Hostname: page-component-76fb5796d-skm99 Total loading time: 0 Render date: 2024-04-27T14:50:10.577Z Has data issue: false hasContentIssue false

Management of people with schizophrenia in primary care

Published online by Cambridge University Press:  02 January 2018

Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

In 1961 Parkes and his colleagues followed 100 people with schizophrenia for a year after their discharge from hospitals in south London and found that the general practitioner (GP) was the professional most frequently in contact with people. Only 56% attended as psychiatric out-patients, most being seen fewer than five times in the year, while 70% were in regular contact with their GPs, and when problems developed it was usually the GP who was involved first (Parkes et al, 1962).

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 1998 

References

References

Allebeck, P. (1989) Schizophrenia: a life-shortening disease. Schizophrenia Bulletin, 15, 8189.Google Scholar
Boddington, J. (1992) Role of general practitioners in the care of long-term mentally ill patients (letter). British Journal of Psychiatry, 160, 568569.CrossRefGoogle Scholar
Burns, T. & Kendrick, T. (1997) The primary care of patients with schizophrenia. A search for good practice. British Journal of General Practice, 47, 515520.Google ScholarPubMed
Department of Health (1994) The Health of the Nation Key Area Handbook: Mental Illness (2nd edn). London: HMSO.Google Scholar
Hassall, C. & Stilwell, J. A. (1977) Family doctor support for patients on a psychiatric case register. Journal of the Royal College of General Practioners, 27, 605608.Google Scholar
Holloway, F. (1988) Prescribing for the long-term mentally ill. A study of treatment practices. British Journal of Psychiatry, 152, 511515.CrossRefGoogle ScholarPubMed
Jablensky, A. (1986) Epidemiology of schizophrenia: a European perspective. Schizophrenia Bulletin, 12, 5273.Google Scholar
King, M. B. (1992) Management of patients with schizophrenia in general practice. British Journal of General Practioners, 42, 310311.Google Scholar
Kendrick, T. (1993) Care of schizophrenia in general practice. British Journal of General Practioners, 43, 259260.Google Scholar
Kendrick, T. (1996) Cardiovascular and respiratory risk factors and symptoms among general practice patients with long-term mental illness. British Journal of Psychiatry, 169, 733739.Google Scholar
Kendrick, T., Sibbald, B., Burns, T. et al (1991) Role of general practitioners in care of long-term mentally ill patients. British Medical Journal, 302, 508510.Google Scholar
Kendrick, T., Burns, T., Sibbald, B. et al (1994) Provision of care to general practice patients with disabling long-term mental illness: a survey in 16 practices. British Journal of General Practioners, 44, 301305.Google Scholar
Kendrick, T., Burns, T. & Freeling, P. (1995) Randomised controlled trial of teaching general practitioners to carry out structured assessments of their long-term mentally ill patients. British Medical Journal, 311, 9398.Google Scholar
Melzer, D., Hale, A. S., Malik, S. J. et al (1991) Community care for patients with schizophrenia one year after hospital discharge. British Medical Journal, 303, 10231026.CrossRefGoogle ScholarPubMed
Nazareth, I., King, M., Haines, A. et al (1993a) Accuracy of diagnosis of psychosis on general practice computer system. British Medical Journal, 307, 3234.Google Scholar
Nazareth, I., King, M., Haines, A. et al (1993b) Care of schizophrenia in general practice. British Medical Journal, 307, 910.Google Scholar
Nazareth, I., King, M. & See Tai, S. (1996). Monitoring psychosis in general practice: a controlled trial. British Journal of Psychiatry, 169, 475482.Google Scholar
Parkes, C. M., Brown, G. W. & Monck, E. M. (1962) The general practitioner and the schizophrenic patient. British Medical Journal, i, 972976.Google Scholar
Royal College of General Practitioners Birmingham Research Unit (1978) Practice activity analysis 4: Psychotropic drugs. Journal of the Royal College of General Practioners, 28, 122124.Google Scholar
Styles, W. McN. (1991) Training experience of doctors certificated for general practice in 1985–90. British Journal of General Practioners, 41, 488491.Google Scholar

Further reading

Burns, T. (1996) Early detection of psychosis in primary care: initial treatment and crisis management. In The Prevention of Mental Illness in Primary Care (eds Kendrick, T., Tylee, A. & Freeling, P.) pp. 246262. Cambridge: Cambridge University Press.Google Scholar
Burns, T. & Kendrick, T. (1994) Schizophrenia. In Psychiatry and General Practice Today (eds. Pullen, I., Wilkinson, G., Wright, A. et al), pp. 194208. London: Royal College of Psychiatrists and Royal College of General Practitioners.Google Scholar
Jenkins, R. & Field, V. (eds) (1996) The Primary Care of Schizophrenia (2nd edn). London: HMSO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.