Selective access: prioritizing referrals at the primary care/community mental health team interface |
| |
| Affiliation: | 1. School of Nursing, Midwifery & Health Visiting, University of Manchester;2. Psychology, MHSS NHS Trust, Manchester, UK;1. State Key Laboratory of Organic-Inorganic Composites, Beijing University of Chemical Technology, Beijing 100029, PR China;2. Research Center of the Ministry of Education for High Gravity Engineering and Technology, Beijing University of Chemical Technology, Beijing, 100029, PR China;3. College of Resources and Environment, University of the Chinese Academy of Sciences, Beijing 100049, PR China;1. Department of Chemistry, Indian Institute of Technology Kharagpur, Kharagpur 721302, India;2. Department of Chemistry, Panskura Banamali College, Panskura R.S. 721152, India;1. The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China;2. Centre for Evidence-Based Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, China;3. Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, Division of Dentistry, School of Medicine Sciences, University of Manchester, Manchester, UK;4. Department of Oral Medicine, School and Hospital of Stomatology, Wuhan University, Wuhan, China;1. Department of Psychiatry, Queens University, Kingston, Ontario, Canada;2. Department of Psychiatry, Sir Ganga Ram Hospital, Lahore, Pakistan;3. Department of Psychiatry and Behavioural Sciences, Peshawar Medical College, Peshawar, Pakistan;4. Department of Psychiatry, Queens University, Kingston, Ontario, Canada;5. Department of Psychiatry and Behavioural Sciences, Mayo Hospital, Lahore, Pakistan;6. Department of Psychiatry, Services Hospital, Lahore, Pakistan;7. Pakistan Association of Cognitive Therapists, Pakistan;8. Department of Psychiatry, PGMI Lady Reading Hospital Peshawar, Pakistan;9. Staffordshire University, UK;10. Institute of Brain, Behaviour and Mental Health, University of Manchester, UK;11. Department of Developmental Disabilities, Queens University, Kingston, Ontario, Canada;1. King''s College London, Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, London, UK;2. South London and Maudsley NHS Foundation Trust, London, UK;3. University College London, Department of Clinical, Educational and Health Psychology, London, UK;4. King''s College London, Department of Biostatistics, Institute of Psychiatry, Psychology & Neuroscience, London, UK;5. University of Durham, Durham, UK;6. Tees, Esk, and Wear Valley NHS Mental Health Foundation Trust, County Durham, UK |
| |
| Abstract: | Objective: To examine how community psychiatric nurses (CPNs) in a nurse-led system for dealing with referrals to community mental health teams (CMHTs) from primary care prioritized referrals.Design: A retrospective survey of patients’ assessment records.Setting: Four CMHTs in Salford which provide specialist mental health care for the adult population (16–65 age group).Participants: A cohort of 874 patients referred by GPs and seen by CPNs for initial assessment.Measures: Referral outcome, demographic characteristics, general ICD-10 diagnosis and the Health of the Nation Outcome Scales.Results: Access to support appeared to be restricted to patients with diagnosable disorders, as opposed to sub-threshold problems of living. Three main factors were identified which explained how patients were prioritized: diagnosis; previous history; and the severity of their presenting problems.Conclusion: The findings suggested that providing a single gateway to the CMHT may help to clarify the referral process and help to manage the demand for care at the primary care/CMHT interface. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
