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  • Cited by 30
  • Cited by
    Crossref Citations
    Crossref logo
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.
    Gutacker, N. Mason, A. R. Kendrick, T. Goddard, M. Gravelle, H. Gilbody, S. Aylott, L. Wainwright, J. and Jacobs, R. 2015. Does the quality and outcomes framework reduce psychiatric admissions in people with serious mental illness? A regression analysis. BMJ Open, Vol. 5, Issue. 4, p. e007342.
    Jacobs, Rowena Gutacker, Nils Mason, Anne Goddard, Maria Gravelle, Hugh Kendrick, Tony Gilbody, Simon Aylott, Lauren and Wainwright, June 2015. Do higher primary care practice performance scores predict lower rates of emergency admissions for persons with serious mental illness? An analysis of secondary panel data. Health Services and Delivery Research, Vol. 3, Issue. 16, p. 1.
    Kontopantelis, Evangelos Olier, Ivan Planner, Claire Reeves, David Ashcroft, Darren M Gask, Linda Doran, Tim and Reilly, Siobhan 2015. Primary care consultation rates among people with and without severe mental illness: a UK cohort study using the Clinical Practice Research Datalink. BMJ Open, Vol. 5, Issue. 12, p. e008650.
    Le Galudec, Mickael Cornily, Géraldine Garlantézec, Ronan Stéphan, Florian Alavi, Zarrin and Walter, Michel 2014. Evaluation of GPs diagnostic knowledge and treatment practice in detection and treatment of early schizophrenia: a French postal survey in Brittany. Social Psychiatry and Psychiatric Epidemiology, Vol. 49, Issue. 1, p. 69.
    Reilly, Siobhan Planner, Claire Gask, Linda Hann, Mark Knowles, Sarah Druss, Benjamin and Lester, Helen 2013. Collaborative care approaches for people with severe mental illness. Cochrane Database of Systematic Reviews,
    Reilly, Siobhan Planner, Claire Gask, Linda Hann, Mark Knowles, Sarah Druss, Benjamin Lester, Helen and Reilly, Siobhan 2012. Cochrane Database of Systematic Reviews.
    Reilly, Siobhan Planner, Claire Hann, Mark Reeves, David Nazareth, Irwin Lester, Helen and Baradaran, Hamid Reza 2012. The Role of Primary Care in Service Provision for People with Severe Mental Illness in the United Kingdom. PLoS ONE, Vol. 7, Issue. 5, p. e36468.
    Agyapong, Vincent Israel Opoku Jabbar, Faiza and Conway, Catherine 2012. Shared care between specialised psychiatric services and primary care: The experiences and expectations of General Practitioners in Ireland. International Journal of Psychiatry in Clinical Practice, Vol. 16, Issue. 4, p. 293.
    Agyapong, Vincent I. O. Conway, Catherine and Guerandel, Allys 2011. Shared Care between Specialized Psychiatric Services and Primary Care: The Experiences and Expectations of Consultant Psychiatrists in Ireland. The International Journal of Psychiatry in Medicine, Vol. 42, Issue. 3, p. 295.
    Shiers, David and Lester, Helen 2011. Promoting Recovery in Early Psychosis. p. 99.
    Fleury, Marie-Josée Grenier, Guy Bamvita, Jean-Marie and Caron, Jean 2010. Professional Service Utilisation among Patients with Severe Mental Disorders. BMC Health Services Research, Vol. 10, Issue. 1,
    Fleury, Marie-Josée 2009. Santé mentale en première ligne. Santé mentale au Québec, Vol. 34, Issue. 1, p. 19.
    NOLAN, ELOISE and HEWISON, ALISTAIR 2008. Teamwork in primary care mental health: a policy analysis. Journal of Nursing Management, Vol. 16, Issue. 6, p. 649.
    Stip, Emmanuel Boyer, Richard Ali Sepehry, Amir Rodriguez, Jean Pierre Umbricht, Daniel Tempier, Adrien and Simon, Andor E. 2007. Sur la première ligne : sondage pour un partage. Les omnipraticiens et la schizophrénie. Santé mentale au Québec, Vol. 32, Issue. 1, p. 281.
    Oud, Marian JT Schuling, Jan Slooff, Cees J and Jong, Betty Meyboom-de 2007. How do General Practitioners experience providing care for their psychotic patients?. BMC Family Practice, Vol. 8, Issue. 1,
    Verdoux, Hélène Cougnard, Audrey Grolleau, Sabrina Besson, Rachel and Delcroix, Françoise 2006. A survey of general practitioners’ knowledge of symptoms and epidemiology of schizophrenia. European Psychiatry, Vol. 21, Issue. 4, p. 238.
    Lester, Helen 2006. Current Issues in Providing Primary Medical Care to People with Serious Mental Illness. The International Journal of Psychiatry in Medicine, Vol. 36, Issue. 1, p. 1.
    Martínez-Azumendi, Oscar 2005. El paciente mental severo en atención primaria. Gaceta Médica de Bilbao, Vol. 102, Issue. 3, p. 45.
    Simon, Andor E. Lauber, Christoph Ludewig, Katja Braun-Scharm, Hellmuth and Umbricht, Daniel S. 2005. General practitioners and schizophrenia: Results from a Swiss survey. British Journal of Psychiatry, Vol. 187, Issue. 03, p. 274.
    Verdoux, Hélène Cougnard, Audrey Grolleau, Sabrina Besson, Rachel and Delcroix, Françoise 2005. How do general practitioners manage subjects with early schizophrenia and collaborate with mental health professionals?. Social Psychiatry and Psychiatric Epidemiology, Vol. 40, Issue. 11, p. 892.
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Service provision for people with schizophrenia: II. Role of the general practitioner

