Abstract
A survey of people with schizophrenia in an inner-city general practice was undertaken to identify levels of social disability, service receipt and patterns of care received. Contacts with general practitioners, psychiatrists, community psychiatric nurses and social workers were quantified, and the nature of the contacts assessed. Overall social disability for the group was marked (mean Health of the Nation Outcome Scales (HoNOS) rating 55.5). There was a correlation coefficient of +0.899 between the numbers of agencies involved and the overall HoNOS scores suggesting appropriate targeting of care. While there were few differences in the HoNOS ratings of the various contact subsets, there were significant differences in the extent of agencies contact with patients, the greatest number of contacts being in general practice. Limited information sharing, the absence of a formal shared care plan and sectorisation of services are thought to obstruct more effective general practice involvement in care.
Highlights
A survey of people with schizophrenia in an inner-city general practice was undertaken to identify levels of social disability, service receipt and patterns of care received
The practice area is in four different social service localities and the practice has contact with six community psychiatric nurses (CPNs)
The data for service receipt and patterns of care relates to the whole group of 43 patients; 42 patients were recruited for the Health of the Nation Outcome Scales (HoNOS) interviews
Summary
A survey of people with schizophrenia in an inner-city general practice was undertaken to identify levels of social disability, service receipt and patterns of care received. There was a correlation co efficient of +0.899 between the numbers of agencies involved and the overall HoNOS scores suggesting appropriate targeting of care. While there were few differences in the HoNOS ratings of the various contact subsets, there were significant differences in the extent of agencies contact with patients, the greatest number of contacts being in general practice. The practice area is in four different social service localities and the practice has contact with six community psychiatric nurses (CPNs). Responsible for a population of 40 000, had three full-time CPNs, supplemented by a home nursing team which had a limited ability to provide more intensive short-term support for a small number of patients. Psychiatric admissions are generally to the Riverside Mental Health Trust
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