Changes in referral rates following community psychiatric nurse attachment to a primary care team

Wells, Andrew; Eagles, John M.; Hunter, David; Fowlie, Douglas G.

doi:10.1192/pb.16.5.264

Cited by 5 publications

(4 citation statements)

References 4 publications

(4 reference statements)

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“…The opportunity for community mental health nurses to contribute to the developments of mental health care in primary care is one that needs to be taken so that understanding can be gained as to how they might function in this context, how they might engage with clients and other members of the primary care team, and the types of interventions they might provide (Hannigan 1997). While there has been an increasing focus on GP perceptions of CMHNs (Stansfeld et al 1992, Wells et al 1992, Kendrick et al 1993, Warner et al 1993, Monkley‐Poole 1995, Corney 1996, Hannigan et al 1997, Badger & Nolan 1999), there are few, if any, studies which examine the perceptions of all PHCT members (Badger & Nolan 1999).…”

Section: Introductionmentioning

confidence: 99%

The value of community mental health nurses based in primary care teams: ‘switching the light on in a cellar’

Crawford

Carr

Knight³

et al. 2001

Psychiatric Ment Health Nurs

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This paper explores the impact of placing Community Mental Health Nurses (CMHNs) at two primary care practices in South Staffordshire. Data were collected by means of a questionnaire which was sent to primary care personnel at these practices, to ascertain their opinions with respect to the contribution of practice-based CMHNs. Overall, primary care personnel were satisfied with the quality of the service received from the CMHNs, especially in terms of improved communication. They felt that the new arrangements enabled a quicker and more efficient access to the services of the CMHN. The results are discussed in terms of the value of having CMHNs within the primary care setting, and in terms of service planning and future recommendations for mental health services within primary care.

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Section: Introductionmentioning

confidence: 99%

The value of community mental health nurses based in primary care teams: ‘switching the light on in a cellar’

Crawford

Carr

Knight³

et al. 2001

Psychiatric Ment Health Nurs

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“…However, Gournay & Brooking (1994) demonstrated little evidence for the effectiveness of the interventions of CPNs with nonpsychotic patients and concluded that CPNs were not cost effective in primary care settings and should be directed to manage those with serious mental illnesses. However, a number of studies, including Wells et al (1992) ; and Kendrick et al (1993) found that GPs valued the contribution of CPNs in reducing the number of referrals to psychiatrists, although there was great disparity amongst them about what exactly the role of the CPN should be.…”

Section: Literaturementioning

confidence: 99%

General practitioners’ perceptions of community psychiatric nurses in primary care

Badger

Nolan

1999

Psychiatric Ment Health Nurs

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The management of and responsibility for the care of people with mental health problems in the community is increasingly being assumed by general practitioners (GPs) and primary care personnel. As primary care groups (PCGs) evolve, so must their expertise in managing people with a wide range of mental health problems. It is expected that all mental health professionals will participate in this development, although it is likely that community psychiatric nurses (CPNs) will be the largest professional group involved, with a significant part to play in the shaping, management and delivery of mental health services. To date, there has been little research into how CPNs are perceived by other primary health care professionals. This study seeks to provide an insight into how GPs assess the contribution of CPNs in primary care. Overall, the results of the study suggest that GPs view CPNs favourably and consider that they have an important role to play. Greater involvement in primary care raises issues about the education and preparation of CPNs, their professional development and supervision needs.

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“…The Grampian Psychiatric Case Register, which recorded all referrals to the psychiatric services in Aberdeen, was used to investigate changes in referral rates following community psychiatric nurse (CPN) attachment to a primary care team (Wells et al, 1992). This study was able to use case register data for the two-year period before the CPN attachment and compare this with the three years after the attachment, and demonstrated that referrals to hospital services may be reduced by CPN involvement in primary care.…”

Section: What Can Case Registers Do?mentioning

confidence: 99%

Setting up a psychiatric case register

Bloor¹

1995

Adv. psychiatr. treat

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Case registers have very little to do with computers or any other form of mechanical calculating machine. To write an article on case registers which concentrated on information technology would be as logical as an article on open heart surgery which confined itself to the finer points of scalpel technology. The creation of a case register is as simple or as complicated as the clinician wishes it to be; a case register at its purest is simply a list of contacts with patients, organised to a predetermined format, which allows the clinician to gain information from the list for education, research, planning or administration. The work needed to establish a case register, however, should not be underestimated, and the time spent in thinking through reasons for development of a register is a worthwhile investment. An understanding of the history of the development of psychiatric case registers may help those wishing to develop new registers to avoid treading well worn cul-de-sacs, while reviewing some of the work which has resulted from case registers may demonstrate the enormous potential of a well-designed register in facilitating the extension of knowledge about treatment and provision of services.

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Changes in referral rates following community psychiatric nurse attachment to a primary care team

Cited by 5 publications

References 4 publications

The value of community mental health nurses based in primary care teams: ‘switching the light on in a cellar’

The value of community mental health nurses based in primary care teams: ‘switching the light on in a cellar’

General practitioners’ perceptions of community psychiatric nurses in primary care

Setting up a psychiatric case register

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