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

  • Hugh Middleton (a1), Lisa Ball (a2), David Blore (a2), Helen Dunn (a3), Margaret Foster (a3), Barbara Hart (a3), Ifti Majid (a3) and Peter Rajan (a3)...
Abstract
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’.

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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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Barlow, D. H. & Lehman, C. L. (1996) Advances in the psychosocial treatment of anxiety disorders. Archives of General Psychiatry, 83, 727735.
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, 312316.
Goldberg, D. P. & Huxley, P. (1980) Mental Illness in the Community: The Pathway to Psychiatric Care. London: Tavistock.
Meltzer, H., Gill, B., Petticrew, M., et al (1995) The Prevalence of Psychiatric Morbidity among Adults Living in Private Households. London: HMSO.
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), 2328.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Provision for people with anxiety disorder by a community health care trust

  • Hugh Middleton (a1), Lisa Ball (a2), David Blore (a2), Helen Dunn (a3), Margaret Foster (a3), Barbara Hart (a3), Ifti Majid (a3) and Peter Rajan (a3)...
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