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Primary health care service for long-stay psychiatric in-patients

  • Nigel Fisher (a1) and Judy Roberts (a2)
Abstract
Aims and method

A retrospective review of the activity of a general practitioner employed specifically to provide a primary health care service to the residents of an ‘old long-stay’ psychiatric ward was undertaken.

Results

All but one patient had a chronic physical health problem requiring active management. Presenting pathology covered all organ systems. The review indicated that these health problems had not previously been satisfactorily managed by psychiatrists. This service was acceptable to and valued by patients.

Clinical implications

The success of the service was only achieved by dedicating specific resources to meet primary health care needs. The extent to which this model could be extended to ‘new long-stay’ populations located in dispersed hospital hostels is less certain.

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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.
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References
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Brugha, T., Wing, J. & Smith, B. (1989) Physical health of the long-term mentally ill in the community. Is there unmet need? British Journal of Psychiatry, 155, 777781.
Department of Health (1991) The Health of the Nation. London: HMSO.
Honig, A., Pop, P., Tan, S., et al (1989) Physical illness in chronic psychiatric patients from a community psychiatric unit. The implications for daily practice. British Journal of Psychiatry, 155, 5864.
Jenkins, R. (1990) Towards a system of outcome indicators for mental health care. British Journal of Psychiatry, 157, 500514.
Kendrick, T. (1993) Care of patients with schizophrenia. British Journal of General Practice, 43, 259260.
Kendrick, T., Sibbald, B., Burns, T., et al (1991) Role of general practitioners in care of long-term mentally ill patients. British Medical Journal, 302, 508510.
Perkins, R. (1996) Rehabilitation and Continuing Care Service Clinical Audit: 1996 Annual Report. London: Pathfinder NHS Mental Health Services Trust.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Primary health care service for long-stay psychiatric in-patients

  • Nigel Fisher (a1) and Judy Roberts (a2)
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