Search results for ‘Subject term:"mental health problems"’ Sort:
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A penny for your thoughts
- Authors:
- WILLIAMS Barry, BERRY Sarah
- Journal article citation:
- Health Service Journal, 17.4.97, 1997, p.27.
- Publisher:
- Emap Healthcare
Describes how a GP practice and local Mind office established a patients' group to improve care for people with mental health problems.
Prevalence of common mental disorders in general practice attendees across Europe
- Authors:
- KING Michael, et al
- Journal article citation:
- British Journal of Psychiatry, 192(5), May 2008, pp.362-367.
- Publisher:
- Cambridge University Press
Unselected attendees to general practices in the UK, Spain, Portugal, Slovenia, Estonia and The Netherlands were assessed for major depression, panic syndrome and other anxiety syndrome. Prevalence of DSM–IV major depression, other anxiety syndrome and panic syndrome was compared between the UK and other countries after taking account of differences in demographic factors and practice consultation rates. Prevalence was estimated in 2344 men and 4865 women. The highest prevalence for all disorders occurred in the UK and Spain, and lowest in Slovenia and The Netherlands. Men aged 30–50 and women aged 18–30 had the highest prevalence of major depression; men aged 40–60 had the highest prevalence of anxiety, and men and women aged 40–50 had the highest prevalence of panic syndrome. Demographic factors accounted for the variance between the UK and Spain but otherwise had little impact on the significance of observed country differences. These results add to the evidence for real differences between European countries in prevalence of psychological disorders and show that the burden of care on general practitioners varies markedly between countries.
The workload of GPs: consultations of patients with psychological and somatic problems compared
- Authors:
- ZANTINGE Else M., et al
- Journal article citation:
- British Journal of General Practice, 55(517), August 2005, pp.609-614.
- Publisher:
- Royal College of General Practitioners
A cross-sectional national survey was carried out in 104 general practices in the Netherlands. 1392 Videotaped consultations of a representative sample of 142 GPs were used. Consultations were categorised into groups. Results found that consultations in which patients' mental health problems play a part (as a diagnosis or in the background) take more time involve more diagnoses, and the GP is more heavily burdened with feeling of insufficiency of patient time. In consultations with somatic diagnosis but psychological background, GPs more often experienced a lack of time compared to consultations with a psychological or social diagnosis.
A case-control study of GP and patient-related variables associated with non-attendance at new psychiatric out-patient appointments
- Authors:
- NEELEMAN Jan, MIKHAIL Wagdy I.
- Journal article citation:
- Journal of Mental Health, 6(3), June 1997, pp.301-306.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Describes a case-control study of 50 attenders and 46 defaulters at first psychiatric out-patient appointments which examined patient and GP-related factors in relation to non-attendance. A history of behavioural difficulties (such as substance abuse, legal problems or self-harm) and the absence of a clear psychiatric diagnosis were associated with non-attendance. Patients referred by fund-holding GPs were more likely to keep their appointment than those referred by non-fundholding GPs. However, a strong association between the presence of current social and relationship problems, and non-attendance, overshadowed the other predictors. The results suggest that there is a group of patients with minor psychiatric morbidity who, while in need of psychiatric help, are unable to make use of conventional psychiatric services.
Interim guidance: implementing patients’ right to choose any clinically appropriate provider of mental health services
- Author:
- NHS ENGLAND
- Publisher:
- NHS England
- Publication year:
- 2014
- Pagination:
- 41
- Place of publication:
- London
This interim guidance has been produced to help commissioners, GPs, and providers support patients' right to choose their providers of mental health services following their first referral an outpatient appointment (a legal right from 1 April 2014). This includes the right to choose from any provider which has a contract with any clinical commissioning group (CCG), not only the CCG responsible for that patient. The guidance outlines the types of mental health conditions and services subject to the right to choice and those excluded from the right to choice. Separate sections contain information for commissioners, GPs and providers. The guidance has been developed with input from commissioners, providers and GPs and other stakeholders. The interim guidance is open to consultation until 15 August 2014, after which the final version will be published. (Original abstract)
Somatoform disorders in general practice: prevalence, functional impairment and comorbidity with anxiety and depressive disorders
- Authors:
- DE WAAL Margot W. M., et al
- Journal article citation:
- British Journal of Psychiatry, 184(6), June 2004, pp.470-476.
- Publisher:
- Cambridge University Press
General practitioners play a pivotal part in the recognition and treatment of psychiatric disorders. Identifying somatoform disorders is important for the choice of treatment. The aim was to quantify the prevalence of, and functional impairment associated with, somatoform disorders, and their comorbidity with anxiety/depressive disorders. Two-stage prevalence study: a set of questionnaires was completed by 1046 consecutive patients of general practitioners (aged 25–80 years), followed by a standardised diagnostic interview (SCAN 2.1). The prevalence of somatoform disorders was 16.1% (95% CI12.8–19.4). When disorders with only mild impairment were included, the prevalence increased to 21.9%. Comorbidity of somatoform disorders and anxiety/depressive disorders was 3.3 times more likely than expected by chance. In patients with comorbid disorders, physical symptoms, depressive symptoms and functional limitations were additive. The findings underline the importance of a comprehensive diagnostic approach to psychiatric disorders in general practice.
Liaison psychiatry or psychological medicine?
- Authors:
- LLOYD Geoffrey G., MAYOU Richard A.
- Journal article citation:
- British Journal of Psychiatry, 183(7), July 2003, pp.5-8.
- Publisher:
- Cambridge University Press
Liaison psychiatry has been recognised in many countries as a special interest or sub-speciality of psychiatry concerned with the management of general hospital patients with psychological problems. However, despite increasing awareness of the emotional and behavioural aspects of illness, it has yet to achieve substantial influence within psychiatry and, more importantly, has had only modest effects on the delivery of medical care by physicians and other specialists. This paper argues that in order to make substantial progress there is a compelling need to solve a fundamental obstacle - the separation between psychiatric and general medical care.
Patient's perceptions of entitlement to time in practice consultations for depression: qualitative study
- Authors:
- POLLOCK Kristian, GRIME Janet
- Journal article citation:
- British Medical Journal, 28.09.02, 2002, pp.687-690.
- Publisher:
- British Medical Association
Patient's self imposed restraint in taking up doctor's time has important consequences for the recognition and treatment of depression Doctor's need to have greater awareness of patient's anxiety about time and should move to allay such anxieties by pre-emptive reassurance.
Scare in the community
- Author:
- SIMPSON Alan
- Journal article citation:
- Nursing Times, 98(39), September 2002, pp.12-13.
- Publisher:
- Nursing Times
This article looks at the reaction to the government's draft mental health Bill. It considers whether a patient would be comfortable telling his/her GP about any mental health problem if compulsory detention becomes more widespread.
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:
- Cambridge University Press
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.