Abstract
The practice of out-patient psychiatry has undergone a number of significant developments in recent years: the number of patients referred by general practitioners has steadily increased: a large number of psychiatrists are now seeing patients in the primary care setting and more patients are being seen on one occasion only.
Highlights
The study was undertaken at Sighthill Health Centre which is situated in the South-West sector of Edinburgh (Edinburgh adult psychiatric service was sectorised into four catchment areas in 1975,with the South-West sector serving a population of approxi mately 116,000)
Psychiatrists work as part of a multidisciplinary team comprising two consultant psy chiatrists, one senior registrar, three senior house officers, 1.5 whole time equivalent social workers, two community psychiatric nurses, an occupational therapist and ward nursing staff
All patients referred by Sighthill Health Centre GPs, and seen at the health centre in the period 1 January 1987 to 30 June 1988, were identi fied
Summary
The practice of out-patient psychiatry has undergone a number of significant developments in recent years: the number of patients referred by general prac titioners has steadily increased: a large number of psychiatrists are seeing patients in the primary care setting and more patients are being seen on one occasion only. Many psychiatrists have adopted a model of work ing that involves greater interaction with the general practitioner (liaison attachment model) (Mitchell, 1983). Attempts to evaluate these changes have been few. We set out to audit the psychiatric work carried out at one health centre. We attempted to evaluate its impact on general practitioner workload and GP management of patients. We hoped to gain a measure of patient outcome from the use of GP casenotes
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