Psychiatric Bulletin (2002) 26: 56-58. doi: 10.1192/pb.26.2.56
© 2002 The Royal College of Psychiatrists
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Psychiatric Bulletin (2002) 26: 56-58
© 2002 The Royal College of Psychiatrists

Gatekeeping access to community mental health teams

Differences in practice between consultant psychiatrists, senior house officers and community psychiatric nurses

Phil McEvoy

CPN, Mental Health Services of Salford (MHSS) NHS Trust; Research Associate, School of Nursing, Midwifery and Health Visiting, University of Manchester

Stephen Colgan, Consultant Psychiatrist

MHSS NHS Trust

David Richards, Senior Lecturer

School of Nursing, Midwifery & Health Visiting, University of Manchester

Correspondence: Correspondence to: Phil McEvoy, The Willows Centre for Health Care, Lords Avenue, Salford M15 2JR

AIMS AND METHOD

A retrospective survey to explore how consultant psychiatrists, senior house officers and community psychiatric nurses prioritised referrals to four sectorised community mental health teams.

RESULTS

Referral outcomes appeared to be comparable for patients with psychoses, sub-threshold mental health problems and personality disorders. However, differences in the outcomes were apparent for patients with a primary diagnosis of drug/alcohol misuse, as well as for patients with affective disorders and neuroses.

CLINICAL IMPLICATIONS

It may be necessary to establish clearer, consistent boundaries in order to consolidate services for patients with severe mental health problems.




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[Abstract] [PDF]