Skip to main content
×
×
Home

Integration between primary and secondary services in the care of the severely mentally ill: patients' and general practitioners' views

  • Jonathan Bindman (a1), Sonia Johnson (a1), Steve Wright (a1), George Szmukler (a2), Paul Bebbington (a3), Elizabeth Kuipers (a4) and Graham Thornicroft (a5)...
Abstract
Background

Communication between secondary and primary care is an important aspect of continuity of care. We investigated communication between general practitioners (GPs) and psychiatric teams about a representative group of patients with severe mental illness (SMI). We also sought views on GP involvement in care from the patients and their GPs.

Methods

One hundred patients with SMI were randomly selected from those under the care of two psychiatric sector teams in inner London. The patients and their GPs were interviewed.

Results

GPs' knowledge about the care their patients received was limited. Most GPs perceived their role as providing physical care and prescribing. Few patients consulted GPs for mental health care. GPs perceived themselves as less involved in the care of Black Caribbean or Black African patients.

Conclusions

Considerable discontinuities of care between secondary and primary care were identified. GP involvement in the care of patients with SMI appears limited. Better communication is necessary if care is to be shared.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Integration between primary and secondary services in the care of the severely mentally ill: patients' and general practitioners' views
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about sending content to Dropbox.

      Integration between primary and secondary services in the care of the severely mentally ill: patients' and general practitioners' views
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about sending content to Google Drive.

      Integration between primary and secondary services in the care of the severely mentally ill: patients' and general practitioners' views
      Available formats
      ×
Copyright
Corresponding author
Dr J. Bindman, Maudsley Continuing Care Study, Institute of Psychiatry, De Crespigny Park. London SE5 8AF. Fax: (0171) 277 1462
References
Hide All
Butler R. & Greenberg M. (1994) The ‘new model’ discharge summary: is it working? Psychiatric Bulletin, 18, 555556.
Corney R. & Strathdee G. (1996) Women and primary care. In Planning Mental Health Services for Women. A Multiprofessional Handbook, (eds K. Abel, M. Buszewicz, S. Davison, et al), pp 191201. London: Routledge.
Coulter A. (1995) General practice fundholding: time for a cool appraisal. British Journal of General Practice, 45, 119120.
Davies S., Thornicroft G., Leese M., et al (1996) Ethnic differences in risk of compulsory admission among representative cases of psychosis in London. British Medical Journal, 312, 533537.
Department of Health (1995) Building Bridges: A Guide to Arrangements for Inter-Agency Working for the Care and Protection of Severely Mentally III People. London: Department of Health.
Essex B., Doig R. & Renshaw J. (1990) Pilot study of records of shared care for people with mental illness. British Medical Journal, 300, 14421446.
General Medical Services Committee (1996) Mentally Disordered People: Continuing Care in the Community. Guidance for GPs. London: British Medical Association.
Goldberg D. & Jackson G. (1992) Interface between primary care and specialist mental health care. British Journal of General Practice, 42, 267269.
Grace J., Steels M. & Baruah R. (1996) General practitioners' knowledge of and views on the care programme approach. Psychiatric Bulletin, 20, 643644.
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.
Kendrick T., Burns T. & Freeling P. (1995) Randomised controlled trial of teaching general practitioners to carry out structured assessments of their long term mentally ill patients. British Medical Journal, 311, 9398.
King M. (1992) Management of patients with schizophrenia in general practice. British Journal of General Practice, 42, 310311.
Littlewood R. & Lipsedge M. (1982) Aliens and Alienists: Ethnic Minorities and Psychiatry. London: Penguin.
London M. (1986) Mental illness among immigrant minorities in the United Kingdom. British Journal of Psychiatry, 149, 265273.
Nazareth I., King M., Haines A., et al (1993) Care of schizophrenia in general practice. British Medical Journal, 307, 910.
Nazareth I., King M. & Davies S. (1995) Care of schizophrenia in general practice: the general practioner and the patient. British Journal of General Practice, 45, 343347.
Norusis M. J. (1993) SPSS for Windows. Base System Users' Guide. Release 6.0. Chicago, IL: SPSS.
Pullen I. & Yellowlees A. J. (1985) Is communication improving between general practitioners and psychiatrists? British Medical Journal, 290, 3133.
Ritchie J. H. (1994) The Report of the Inquiry into the Care and Treatment of Christopher Clunis. London: HMSO.
Royal College of General Practitioners (1993) Report of a joint College working group. Shared Care of Patients with Mental Health Problems (Occasional paper 60). London: Royal College of General Practitioners.
Wilkinson G. (1991) The role of primary care physicians in the treatment of patients with long term mental disorders. International Review of Psychiatry, 3, 3542.
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

Altmetric attention score

Full text views

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

Abstract views

Total abstract views: 3 *
Loading metrics...

* Views captured on Cambridge Core between 3rd January 2018 - 19th January 2018. This data will be updated every 24 hours.

Integration between primary and secondary services in the care of the severely mentally ill: patients' and general practitioners' views

  • Jonathan Bindman (a1), Sonia Johnson (a1), Steve Wright (a1), George Szmukler (a2), Paul Bebbington (a3), Elizabeth Kuipers (a4) and Graham Thornicroft (a5)...
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? *