The University of Southampton
University of Southampton Institutional Repository

Randomised controlled trial of teaching general practitioners to carry out structured assessments of their long term mentally ill patients

Record type: Article

OBJECTIVE--To assess the impact of teaching general practitioners to carry out structured assessments of their long term mentally ill patients. DESIGN--Randomised controlled trial.
SETTING--Sixteen group general practices in South Thames (west) region.
SUBJECTS--440 adults disabled by long term mental illness.
INTERVENTIONS--Patients were identified by using practice data with help from local psychiatric and social services. In eight practices the practitioners were taught a structured assessment schedule to use with patients every six months for two years.
MAIN OUTCOME MEASURES--Changes in drug treatments, referrals, consultation rates, and recording of preventive health data in the two years after intervention.
RESULTS--Follow up data were available on 373 patients (84.7%). At least one structured assessment was recorded for 127 patients in the intervention group but only 29 had four assessments recorded. Participating practitioners considered the structured assessment to be time consuming and reported that it did not often lead directly to changes in treatment or referrals. Changes in treatment with neuroleptic drugs and referrals to community psychiatric nurses, however, were significantly more frequent in the intervention group (differences for intervention group minus control group adjusted for activity in two years before intervention were 14.3% (95% confidence interval 4.3% to 24.33%; P < 0.01) for neuroleptic drugs and 13.3% (2.0% to 24.6%; P < 0.05) for referrals). There were no significant differences in psychiatric admissions, use of the Mental Health Act, drug overdoses, prescriptions, referrals or admissions for physical problems, consultation rates, continuity of care, or recording of preventive data.
CONCLUSIONS--Teaching general practitioners about the problems of long term mentally ill patients may increase their involvement in patients' psychiatric care. Regular structured assessments do not seem feasible in routine surgery appointments. More training for general practitioners and increased resources such as more nurse time may be necessary if improvements in care of long term mentally ill patients in general practice are to be generalised.

Full text not available from this repository.

Citation

Kendrick, T., Burns, T. and Freeling, P. (1995) Randomised controlled trial of teaching general practitioners to carry out structured assessments of their long term mentally ill patients BMJ, 311, (6997), pp. 93-98.

More information

Published date: 1995
Keywords: education, psychiatric status rating scales, referrals, referral and consultation, community psychiatry, problems, female, referral, middle aged, mental disorders, physicians, attitude of health personnel, London, care, humans, community psychiatric nurse, practitioners, teaching, controlled-trial, general practice, research support, family practice, family, trial, long term mental illness, surgery, male, therapy, medical, health, psychology, England, mentally ill, time, services, drug treatment, activity, nurses, adults, statistics & numerical data, diagnosis, illness, research, follow-up studies, adult, mental illness, controlled trial, continuing, clinical-trial, patients, psychological, treatment, improvement, interview, community, general-practice, outcome

Identifiers

Local EPrints ID: 61853
URI: http://eprints.soton.ac.uk/id/eprint/61853
ISSN: 0959-8138
PURE UUID: 7b43a497-7f5f-4e11-9856-fe99a33c0400
ORCID for T. Kendrick: ORCID iD orcid.org/0000-0003-1618-9381

Catalogue record

Date deposited: 11 Sep 2008
Last modified: 17 Jul 2017 14:21

Export record

Contributors

Author: T. Kendrick ORCID iD
Author: T. Burns
Author: P. Freeling

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×