Psychiatric social workers (PSWs) in a mainstream psychiatric hospital offered a service to a small number of clients referred by two local GPs, for 12 months.
Although the service was initially stylised as'counselling'a wider approach seemed likely to be needed for an inner-city clientele whose needs often exceed the usual remit of psychology, counselling, psychotherapy or community nursing.
As well as giving PSW students a novel training opportunity, the scheme aimed to establish which aspects of PSW practice GPs valued most, and what balance of practical versus interpersonal intervention was most helpful to clients.
GPs valued the comprehensiveness of the PSWs'assessments, particularly of mental state, personal history, and problem formulation.
Clients and GPs also valued the broad based nature of the interventions, which combined direct therapeutic work (support, advice, counselling, problem solving) with practical help (for finances, housing, social outlets, occupation, education).
Shared burden of care and open collaboration between GPs and PSWs were also features of the service.
Two substantial, general practice-based PSW services have subsequently been funded.
This innovation might act as a template for similar developments, nationally.
Mots-clés Pascal : Travail social, Psychiatre, Soin santé primaire, Pratique professionnelle, Conseil psychologique, Milieu urbain, Royaume Uni, Europe, Homme
Mots-clés Pascal anglais : Social work, Psychiatrist, Primary health care, Professional practice, Psychological counseling, Urban environment, United Kingdom, Europe, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0013871
Code Inist : 002B18H05B. Création : 17/04/1998.