An assessment of the impact of community psychiatric nurse attachment to primary care upon the monitoring of patients with severe mental illness

Weaver, Tim; Patmore, Charles; Cunningham, Barbara Jane; Renton, Adrian

doi:10.1080/09638239917328

Journal of Mental Health

1999

DOI: 10.1080/09638239917328

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An assessment of the impact of community psychiatric nurse attachment to primary care upon the monitoring of patients with severe mental illness

Tim Weaver

Charles Patmore

Barbara Jane Cunningham³

et al.

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Cited by 2 publications

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Distribution of case-load in community mental health teams

Tyrer¹,

Muderis²,

Gulbrandsen³

2001

Psychiatr. bull.

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Aims and MethodAn audit project was carried out in a mental health trust in North-West London on two successive years to determine the average case-load size of defined severe mental illness for each professional discipline.ResultsThe average case-load for non-consultants varied from 16 (for occupational therapists) through to 98 patients (for senior house officers). Community psychiatric nurses had an average case-load of 21 and consultants had an estimated average case-load of between 185 and 317 patients. The proportion of patients with severe mental illness ranged from 49% to 67%.Clinical ImplicationsThe case-loads of consultants in community health teams are too large to exercise the statutory duties of a responsible medical officer and, therefore, need revision.

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Distribution of case-load in community mental health teams

Tyrer¹,

Muderis²,

Gulbrandsen³

2001

Psychiatr. bull.

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Mental health nursing in New Zealand primary health care

2006

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International literature and New Zealand health policy is giving increased emphasis to the role of the primary health care sector in responding to mental health issues. These issues include the need for health promotion, improved detection and treatment of mild to moderate mental illness, and provision of mental health care to some of those with severe mental illness who traditionally receive care in secondary services. These developments challenge specialist mental health nurses to develop new roles which extend their practice into primary health care. In some parts of New Zealand this process has been under way for some time in the form of shared care projects. However developments currently are ad hoc. There is room for considerable development of specialist mental health nursing roles, including roles for nurse practitioners in primary mental health care.

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An assessment of the impact of community psychiatric nurse attachment to primary care upon the monitoring of patients with severe mental illness

Cited by 2 publications

References 14 publications

Distribution of case-load in community mental health teams

Distribution of case-load in community mental health teams

Mental health nursing in New Zealand primary health care

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