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Participating in primary care: Differing styles of psychiatric liaison

  • A. R. K. Mitchell (a1)
Extract

Traditionally, general practitioners and psychiatrists relate to one another through a system of cross referrals, from primary care to secondary care and back again, the referral being initiated by the GP through a request for a domiciliary visit or more usually for an out-patient assessment of the clinical problem. However, in the mid-1960s, individual psychiatrists began to report a new way of working, which consisted of the psychiatrist going by invitation into GPs' surgeries or health centres to work directly with the general practitioners and with other members of the primary health care team. A survey undertaken by Strathdee & Williams of the General Practice Research Unit of the Institute of Psychiatry, showed that by 1984 in England and Wales, one psychiatric consultant in five, sometimes with, sometimes without, junior staff, spent some time in a general practice setting. At the College meeting in Cambridge (April 1988), Pullen reported that in Scotland a similar survey showed that as many as 40 to 50% of psychiatric consultants spent some time in primary care settings.

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Copyright
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.
References
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Browne, K. & Freeling, P. (1967) The Doctor-Patient Relationship. Edinburgh and London: Livingston.
Mitchell, A. R. K. (1984) Psychiatrists and general practitioners: the tripartite interview. Psychiatry in Practice, 3, 2022.
Oxman, T. & Smith, R. (1980) Consultation-liaison psychiatry within a family practice. Social Psychiatry, 17, 101107.
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, 615618.
Tyrer, P. (1984) Psychiatric clinics in general practice: an extension of community care. British Journal of Psychiatry, 145, 914.
Tyrer, P., Seivewright, N. & Wollerton, S. (1984) General practice psychiatric clinics: impact in psychiatric services. British Journal of Psychiatry, 145, 1519.
World Health Organization, (1983) First Contact Mental Health Care. Report of a Working Group. Copenhagen, WHO Regional Office for Europe.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Participating in primary care: Differing styles of psychiatric liaison

  • A. R. K. Mitchell (a1)
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