Randomised controlled trial of teaching general practitioners to carry out structured assessments of their long term mentally ill patients.
To assess the impact of teaching general practitioners to carry out structured assessments of their long term mentally ill patients.
Design-Randomised controlled trial
Setting-Sixteen group general practices in South Thames (west) region.
Subjects-440 adults disabled by long term mental illness.
Interventions-Patients were identified by using practice data with help from local psychiatric and social services.
In eight practices the practitioners were taught a structured assessment schedule to use with patients every six months for two years.
Main outcome measures-Changes in drug treatments, referrals, consultation rates, and recording of preventive health data in the two years after intervention.
Follow up data were available on 373 patients (84.7%). At least one structured assessment was recorded for 127 patients in the intervention group but only 29 had four assessments recorded.
Conclusions-Teaching general practitioners about the problems of long term mentally ill patients may increase their involvement in patients'psychiatric care.
Regular structured assessments do not seem feasible in routine surgery appointments.
More training fo.
Mots-clés Pascal : Enseignement professionnel, Médecin généraliste, Trouble psychiatrique, Randomisation, Essai clinique, Echelle évaluation, Surveillance, Homme
Mots-clés Pascal anglais : Occupational education, General practitioner, Mental disorder, Randomization, Clinical trial, Evaluation scale, Surveillance, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0402005
Code Inist : 002B30A09. Création : 01/03/1996.