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Attaching community psychiatric nurses to general practice

P Harker, H Leopoldt, J R Robinson

    The Journal of the Royal College of General Practitioners
    |September 1, 1976
    PubMed
    Summary
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    Attaching community psychiatric nurses to general practice improves patient care by providing timely psychiatric support. This model demonstrates one nurse can effectively serve approximately 18,000 people.

    Area of Science:

    • Psychiatry
    • Primary Health Care
    • Community Nursing

    Background:

    • Hospital-based psychiatric services often face accessibility challenges.
    • Integration of mental health support into primary care is crucial for early intervention.
    • General practices can benefit from specialized psychiatric expertise.

    Purpose of the Study:

    • To describe a model for attaching community psychiatric nurses to general practice.
    • To evaluate the effectiveness of this integration in Oxford.
    • To explore the impact on patient care and healthcare team dynamics.

    Main Methods:

    • A scheme involving the attachment of psychiatric nurses from a hospital setting to group general practices was implemented.
    • One community psychiatric nurse was assigned to support eight general practitioners.

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  • The nurse covered a population of approximately 18,000 individuals.
  • A working year was analyzed to assess the outcomes.

    • Main Results:

    • The attachment scheme proved satisfactory, with one community psychiatric nurse effectively supporting a large general practice population.
    • Patient care in the community was significantly improved.
    • Psychiatric help became available at times previously inaccessible or unacceptable to patients.

    Conclusions:

    • The integration of community psychiatric nurses into primary health care teams enhances patient access to mental health services.
    • This model positively impacts the primary health care team and hospital psychiatric services.
    • Further research comparing practices with and without attached community psychiatric nurses is recommended.