  • F. H. Lang (a1), E. C. Johnstone (a1) and G. D. Murray (a2)
Abstract
Background

This second report of a study of service provision for patients with schizophrenia describes patients' contact with general practice and general practitioners' (GPs’) views of the mental health services.

 Method

A postal questionnaire was sent to the GPs, and patients' primary care records were examined.

 Results

Data were collected on 131 subjects. The majority of patients (96) (73%) were in regular contact with their GP and were consulting for many different reasons; 27 (21%) were posing particular difficulties for the primary care team. GPs reported that 27 (21%) patients required additional support and that the care arrangements for 50 (38%) patients could be improved if alterations were made to the roles of the professionals already involved.

 Conclusions

GPs are central to service provision for patients with schizophrenia. Both additional resources and changes in working practices are required to improve patient care. The service implications of these findings are discussed.
Copyright
COPYRIGHT: © 1997 The Royal College of Psychiatrists 
Corresponding author
Dr F. H. Lang, Department of Psychiatry, Kennedy Tower, Royal Edinburgh Hospital, Morningside Park. Edinburgh EH10 5HF
References
Hide All
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Briscoe, M. & Wilkinson, G. (1989) General practitioners' use of community psychiatric nursing services: a preliminary survey. Journal of the Royal College of General Practitioners, 39, 412–414.
Hall, R. C. W., Popkin, M. K., Stickney, S. K., et al (1978) Covert outpatient drug abuse. Journal of Nervous and Mental Disease, 166, 343–348.
Johnstone, E. C., Owens, D. G. C., Frith, C. D., et al (1991) Abnormalities of the mental state and movement disorder and their correlates. British Journal of Psychiatry (suppl. 13). 159, 21–25.
Kendrick, T., Sibbald, B., Burns, T., et al (1991) Role of general practitioners in the care of the long term mentally ill patients. British Medical Journal, 302, 508–510.
Nazareth, I. D. & King, B. (1992) Controlled evaulation of management of schizophrenia in one general practice. A pilot study. Family Practice, 9, 171–172.
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Williams, P. & Wallace, B. B. (1974) General practitioners and psychiatrists – do they communicate? British Medical Journal, i, 505–507.
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  • Cited by 30
  • Cited by
    Crossref Citations
    Crossref logo
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.
    Gutacker, N. Mason, A. R. Kendrick, T. Goddard, M. Gravelle, H. Gilbody, S. Aylott, L. Wainwright, J. and Jacobs, R. 2015. Does the quality and outcomes framework reduce psychiatric admissions in people with serious mental illness? A regression analysis. BMJ Open, Vol. 5, Issue. 4, p. e007342.
    Jacobs, Rowena Gutacker, Nils Mason, Anne Goddard, Maria Gravelle, Hugh Kendrick, Tony Gilbody, Simon Aylott, Lauren and Wainwright, June 2015. Do higher primary care practice performance scores predict lower rates of emergency admissions for persons with serious mental illness? An analysis of secondary panel data. Health Services and Delivery Research, Vol. 3, Issue. 16, p. 1.
    Kontopantelis, Evangelos Olier, Ivan Planner, Claire Reeves, David Ashcroft, Darren M Gask, Linda Doran, Tim and Reilly, Siobhan 2015. Primary care consultation rates among people with and without severe mental illness: a UK cohort study using the Clinical Practice Research Datalink. BMJ Open, Vol. 5, Issue. 12, p. e008650.
    Le Galudec, Mickael Cornily, Géraldine Garlantézec, Ronan Stéphan, Florian Alavi, Zarrin and Walter, Michel 2014. Evaluation of GPs diagnostic knowledge and treatment practice in detection and treatment of early schizophrenia: a French postal survey in Brittany. Social Psychiatry and Psychiatric Epidemiology, Vol. 49, Issue. 1, p. 69.
