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Related Experiment Videos

Patient-held shared care records for individuals with mental illness. Randomised controlled evaluation.

J P Warner1, M King, R Blizard

  • 1Department of Old Age Psychiatry, Imperial College School of Medicine, St Charles Hospital, Exmoor St, London W10 6DZ, UK. j.warner@ic.ac.uk

The British Journal of Psychiatry : the Journal of Mental Science
|December 16, 2000
PubMed
Summary

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Patient-held shared care records did not improve mental state or service satisfaction for individuals with long-term mental illness. Uptake was low, especially for those with psychotic disorders.

Area of Science:

  • Psychiatry
  • Health Services Research
  • Mental Healthcare Delivery

Background:

  • Formalized shared care schemes in psychiatry are limited.
  • Evidence supporting shared psychiatric care is currently weak.

Purpose of the Study:

  • To assess the effectiveness of patient-held shared care records.
  • To evaluate their utility for individuals managing long-term mental illness.

Main Methods:

  • A 12-month, cluster-randomized controlled trial.
  • Included 90 patients with long-term mental illness from 28 general practices.
  • Employed a parallel-group design.

Main Results:

  • No significant impact on mental state or satisfaction with psychiatric services.

Related Experiment Videos

  • No increased likelihood of hospital admission or clinic attendance.
  • Low patient and professional uptake of the shared care scheme.
  • Individuals with psychotic illness were less likely to use records.

    • Conclusions:

    • Patient-held records may not be beneficial for patients with long-term mental illness.
    • Low uptake suggests challenges in implementation and patient engagement.