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Opinion & Debate

Role confusion, values-based practice and the demise of the generalist

David Crossley, Consultant Psychotherapist

Wrexham

Peter Lepping, Associate Medical Director, Consultant Psychiatrist and Honorary Senior Lecturer

*University of Wales and North Wales NHS Trust, Wrexham Academic Unit, Technology Park, Wrexham, LL13 7TY, UK, email: peter.lepping{at}new-tr.wales.nhs.uk

Declaration of interest

None.

Abstract

As multidisciplinary work becomes less about profession than role and more about specialties than generalism, generalist roles are at risk of being overlooked (from a systemic perspective) and undervalued (from a values-based practice perspective). This article re-examines these issues and points to some practical implications of recovering the generalist role in mental health work.