How does counselling in General Practice affect a Community Mental Health Team?

Hdl Handle:
http://hdl.handle.net/10142/90353
Title:
How does counselling in General Practice affect a Community Mental Health Team?
Authors:
Walton, M.I.
Abstract:
Rapid changes in community psychiatry have modified practices in both primary health care and community psychiatry. The majority of people with psychological and psychiatric distress will initially consult their GP. Some of these people could benefit from the ‘talking therapies’. The criteria used by GPs in deciding on the routes of referral for patients seeking, or perceived to need counselling was examined. Many studies have researched the process of counselling and evaluated outcomes. Little, however, has been examined in the area of GP referral patterns, showing ‘who’, ‘when’ and ‘where’ referrals for counselling are made. In this study, the projected counselling function of the CMHT members was examined. Comparison of the psychological problems seen by CMHT members and in-house practice counsellors was evaluated. It had been hypothesised that with the widespread increase of employment by GPs of in-house counsellors, the counselling role of CMHT members would become redundant. A CMHT in one locality, serving four primary health care practices was examined. Nine of these GPs were interviewed, together with all three of the practice counsellors and all three of the CPN members of the CMHT. Ten weekly referral allocation meetings held by the CMHT were followed. Some results were surprising, others expected. GP referral criteria was arbitrary and reasons such ask knowledge of the patient, patient insight, patient’s involvement with other agencies were internalised in most cases. A broad range of counselling problems were seen by all counsellors and there did appear to be some overlap, yet there were differences in cases seen by the two groups examined.
Issue Date:
1994
URI:
http://hdl.handle.net/10142/90353
Type:
Thesis
Language:
null
Appears in Collections:
UKCP Collection

Full metadata record

DC FieldValue Language
dc.contributor.authorWalton, M.I.en
dc.date.accessioned2010-01-22T10:46:32Z-
dc.date.available2010-01-22T10:46:32Z-
dc.date.issued1994-
dc.identifier.urihttp://hdl.handle.net/10142/90353-
dc.description.abstractRapid changes in community psychiatry have modified practices in both primary health care and community psychiatry. The majority of people with psychological and psychiatric distress will initially consult their GP. Some of these people could benefit from the ‘talking therapies’. The criteria used by GPs in deciding on the routes of referral for patients seeking, or perceived to need counselling was examined. Many studies have researched the process of counselling and evaluated outcomes. Little, however, has been examined in the area of GP referral patterns, showing ‘who’, ‘when’ and ‘where’ referrals for counselling are made. In this study, the projected counselling function of the CMHT members was examined. Comparison of the psychological problems seen by CMHT members and in-house practice counsellors was evaluated. It had been hypothesised that with the widespread increase of employment by GPs of in-house counsellors, the counselling role of CMHT members would become redundant. A CMHT in one locality, serving four primary health care practices was examined. Nine of these GPs were interviewed, together with all three of the practice counsellors and all three of the CPN members of the CMHT. Ten weekly referral allocation meetings held by the CMHT were followed. Some results were surprising, others expected. GP referral criteria was arbitrary and reasons such ask knowledge of the patient, patient insight, patient’s involvement with other agencies were internalised in most cases. A broad range of counselling problems were seen by all counsellors and there did appear to be some overlap, yet there were differences in cases seen by the two groups examined.en
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dc.description.provenanceApproved for entry into archive by Pat Simons(p.simons@roehampton.ac.uk) on 2010-01-22T10:46:32Z (GMT) No. of bitstreams: 0en
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dc.language.isonullen
dc.subjectCounsellingen
dc.subjectPsychotherapyen
dc.subjectGeneral Practiceen
dc.subjectCommunity Mental Healthen
dc.titleHow does counselling in General Practice affect a Community Mental Health Team?-
dc.typeThesisen
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