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Inner-city general practice population of people with schizophrenia

Published online by Cambridge University Press:  02 January 2018

Grant Blair*
Affiliation:
82 Lillie Road Fulham, London SW6 1TN
Carl Deaney
Affiliation:
82 Lillie Road Fulham, London SW6 1TN
*
Correspondence
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Abstract

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A survey of people with schizophrenia in an inner-city general practice was undertaken to identify levels of social disability, service receipt and patterns of care received. Contacts with general practitioners, psychiatrists, community psychiatric nurses and social workers were quantified, and the nature of the contacts assessed. Overall social disability for the group was marked (mean Health of the Nation Outcome Scales (HoNOS) rating 55.5). There was a correlation coefficient of +0.899 between the numbers of agencies involved and the overall HoNOS scores suggesting appropriate targeting of care. While there were few differences in the HoNOS ratings of the various contact subsets, there were significant differences in the extent of agencies contact with patients, the greatest number of contacts being in general practice. Limited information sharing, the absence of a formal shared care plan and sectorisation of services are thought to obstruct more effective general practice involvement in care.

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 © 1998 The Royal College of Psychiatrists

References

Campbell, P. G., Taylor, J., Pantelis, C., et al (1989) Studies of schizophrenia in a large mental hospital proposed for closure and in two halves of an inner London borough served by the hospital. In International Perspectives in Schizophrenia (ed. Weller, M.), pp. 185202. London: John Libbey and Company.Google Scholar
General Medical Services Committee (1996) Mentally Disordered People; Continuing Care in the Community, Guidance for GPs. London: British Medical Association.Google Scholar
Kendrick, T., Sibald, B., Burns, T., et al (1991) Role of general practitioners in care of long term mentally ill patients. British Medical Journal, 302, 508510.Google Scholar
Kendrick, T., Burns, T., Freeling, P., et al (1994) Provision of care to general practice patients with long term mental illness: a survey in 16 practices. British Journal of General Practice, 44, 301305.Google ScholarPubMed
King, M. B. (1992) Management of patients with schizophrenia in general practice. British Journal of General Practice, 42, 310311.Google Scholar
Melzer, D., Hale, A. S., Malik, S. J., et al (1991) Community care for patients with schizophrenia one year after hospital discharge. British Medical Journal, 303, 10231026.Google Scholar
Pantelis, C., Taylor, J. & Campbell, P. (1988) The South Camden Schizophrenia Survey. Bulletin of the Royal College of Psychiatrists, 12, 98101.Google Scholar
Parkes, C. M. & Brown, G. W. (1962) The general practitioner and the schizophrenic patient. British Medical Journal, 1, 972976.Google Scholar
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