Abstract
Carol Garland is a community psychiatric nurse in Southwest London; Fiona Ross is Professor of Primary Care Nursing, Faculty of Health Care Sciences, St George's Hospital Medical School and Kingston University. Increasingly people with severe and enduring mental illness are cared for in the community. Around 25% of people with schizophrenia have no specialist contact with any mental health professional and are looked after entirely in general practice (King & Nazareth, 1996).
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