Skip to main content
×
×
Home

Community Psychiatric Nursing for Neurotic Patients: A Controlled Trial

  • E. S. Paykel (a1), S. P. Mangen (a2), J. H. Griffith (a3) and T. P. Burns (a4)
Summary

Seventy-one neurotic patients requiring follow-up were randomly assigned to routine psychiatric out-patient care or to supportive home visiting from community psychiatric nurses as their main treatment agents and were assessed every six months for 18 months. No differences were found between effectiveness of the two modes of service on symptoms, social adjustment or family burden. Patients seeing community psychiatric nurses reported greater satisfaction with treatment. Community psychiatric nursing resulted in a marked reduction in out-patient contacts with psychiatrists and other staff, more discharges, and a small increase in general practitioner contact for prescribing. Care of such patients by community psychiatric nurses is a valuable alternative mode of deployment within the psychiatric team.

Copyright
References
Hide All
Catalan, J., Marsack, P., Hawton, K. E., Whitwell, D., Fagg, J. & Bancroft, J. H. J. (1980) Comparison of doctors and nurses in the assessment of deliberate self-poisoning patients. In: Suicide and Parasiticide, (eds. Farmer, R. D. T. and Hirsch, S. H.). London: Croom Helm
Gillies, L. & Egert, S. (1973) The Psychiatric Out-patient: Clinical and Organizational Aspects. London: Faber and Faber.
Grad, J. & Sainsbury, P. (1968) The effects that patients have on their families in a community care and a control psychiatric service: A two-year follow-up. British Journal of Psychiatry, 114, 265–78.
Hirsch, S., Platt, S., Knights, A. & Weyman, S. (1979) Shortening hospital stay for psychiatric care: Effects on patients and their families. British Medical Journal, 2, 442–6.
Hunter, P. (1978) Schizophrenia and Community Psychiatric Nursing. The National Schizophrenia Fellowship.
Office of Population Censuses and Surveys (1968) Studies on Medical and Population Subjects, No 22. A Glossary of Mental Disorders. London: HMSO
Mangen, S. P., Paykel, E. S., Griffith, J. H., Burchell, A. & Mancini, P. Cost effectiveness of community psychiatric nurse or outpatient psychiatrist care of neurotic patients. To be published.
Parnell, J. W. (1977) Community Psychiatric Nursing. A Descriptive Study: London: The Queen's Nursing Institute.
Paykel, E. S., Klerman, G. L. & Prusoff, B. A. (1970) Treatment setting and clinical depression. Archives of General Psychiatry, 22, 1121.
Raskin, A., Reatig, N. & McKeon, J. (1970) Differential response to chlorpromazine, imipramine and placebo: A study of sub-groups of hospitalized depressed patients. Archives of General Psychiatry, 23, 164–73.
Robinson, I. D. (1972) Description and evaluation of a psychiatric home visiting service. New Zealand Medical Journal, 75, 1519.
Taves, D. R. (1974) Minimization: A new method of assigning patients to treatment and control groups. Clinical Pharmacology and Therapeutics, 15, 443–53.
Weissman, M. M. & Paykel, E. S. (1974) The Depressed Woman: A Study of Social Relations. Chicago and and London: University of Chicago Press.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 1 *
Loading metrics...

Abstract views

Total abstract views: 35 *
Loading metrics...

* Views captured on Cambridge Core between 29th January 2018 - 23rd June 2018. This data will be updated every 24 hours.

Community Psychiatric Nursing for Neurotic Patients: A Controlled Trial

  • E. S. Paykel (a1), S. P. Mangen (a2), J. H. Griffith (a3) and T. P. Burns (a4)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *