2011
DOI: 10.1192/bjp.bp.109.075382
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Ways of working at the interface between primary and specialist mental healthcare

Abstract: Ways of working at the interface between primary and specialist care are considered with discussion of the limits of available evidence and the potential for a new role for psychiatrists in providing supervision and consultation in novel models of care.

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Cited by 29 publications
(27 citation statements)
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“…An alternative to the stepped care approach is matched care. In this approach, patient management and initial treatment allocation is tailored to the individual patient needs (Gask & Khanna, 2011; Ridgway & Williams, 2011; Van Straten, Tiemens, Hakkaart, Nolen, & Donker, 2006). Successful application of this approach may reduce the number of treatment steps needed to achieve and sustain an adequate treatment response, benefit the quality of life of patients, and increase the cost‐effective use of resources.…”
Section: Introductionmentioning
confidence: 99%
“…An alternative to the stepped care approach is matched care. In this approach, patient management and initial treatment allocation is tailored to the individual patient needs (Gask & Khanna, 2011; Ridgway & Williams, 2011; Van Straten, Tiemens, Hakkaart, Nolen, & Donker, 2006). Successful application of this approach may reduce the number of treatment steps needed to achieve and sustain an adequate treatment response, benefit the quality of life of patients, and increase the cost‐effective use of resources.…”
Section: Introductionmentioning
confidence: 99%
“…Taken together these findings suggest scope for improving collaboration between the primary and secondary care to better support the recovery of those with a history of SMI after discharge. Mental health outreach in primary care by psychiatric nurses, co-locating mental health and primary care services and other integrative/shared care models have begun to be explored (Gask & Khanna, 2011). In Lambeth, the ''Living Well Collaborative'' comprised of patients, mental health and primary care professionals, and other key stakeholders has been instigated to provide a synergistic approach to the commissioning and delivery of local services (England et al, 2013).…”
Section: Discussionmentioning
confidence: 98%
“…Involvement of consultants in local educational activities in addition to link-worker (mental health practitioner) visits to local surgeries would be desirable as these have been shown to be effective in improving the appropriateness of outpatient referral (Akbari et al 2008). This provides the opportunity for the psychiatrist to play a key role in developing the interface with primary care (Gask & Khanna, 2011). Postgraduate training of GPs in mental health has also been identified as a factor required for improving mental health care in primary care and referrals to psychiatric services (Copty & Whitford, 2005).…”
Section: Discussionmentioning
confidence: 99%