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Journal article Full text available online for free

Deprivation, psychological distress and consultation length in general practice

Authors:
STIRLING A.M., WILSON P., McCONNACHIE A.
Journal article citation:
British Journal of General Practice, 51(467), June 2001, pp.456-460.
Publisher:
Royal College of General Practitioners
Journal article

Registering reform in mental health

Author:
BARR Wally
Journal article citation:
Nursing Times, 17.5.01, 2001, pp.39-40.
Publisher:
Nursing Times

Argues that mental health registers were meant to radically improve services but three years on they seem to have made little difference.

Journal article

Targeting services to meet need: a tired approach to mental health care

Author:
MAUNDER Lesley
Journal article citation:
Mental Health and Learning Disabilities Care, 4(11), July 2001, pp.366-369.
Publisher:
Pavilion

Faced with ever-increasing and often conflicting demands Northumberland's health and social services have developed a structured framework to ensure patients with mental health problems receive the level of care appropriate to their needs. The Northumberland tiered approach has meant that primary care practitioners receive training and support to treat patients with more common mental health problems while secondary and specialist services are able to focus their resources on those with more disabling conditions. Describes the evolution and operation of the framework.

Journal article

Standard two primary care

Author:
PROSSER Jackie
Journal article citation:
Mental Health and Learning Disabilities Care, 4(8), April 2001, pp.258-259.
Publisher:
Pavilion

In the second of a series of articles on the National Service Framework, this article describes how one trust's mental health services have worked with local primary health care services towards achieving standard two.

Journal article Full text available online for free

Routinely administered questionnaires for depression and anxiety: systematic review

Authors:
GILBODY Simon M., et al
Journal article citation:
British Medical Journal, 17.2.01, 2001, pp.406-409.
Publisher:
British Medical Association

Examines the effect of routinely administered psychiatric questionnaires on the recognition, management, and outcome of psychiatric disorders in non-psychiatric settings. Nine randomised studies were identified that examined the use of common psychiatric instruments in primary care and general hospital settings. Overall, studies of routine administration of psychiatric measures did not show an effect on patient outcome. Concludes that the routine measurement of outcome is a costly exercise. Little evidence shows that it is of benefit in improving psychosocial outcomes of those with psychiatric disorder managed in non-psychiatric settings.

Journal article Full text available online for free

Accuracy of general practitioner's prognosis of the 1-year course of depression and generalised anxiety

Authors:
van den BRINK Rob H.S., et al
Journal article citation:
British Journal of Psychiatry, 178, January 2001, pp.18-22.
Publisher:
Royal College of Psychiatrists

A prognosis serves important functions for the management of common mental disorders in primary care. This research aimed to establish the accuracy of the general practitioner's (GP) prognosis. Modest agreement between GP prognosis and course was found, both for depression and generalised anxiety. The researchers conclude that general practitioners do a fair job in predicting the 1-year course of depression and generalised anxiety. Even so, their performance falls significantly short of attainable performance.

Book

Practical management of depression in older people

Editors:
CURRAN Stephen, WATTIS John, LYNCH Sean
Publisher:
Arnold
Publication year:
2001
Pagination:
191p,bibliog.
Place of publication:
London

Provides an overview of the different treatments available and the contributions difficult disciplines can bring to the problem of managing depression in older people. Practical implications of physical and psychotherapeutic treatments are discussed. The roles of the family practitioner, clinical psychiatrist, nurse and occupational therapist are explored within the context of a multidisciplinary team. Guidelines for diagnoses are outlined.

Book

Mental healthcare matters in primary care

Authors:
CHAMBERS ruth, BOATH Elizabeth, WAKEY Gill
Publisher:
Radcliffe Medical Press
Publication year:
2001
Pagination:
212p.,bibliogs.
Place of publication:
Abingdon

The 'National service framework for mental health' aims to provide uniformly good systems so that mental health problems are detected and therefore treated early. This book sets out how learning more about mental health and reviewing current practice can be incorporated into a personal development plan, or practice learning plan. It shows how to integrate quality improvements into everyday work, and bridges the gap between theory and practice. Doctors, nurses and practice managers can build up a personal development plan, or a practice professional development plan, through completing the exercises at the end of each chapter, and it demonstrates how to include clinical governance in the mental healthcare services they offer. Includes chapters on: depression; generalised anxiety disorder; obsessive compulsive disorder; stress; schizophrenia; and dementia.

Journal article

The responsibility to care for single homeless people

Authors:
CRANE Maureen, WARNES Anthony M.
Journal article citation:
Health and Social Care in the Community, 9(6), November 2001, pp.436-444.
Publisher:
Wiley-Blackwell

Examines the reasons why in contemporary Britain many single homeless people with severe physical and mental health problems and welfare needs do not receive the treatment, care and financial support that they manifestly need, and in particular considers the interaction between their personal characteristics and the organisation and the obligations of services. The greatest weaknesses of the service system are that no single agency has a statutory responsibility to ensure that vulnerable homeless people are served. The article appraises the approaches to single homeless peoples problems that have recently been introduced by the Rough Sleepers Unit (RSU), and discusses the ways in which current reforms of the welfare services may impact on the situation of homeless people. With the possibility that the RSUs prime responsibility for commissioning single homeless peoples services will transfer to local authorities in 2002, the article concludes by specifying the implications for voluntary and statutory providers and makes recommendations about the attribution of the responsibility to care for this vulnerable group.

Book

New beginnings: towards patient and public involvement in primary health care

Editors:
GILLAM Stephen, BROOKS Fiona
Publisher:
Kings Fund
Publication year:
2001
Pagination:
168p.,bibliogs.
Place of publication:
London

Explores the issues related to public and patient involvement in primary care. Begins by describing the theoretical and policy contexts that are shaping user involvement currently; why user involvement is regarded as important; and its role in primary care at organisation level and in the individual consultation. Moves on to consider a range of case studies of involvement of different types of user, including women, members of ethnic minorities, older people and people with mental health problems. Concludes with an overview of the challenges remaining and suggestions for future development.

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