The clinical evaluation of a new community psychiatric service based on general practice psychiatric clinics.
A new community psychiatric service in Nottingham based on general practice clinics was compared with a conventional hospital-orientated model. Despite providing treatment for an inner-city population of significantly greater social disadvantage, the community service was associated with similar levels of symptom morbidity as assessed by the CRPS and the SFS. It also involved greater use of day-hospital facilities, more extensive multidisciplinary care, and a commitment to longer-term follow-up of chronically ill patients. Such a model is offered as a basis for future developments of urban community psychiatric services.
Ferguson
B
B
Clinical Research Department, Mapperley Hospital, Nottingham.
Cooper
S
S
Brothwell
J
J
Markantonakis
A
A
Tyrer
P
P
D000293:Adolescent; D000328:Adult; D003156:Community Mental Health Services / Q000639:trends*; D003158:Community Psychiatry / Q000639:trends*; D003258:Consumer Behavior; D003266:Continuity of Patient Care / Q000639:trends; D003631:Day Care, Medical / Q000639:trends; D004739:England; D005260:Female; D006297:Health Services Accessibility / Q000639:trends*; D006301:Health Services Needs and Demand / Q000639:trends; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D010348:Patient Care Team / Q000639:trends*; D012017:Referral and Consultation / Q000639:trends