A Psychotherapy Service

Reilly, Stephen P.

doi:10.1192/pb.11.6.191

Bull. R. Coll. Psychiatr.

1987

DOI: 10.1192/pb.11.6.191

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A Psychotherapy Service

Stephen P. Reilly

Abstract: Over recent years Central Manchester GPs have supplied over 50% of the referrals to the Gaskell House Department of Psychotherapy. Yet there is no formal channel for feedback from these GPs concerning the services provided and for opportunites for realistic enhancement of the relationship between them and the predominantly hospital-based psychotherapists. It would appear that this communication gap applies to many psychotherapy centres in the UK though Tyson and Reder1 have specified the opinions of GPs as one… Show more

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Cited by 2 publications

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Psychotherapy and General Practice

Gask

McGrath

1989

Br J Psychiatry

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The authors review the development of liaison psychotherapy in general practice, and argue that a 'skill-sharing' approach, where the general practitioner retains the treatment role, is a more efficient model than a 'consultation' approach. Skill-sharing models are reviewed, and the need for psychiatrists and psychotherapists to be more directly involved in teaching basic psychotherapeutic skills to general practitioners is emphasised.

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Psychotherapy and General Practice

Gask

McGrath

1989

Br J Psychiatry

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GPs' views of psychotherapy services

Reilly

1994

Psychiatr. bull.

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Sir: We write to add our wholehearted support to Ann Barker for raising various concerns about dosage information contained in the British National Formulary (BNF) and how they have come to be used. (Psychiatric Bulletin, 1993, 17, 557). For some time now, in relation to the use of lithium medication we have been airing similar concerns about BNF and MIMS (Monthly Index of Medical Specialities). Both publications set out their aims and scope in their preface, for rapid reference and for use as a prescribing guide. Nonetheless, the publications seem to acquire a legal standing as, for example, "BNF maximum". The contents should be accurate and up to date so as to enjoy professional confidence and cred ibility. Otherwise how else could one reconcile major differences between BNF and MIMS as in the maximum suggested dose of injection Depixol where BNF suggests a maximum of 400 rng weekly and MIMS "up to 300 mg every 2 weeks". We are pleased that a Royal College Consensus Group is looking into these issues. The group may wish to examine the accuracy and current validity of relevant entries in BNF and MIMS so that medical practitioners are better informed and their patients better served let alone legal implications. Regarding lithium medication, the problem is with dose, side effects, toxicity and contra-indications, for which the information is outdated and sometimes conflicting. The Third British Lithium Congress held in Wolverhampton in September 1992 established a working group to produce a consensus report on proposed guidelines for good clinical practice to deal with the problems out of date information in the BNF and MIMS. (Lithium Prophylaxis: Proposed Guidelines for Good Clinical Practice.

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A Psychotherapy Service

Cited by 2 publications

References 5 publications

Psychotherapy and General Practice

Psychotherapy and General Practice

GPs' views of psychotherapy services

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