Psychiatric Referrals in General Practice

Hull, John T.

doi:10.1001/archpsyc.1979.01780040048005

Cited by 12 publications

(5 citation statements)

References 2 publications

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“…Similar studies have shown that there is a long-standing difference of opinion among the nonpsychiatric doctors about the appropriateness of psychiatric referrals. 21 The doctors, during the in-depth interviews, were more concerned about the side-effects of psychotropics and the duration of treatment. Studies from Swedish primary care also reported similar findings of skepticism related to medications.…”

Section: Discussionmentioning

confidence: 99%

Mental-Illness-Related Stigma in Health Care in South India: Mixed-Methods Study

Munisami

Namasivayam²,

Annamalai³

2020

Indian Journal of Psychological Medicine

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Background: Stigma related to mental illness is a reality among health care providers. This study is an attempt to understand the attitudes of doctors from different specialties toward mental illness and the stigma related to it. Methods: We used a concurrent nested mixed-methods approach to understand and identify the various factors of mental-illness-related stigma in medical practitioners. Between November 2018 and March 2019, 100 medical practitioners from South India were administered a self-reporting OMS-HC (Opening Minds Scale for Health Care Providers), followed by in-depth interviews among 25 of the 100 participants selected using purposive sampling. Quantitative surveys were analyzed using SPSSv23. In-depth interviews were transcribed as extended notes, translated, and initially explored using focused coding and the constant comparative method. Results: Though findings from quantitative analysis show low to moderate stigma (Mean = 53.52, SD = 7.61), the qualitative study revealed unintended and covert negative attitude toward mental illness. Conclusion: As stigma occurs at various levels—structural, institutional, interpersonal, and personal—anti-stigma measures also need to be systematically designed. Qualitative studies give more insight regarding the nature of stigma in medical practitioners toward mental illness

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Section: Discussionmentioning

confidence: 99%

Mental-Illness-Related Stigma in Health Care in South India: Mixed-Methods Study

Munisami

Namasivayam²,

Annamalai³

2020

Indian Journal of Psychological Medicine

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“…Comments were not all negative however. It also seems positive to find that these reported referral and consultation practices and preferences are similar to those for psychiatric consultation (Fauman, 1983;Hull, 1979b;llfinett et al, 1979). This implies that psychologists are not seen as "lesser" professionals unable to handle given difficulties.…”

Section: Discussionmentioning

confidence: 99%

“…They indicate they are least likely to refer psychosomatic disorders and, oddly enough, although it appears as a fairly frequent reason for referral, show little preference to refer or consult for organic brain disorders (Fauman, 1983). Hull (1979b) also found physicians reporting few referrals for alcohol or addictive problems.…”

Section: Psychiatric Consultationmentioning

confidence: 97%

“…This will also be explored in a subsequent section. Overall, surveys find most physicians reporting they refer more severe or less common disorders or problems such as psychosis, suicide attempts, depression, and sexual dysfunctions (Fauman, 1983;Hull, 1979b;Winett, Majors, & Stewart, 1979). They indicate they are least likely to refer psychosomatic disorders and, oddly enough, although it appears as a fairly frequent reason for referral, show little preference to refer or consult for organic brain disorders (Fauman, 1983).…”

Section: Psychiatric Consultationmentioning

confidence: 99%

“…Orleans et al (1985) also found physicians reporting patient resistance to referral as a major obstacle to treatment of psychiatric disorders. Hull (1979b), however, in interviewing a group of physicians, found that the majority believed patients were less annoyed or frightened when a psychiatric referral is suggested and that the physician's own concern over the disadvantage to the patient or the reaction by the patient should not affect the choice to refer.…”

Section: Decision To Treatmentioning

confidence: 99%

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What do physicians want?: an examination of physician's use of psychological consultation and referral

Kalb

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This reproduction was made from a copy of a manuscript sent to us for publication and microfilming. While the most advanced technology has been used to pho tograph and reproduce this manuscript, the quality of the reproduction is heavily dependent upon the quality of the material submitted. Pages in any manuscript may have indistinct print. In all cases the best available copy has been filmed. The following explanation of techniques is provided to help clarify notations which may appear on this reproduction. 1. Manuscripts may not always be complete. When it is not possible to obtain missing pages, a note appears to indicate this.

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Primary Care Patients Who Refuse Specialized Mental Health Services

Olfson

1991

Arch Intern Med

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Psychiatric Referrals in General Practice

Cited by 12 publications

References 2 publications

Mental-Illness-Related Stigma in Health Care in South India: Mixed-Methods Study

Mental-Illness-Related Stigma in Health Care in South India: Mixed-Methods Study

What do physicians want?: an examination of physician's use of psychological consultation and referral

Primary Care Patients Who Refuse Specialized Mental Health Services

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