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Attitudes of general practitioners to the psychiatric services

Published online by Cambridge University Press:  13 June 2014

Liam Watters ,
Miriam Gannon  and
Denis Murphy
Liam Watters
Affiliation:
St. Patrick's Hospital, Dublin 8, Ireland
Miriam Gannon
Affiliation:
James Connolly Memorial Hospital, Blanchardstown, Dublin 15, Ireland
Denis Murphy
Affiliation:
St. Loman's Hospital, Palmerstown, Dublin 20, Ireland
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Structural abstract

Objective: General practitioners play a crucial role in the delivery of psychiatric treatment to patients who have many similarities to those attending the general psychiatric services. The purpose of this study was to elicit attitudes of general practitioners to an existing local service. Methods: We used an anonymous questionaire hand delivered to 54 general practitioners with practices in the catchment area of one of Dublin's psychiatric hospitals. Results: We received responses from 40 of the GP's indicating a high level of psychiatric morbidity in the primary care setting, a moderate level of satisfaction with psychiatric service, a low level of knowledge of the catchment area system, limited interest in taking on an increased role in the care of psychiatric patients and a high popularity rating for the community psychiatric nurse. Conclusions: This study confirms previous estimates of psychiatric morbidity in general practice, a need for improved communication between psychiatrists and general practitioners to identify more realistic expectations on both sides of the equation, and a huge potential for the expanding community psychiatric services to improve liaison between general practitioners and psychiatrists and yield considerable patient and doctor gains.

Keywords

AttitudesGeneral practitionersPsychiatric services.
Type
Practice Reviews
Information
Irish Journal of Psychological Medicine , Volume 11 , Issue 1 , March 1994 , pp. 44 - 46
Copyright
Copyright © Cambridge University Press 1994

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References

1.The psychiatric service – planning for the future: report of a study group on the development of the psychiatric services. Dublin: Stationery Office, 1984.Google Scholar
2.Shepherd, M, Cooper, B, Brown, AC, Kalton, GK. Psychiatric illness in general practice. London: Oxford University Press, 1966.Google Scholar
3.Kaesar, A, Cooper, B. The psychiatric patient, the general practitioner and the out patient clinic: an operational study and a review. Psychol Med 1971; 1: 312–25.CrossRefGoogle Scholar
4.Goldberg, D, Huxley, P. Common mental disorders: a bio social model. London: Routledge, 1991.Google Scholar
5.Goldberg, RL, Haas, MR, Eaton, JS, Grubbes, JH. Psychiatry and the primary care physician. JAMA 1976; 236: 944–5.CrossRefGoogle ScholarPubMed
6.Henderson, S. Social relationships, adversity and neurosis: an analysis of prospective observations. Br J Psychiatry 1981; 138: 391–8.CrossRefGoogle ScholarPubMed
7.Dilling, H, Wegener, S. Prevalance of mental disorders in the smalltown – rural region: Fraunstein (Upper Bavaria). Acta Psychiatr Scand 1984; 69: 60–79.CrossRefGoogle Scholar
8.Fahy, TJ. Pathways of specialist referral of depressed patients from general practice. Br J Psychiatry 1974; 124: 231–9.CrossRefGoogle ScholarPubMed
9.Fahy, TJ. Depression in hospital and general practice: a direct clinical comparison. Br J Psychiatry 1974; 124: 240–2.CrossRefGoogle ScholarPubMed
10.Horder, J. Working with general practitioners. Br J Psychiatry 1988; 153: 513–20.CrossRefGoogle ScholarPubMed
11.Mowbray, RM, Blair, W, Jubb, LG, Clarke, A. The general practitioner's attitude to psychiatry. Scott Med J 1961; 6: 314–21.CrossRefGoogle ScholarPubMed
12.Rawnsley, K, Loudon, JB. The attitudes of general practitioners to psychiatry. In: Sociological Review, Monograph No 5. Liverpool: University of Keele, 1961.Google Scholar
13.Goldberg, D, Blackwell, B. Psychiatric illness in general practice: a detailed study using a new method of case identification. BMJ 1970; 2: 439–3.CrossRefGoogle Scholar
14.Johnstone, A, Goldberg, D. Psychiatric screening in general practice. Lancet 1976; 1: 605–8.CrossRefGoogle ScholarPubMed
15.Strathdee, G, Williams, P. A survey of psychiatrists in primary care: the silent growth of a new service. J R Coll Gen Pract 1984; 34: 615–8.Google ScholarPubMed
16.Pullen, I, Yellowlees, A. Scottish psychiatrists in primary care settings. Br J Psychiatry 1989; 153: 663–6.CrossRefGoogle Scholar