A randomised controlled trial of enhanced key-worker liaison psychiatry in general practice

Emmanuel, Jo; McGee, Amelia; Ukoumunne, Obioha C; Tyrer, Peter

doi:10.1007/s00127-002-0550-y

Cited by 12 publications

(3 citation statements)

References 27 publications

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“…In the last decade, the VSSS has been used to assess outcome in the perspective of the patients in several naturalistic (9, 11–17) and intervention (18–26) studies. VSSS has proved to be a sensitive and useful tool that identifies strengths and weaknesses of service provision in many different settings.…”

Section: Introductionmentioning

confidence: 99%

Applications and usefulness of routine measurement of patients’ satisfaction with community‐based mental health care

Ruggeri

Lasalvia

Salvi

et al. 2007

Acta Psychiatr Scand

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Section: Introductionmentioning

confidence: 99%

Applications and usefulness of routine measurement of patients’ satisfaction with community‐based mental health care

Ruggeri

Lasalvia

Salvi

et al. 2007

Acta Psychiatr Scand

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“…Of these, nine trials concerned a general adult population and four a population aged 60 or over. The remaining 9 RCTs examined bipolar disorder [ 26 ], panic disorder [ 27 , 28 ], non specified 'serious or long term mental illness' [ 29 - 31 ] and mixed disorders [ 32 , 33 ].…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of service linkages in primary mental health care: a narrative review part 1

Fuller

Perkins

Parker³

et al. 2011

BMC Health Serv Res

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BackgroundWith the move to community care and increased involvement of generalist health care providers in mental health, the need for health service partnerships has been emphasised in mental health policy. Within existing health system structures the active strategies that facilitate effective partnership linkages are not clear. The objective of this study was to examine the evidence from peer reviewed literature regarding the effectiveness of service linkages in primary mental health care.MethodsA narrative and thematic review of English language papers published between 1998 and 2009. Studies of analytic, descriptive and qualitative designs from Australia, New Zealand, UK, Europe, USA and Canada were included. Data were extracted to examine what service linkages have been used in studies of collaboration in primary mental health care. Findings from the randomised trials were tabulated to show the proportion that demonstrated clinical, service delivery and economic benefits.ResultsA review of 119 studies found ten linkage types. Most studies used a combination of linkage types and so the 42 RCTs were grouped into four broad linkage categories for meaningful descriptive analysis of outcomes. Studies that used multiple linkage strategies from the suite of "direct collaborative activities" plus "agreed guidelines" plus "communication systems" showed positive clinical (81%), service (78%) and economic (75%) outcomes. Most evidence of effectiveness came from studies of depression. Long term benefits were attributed to medication concordance and the use of case managers with a professional background who received expert supervision. There were fewer randomised trials related to collaborative care of people with psychosis and there were almost none related to collaboration with the wider human service sectors. Because of the variability of study types we did not exclude on quality or attempt to weight findings according to power or effect size.ConclusionThere is strong evidence to support collaborative primary mental health care for people with depression when linkages involve "direct collaborative activity", plus "agreed guidelines" and "communication systems".

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“…However, research regarding outcomes in SMHC services has been inconclusive (Emmanuel, McGee, Ukoumunne, & Tyrer, 2002). Studies measuring symptoms, disability, quality of life, and severity of mental illness did not observe significant differences between patients using shared mental health care services as opposed to traditional mental health care (Chisholm et al, 2000;Emmanuel et al, 2002;Fitzpatrick et al, 2004).…”

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confidence: 99%

After Shared Care: Patients' Symptoms and Functioning 3 to 6 Months Following Care at A Rural Shared Mental Health Care Clinic

HaggartyJohn

KleinRupert

ChaudhuriBob

et al. 2008

Canadian Journal of Community Mental Health

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The present study evaluates the mental health of participants 3 to 6 months after completing treatment at a shared mental health care clinic. Twenty-five participants completed the Patient Health Questionnaire (PHQ) and the World Health Organization Disability Assessment Scale version II (WHODAS-II) at entry, exit, and 3 to 6 months following treatment. Results for the PHQ found significant sustained improvement for major depression, other anxiety syndrome, and somatoform disorder. The WHODAS-II scale demonstrated that significant improvement was maintained 3 to 6 months following treatment completion. These findings suggest that patients receiving short-term therapy and psychiatric consultation in a shared care setting may show significant, sustained improvement in mental and physical functioning.

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A randomised controlled trial of enhanced key-worker liaison psychiatry in general practice

Abstract: It is concluded that without additional resources enhanced key-worker liaison for psychiatry in primary and secondary care has limited benefits although this does not necessarily apply to other forms of liaison practice.

Cited by 12 publications

References 27 publications

Applications and usefulness of routine measurement of patients’ satisfaction with community‐based mental health care

Applications and usefulness of routine measurement of patients’ satisfaction with community‐based mental health care

Effectiveness of service linkages in primary mental health care: a narrative review part 1

After Shared Care: Patients' Symptoms and Functioning 3 to 6 Months Following Care at A Rural Shared Mental Health Care Clinic

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