User's Guide to the General Health Questionnaire. Nfer-Nelson: Windsor.Google Scholar
Goldberg, D. P., Cooper, B., Eastwood, M. R., Kedward, K. B. & Shepherd, M. (1970). A standardized psychiatric interview for use in community surveys. British Journal of Preventive and Social Medicine 24, 18–23.Google ScholarPubMed
Grad, J. & Sainsbury, P. (1966). Evaluating the community psychiatric service in Chichester: results. In Evaluating the Effectiveness of Mental Health Services (ed. Gruenberg, E. M.), pp. 246–247. Milbank Memorial Fund: New York.Google Scholar
Johnson, D. A. (1973 a). An analysis of out-patient services. British Journal of Psychiatry 122, 301–306.CrossRefGoogle ScholarPubMed
Johnson, D. A. (1973 b). A further study of psychiatric out-patient services in Manchester. British Journal of Psychiatry 123, 185–191.CrossRefGoogle ScholarPubMed
Kaeser, A. C. & Cooper, B. (1971). The psychiatric out-patient, the general practitioner and the out-patient clinic; an operational study and a review. Psychological Medicine 1, 312–325.CrossRefGoogle Scholar
Kessel, N. (1963). Who ought to see a psychiatrists Lancet i, 1092–1095.CrossRefGoogle Scholar
Lee, A. S. & Murray, R. M. (1988). The long-term outcome of Maudsley depressives. British Journal of Psychiatry 153, 741–751.CrossRefGoogle ScholarPubMed
Low, C. B. & Pullen, I. (1988). Psychiatric clinics in different settings: a case register study. British Journal of Psychiatry 153, 243–245.CrossRefGoogle ScholarPubMed
Mitchell, A. R. K. (1985). Psychiatrists in primary health care settings. British Journal of Psychiatry 147, 371–380.CrossRefGoogle ScholarPubMed
Pantelis, C., Taylor, J.Campbell, P. (1988). The South Camden schizophrenia survey. Bulletin of the Royal College of Psychiatrists 12, 98–101.CrossRefGoogle Scholar
Pullen, I. M. & Yellowlees, A. (1988). Scottish psychiatrists in primary health-care settings: a silent majority. British Journal of Psychiatry 153, 663–666.CrossRefGoogle ScholarPubMed
Royal College of General Practitioners (1986). Morbidity Statistics from General Practice 1981–1982. Third National Study. (Series MB5, NO 1), HMSO: London.Google Scholar
Strathdee, G. (1988). Psychiatrists in primary care: the general practitioner viewpoint. Family Practice 5, 111–115.CrossRefGoogle ScholarPubMed
Strathdee, G. & King, M. (1989). Why do general practitioners refer patients to psychiatrists in primary care? 50 case reports. Unpublished research report.Google Scholar
Strathdee, G. & Williams, P. (1984) A survey of psychiatrists in primary care: the silent growth of a new service. Journal of the Royal College of General Practitioners 34, 615–618.Google ScholarPubMed
Tyrer, P. (1984). Psychiatric clinics in general practice: an extension of community care. British Journal of Psychiatry 145, 9–14.CrossRefGoogle ScholarPubMed
Tyrer, P. (1985). The hive system. A model for a psychiatric service. British Journal of Psychiatry 146, 571–575.CrossRefGoogle Scholar