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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
Summary
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.
- 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.