Hostname: page-component-7c8c6479df-7qhmt Total loading time: 0 Render date: 2024-03-29T06:36:54.565Z Has data issue: false hasContentIssue false

Psychiatric outreach clinics held in a general practice setting and community mental health centre

Published online by Cambridge University Press:  02 January 2018

Charles Hindler*
Affiliation:
The Royal Free Hospital, Pond Street, London NW3 2QG
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Over nine months, 57 consecutive newly referred and previous out-patient attenders to two community psychiatric out-patient clinics located in a deprived inner city area of London were interviewed to elicit demographic information, psychiatric details and obtain their views about their preferred location for the out-patient clinic. The majority (94%) preferred a community out-patient setting to a hospital out-patient clinic, with 76% preferring a community out-patient setting to a home assessment. The overall attendance rate was 89%. A 10% higher rate of attendance was found at the community mental health centre compared with the general practice and 15% higher rate for new referrals. Patients preferred to attend a psychiatric out-patient clinic based in the community. This suggests that introducing community-based psychiatric clinics would make a substantial improvement on the current high rates of non-attendance at hospital psychiatric out-patient clinics.

Type
Original Papers
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 1995

References

Baggaley, M. (1993) Improving the attendance for new psychiatric out-patient referrals. Psychiatric Bulletin. 17, 347348.CrossRefGoogle Scholar
Bailey, J. J., Black, M. E. & Wilkin, D. (1994) Specialist outreach clinics in general practice. British Medical Journal 308, 10831086.CrossRefGoogle ScholarPubMed
Carpenter, P. J., Morrow, G. R., Del Gaudio, A. C. & Ritzler, B. A. (1981) Who keeps the first outpatient appointment? American Journal of Psychiatry, 138, 102105.Google ScholarPubMed
Hillis, G. (1990) Rejection of psychiatric treatment. Psychiatric Bulletin, 14, 149150.CrossRefGoogle Scholar
Pullen, I. M. & Yellowlees, A. (1988) Scottish psychiatrists in primary health-care settings: a silent majority. British Journal of Psychiatry, 153, 663666.CrossRefGoogle ScholarPubMed
Skuse, D. H. (1975) Attitudes to the psychiatric outpatient clinic. British Medical Journal 3, 469471.CrossRefGoogle Scholar
Strathdee, G., King, M. B., Araya, R., et al (1990) A standardized assessment of patients referred to primary care and hospital psychiatric clinics. Psychological Medicine, 20, 219224.CrossRefGoogle ScholarPubMed
Tyrer, P. (1984) Psychiatric clinics in general practice: an extension of community care. British Journal of Psychiatry, 145, 914.CrossRefGoogle ScholarPubMed
Tyrer, P. (1985) The hive system. A model for a psychiatric service. British Journal of Psychiatry, 146, 571575.CrossRefGoogle Scholar
Submit a response

eLetters

No eLetters have been published for this article.