| Affiliation: | (1) Centre for Mental Health Studies, University of Newcastle and Hunter Area Health Service, Newcastle, Australia;(2) Centre for Mental Health Studies, University of Newcastle, Callaghan, N. S. W., 2308, Australia |
| Abstract: | Abstract. Background: Most general practitioners (GPs) are currently treating asmall number of patients with schizophrenia; however, little isknown about GPs experiences in this area. This paper examinesthe attitudes and roles of Australian GPs in the treatment ofschizophrenia and their relationships with specialistservices. Methods: A total of 192 GPs ratings of possible sources and formsof help for patients with schizophrenia were compared with theratings of 50 mental health services (MHS) staff and 129patients. Comparisons within the health professionals were alsomade in relation to diagnostic and treatment confidence,perceived roles, and typical problems encountered. Results: Perceived helpfulness ratings were reasonably consistentacross groups. However, patients tended to rank close familymembers as more helpful. GPs and MHS staff reportedcomplementary roles, with a shared responsibility for earlydetection and relapse prevention. Treatment compliance, andcommunication and accessibility to specialist agencies wereidentified as major problems. Conclusions: GPs fulfil a valuable role in the treatment ofschizophrenia, which could be enhanced through improvedtraining. Mental health services need to work more effectivelywith GPs in treating schizophrenia and acknowledge theircomplementary roles. |