    Reilly, Siobhan Planner, Claire Gask, Linda Hann, Mark Knowles, Sarah Druss, Benjamin and Lester, Helen 2013. Collaborative care approaches for people with severe mental illness. Cochrane Database of Systematic Reviews,
    Reilly, Siobhan Planner, Claire Gask, Linda Hann, Mark Knowles, Sarah Druss, Benjamin Lester, Helen and Reilly, Siobhan 2012. Cochrane Database of Systematic Reviews.
    Reilly, Siobhan Planner, Claire Hann, Mark Reeves, David Nazareth, Irwin Lester, Helen and Baradaran, Hamid Reza 2012. The Role of Primary Care in Service Provision for People with Severe Mental Illness in the United Kingdom. PLoS ONE, Vol. 7, Issue. 5, p. e36468.
    Agyapong, Vincent Israel Opoku Jabbar, Faiza and Conway, Catherine 2012. Shared care between specialised psychiatric services and primary care: The experiences and expectations of General Practitioners in Ireland. International Journal of Psychiatry in Clinical Practice, Vol. 16, Issue. 4, p. 293.
    Agyapong, Vincent I. O. Conway, Catherine and Guerandel, Allys 2011. Shared Care between Specialized Psychiatric Services and Primary Care: The Experiences and Expectations of Consultant Psychiatrists in Ireland. The International Journal of Psychiatry in Medicine, Vol. 42, Issue. 3, p. 295.
    Shiers, David and Lester, Helen 2011. Promoting Recovery in Early Psychosis. p. 99.
    Fleury, Marie-Josée Grenier, Guy Bamvita, Jean-Marie and Caron, Jean 2010. Professional Service Utilisation among Patients with Severe Mental Disorders. BMC Health Services Research, Vol. 10, Issue. 1,
    Fleury, Marie-Josée 2009. Santé mentale en première ligne. Santé mentale au Québec, Vol. 34, Issue. 1, p. 19.
    NOLAN, ELOISE and HEWISON, ALISTAIR 2008. Teamwork in primary care mental health: a policy analysis. Journal of Nursing Management, Vol. 16, Issue. 6, p. 649.
    Stip, Emmanuel Boyer, Richard Ali Sepehry, Amir Rodriguez, Jean Pierre Umbricht, Daniel Tempier, Adrien and Simon, Andor E. 2007. Sur la première ligne : sondage pour un partage. Les omnipraticiens et la schizophrénie. Santé mentale au Québec, Vol. 32, Issue. 1, p. 281.
    Oud, Marian JT Schuling, Jan Slooff, Cees J and Jong, Betty Meyboom-de 2007. How do General Practitioners experience providing care for their psychotic patients?. BMC Family Practice, Vol. 8, Issue. 1,
    Verdoux, Hélène Cougnard, Audrey Grolleau, Sabrina Besson, Rachel and Delcroix, Françoise 2006. A survey of general practitioners’ knowledge of symptoms and epidemiology of schizophrenia. European Psychiatry, Vol. 21, Issue. 4, p. 238.
    Lester, Helen 2006. Current Issues in Providing Primary Medical Care to People with Serious Mental Illness. The International Journal of Psychiatry in Medicine, Vol. 36, Issue. 1, p. 1.
    Martínez-Azumendi, Oscar 2005. El paciente mental severo en atención primaria. Gaceta Médica de Bilbao, Vol. 102, Issue. 3, p. 45.
    Simon, Andor E. Lauber, Christoph Ludewig, Katja Braun-Scharm, Hellmuth and Umbricht, Daniel S. 2005. General practitioners and schizophrenia: Results from a Swiss survey. British Journal of Psychiatry, Vol. 187, Issue. 03, p. 274.
    Verdoux, Hélène Cougnard, Audrey Grolleau, Sabrina Besson, Rachel and Delcroix, Françoise 2005. How do general practitioners manage subjects with early schizophrenia and collaborate with mental health professionals?. Social Psychiatry and Psychiatric Epidemiology, Vol. 40, Issue. 11, p. 892.
    Download full list
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  • Get access
    Add to cart USD35.00
    Check if you have access via personal or institutional login
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Service provision for people with schizophrenia: II. Role of the general practitioner

  • F. H. Lang (a1), E. C. Johnstone (a1) and G. D. Murray (a2)
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