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Psychotherapy and general practice.

L Gask¹, G McGrath

¹Department of Psychiatry, University Hospital of South Manchester.

The British Journal of Psychiatry : the Journal of Mental Science

|April 1, 1989

Summary

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This review suggests a skill-sharing model for liaison psychotherapy in general practice is more effective than consultation. Psychiatrists should train general practitioners in basic psychotherapy skills.

Area of Science:

Psychiatry
General Practice
Psychotherapy

Background:

Liaison psychotherapy models in general practice have evolved.
Existing models include consultation and skill-sharing approaches.
The efficiency of different models requires further examination.

Purpose of the Study:

To review the development of liaison psychotherapy in general practice.
To advocate for the skill-sharing model as a more efficient approach.
To highlight the role of specialist training in enhancing general practitioner skills.

Main Methods:

Literature review of liaison psychotherapy models.
Comparative analysis of 'skill-sharing' versus 'consultation' approaches.
Emphasis on the need for direct involvement of psychiatrists and psychotherapists.

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Main Results:

The 'skill-sharing' model, where general practitioners maintain the treatment role, is deemed more efficient.
Skill-sharing models offer a potentially more effective integration of psychotherapy into primary care.
Direct teaching of basic psychotherapeutic skills by specialists is crucial.

Conclusions:

The skill-sharing model represents a more efficient approach to liaison psychotherapy in general practice.
Enhanced training and direct involvement of mental health specialists are necessary.
Integrating psychotherapy skills into general practice can improve patient care.