General psychiatry in no-man's land

Deahl, Martin; Turner, Trevor

doi:10.1192/bjp.171.1.6

Cited by 47 publications

(32 citation statements)

References 22 publications

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“…General adult psychiatrists report increasing case-loads (Mynors-Wallis, 2001) and plummeting morale (Deahl & Turner, 1997). The case-loads of consultants in community mental health teams (CMHTs) have been described recently as too large for responsible medical officers to exercise their statutory duties (Tyrer et al, 2001).…”

Section: Discussionmentioning

confidence: 99%

Service innovation: the first year of a brief psychiatric screening clinic in primary care

Hamilton¹,

Gordon

Naji

2002

Psychiatr. bull.

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AIMS AND METHODTo introduce a monthly screening clinic for new patients referred to the community mental health team with less severe mental health problems.RESULTSSixty patients were selected for screening in the first year. Their non-attendance rate of 48% was more than double the rate for all new patients. We did not diagnose severe mental illness in any patients on first assessment or during the 6 months of follow-up.CLINICAL IMPLICATIONSPatients referred from general practice with minor psychiatric morbidity may have particularly high rates of non-attendance. The brief screening clinic model offered us considerable savings in consulting time. The outcome for our service is shorter waiting times for patients with more severe mental health problems.

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Section: Discussionmentioning

confidence: 99%

Service innovation: the first year of a brief psychiatric screening clinic in primary care

Hamilton¹,

Gordon

Naji

2002

Psychiatr. bull.

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“…Three regions were chosen: (a) the West Midlands, which is one of the largest training regions; (b) South Wales, which is semi-rural and has been noted to have recruitment problems (Storer, 1996); (c) North-West Thames, covering London and representative of the problems of inner-city psychiatry (Deahl & Turner, 1997).…”

Section: The Studymentioning

confidence: 99%

“…A survey of psychiatrists who retired prematurely revealed significant dissatisfaction with current practice of psychiatry in the UK (Kendell & Pearce, 1997). Trainee morale has anecdotally been reported as low (Milton, 1998;Thompson, 1998), particularly in general psychiatry (Deahl & Turner, 1997), although for a significant number of trainees this is still a career choice (Davies & Schlich, 1999). To provide objective information about trainees' views on training and service conditions the Collegiate Trainees' Committee (CTC) surveyed trainees in three regions representative of the UK in 1998.…”

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confidence: 99%

Trainee views on active problems and issues in UK psychiatry

et al. 2000

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A questionnaire sent to trainees in three regions of the UK asked them which current issues they felt were most important in psychiatry. Comments were invited of ways to improve the UK practice of psychiatry. RESULTSTrainees from each of the regions were concerned about inadequate resourcing, public expectations, manpower and quality of training. Solutions to these problems were collated. CLINICAL IMPLICATIONSThe opinion of trainees reflects the recent initiatives undertaken by the Royal College of Psychiatrists to improve recruitment and retention. Consultants and trainees have similar concerns, which need to be addressed and monitored at a local and national level.

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“…Also, it is important to stress out that psychiatrists use themselves as tools in their work, and as such are more exposed to job related stressors like the gap between the knowledge they gained and the rapidly changing trends in the profession and the administrative and legal demands [7]. Deahl & Turner [8] tried to identify factors that make psychiatry such a vulnerable profession for burnout and have detected a few factors: violence and the fear of violence, limited resources, crowded inpatient wards and an increasing culture of blame creeping into the mental health services. Similar results were obtained among nurses indicating that stress related to staff issues (including poor staff management, resource inadequacy and security risks) is the most important in determining burnout and job satisfaction [9].…”

Section: Introductionmentioning

confidence: 99%

Burnout Syndrome in Mental Health Professionals: psychiatric hospital setting

Velimirović

Vranko

Ferić

et al. 2017

Alcoholism and psychiatry research

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-Burnout is frequently mentioned as a problem in the mental health field. As a type of prolonged response to chronic job-related stressors, has a special significance in health care where staff experience both psychological-emotional and physical stress. The aim of the paper was to determine the level of stress in professionals working in psychiatric hospital, as well as to explore possible differences in stress level regarding the different characteristic of participants as sex, level of education, marital status, working hours etc. The Burnout Clinical Subtypes Questionnaire was used. Study was conducted from July to December 2014, and from April to May 2015. The sample of 141 participants who work in mental health profession consists of 39.9% male and 68.1% female, average age of 38.98 years. Overall results show that participants have lower scores on all subscales. The results showed that there is moderate burnout experience in the sense that participants feel overload when they try to maximize their reward by taking on a volume and pace of work that become excessive. This questionnaire can be a very useful instrument for future evaluation and designing interventions and different treatment strategies for subtypes of burnout.

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General psychiatry in no-man's land

Cited by 47 publications

References 22 publications

Service innovation: the first year of a brief psychiatric screening clinic in primary care

Service innovation: the first year of a brief psychiatric screening clinic in primary care

Trainee views on active problems and issues in UK psychiatry

Burnout Syndrome in Mental Health Professionals: psychiatric hospital setting

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