Systematic review of the effect of on-site mental health professionals on the clinical behaviour of general practitioners
Open accessAbstract
OBJECTIVES: To review the published literature concerning the effects of on-site mental health professionals on general practitioners' management of mental health. DESIGN: Systematic review of controlled trials. SETTING: Primary care. PARTICIPANTS: General practitioners and mental health professionals. MAIN OUTCOME MEASURES: Consultation rates, prescribing of psychotropics, and referrals to secondary care mental health services by general practitioners. RESULTS: The effect of on-site mental health professionals on consultation rates was inconsistent. Referral to a mental health professional reduced the likelihood of a patient receiving a prescription for psychotropics or being referred to secondary care, although the effects were not consistent. An on-site mental health professional did not alter prescribing and referral behaviour towards patients in the wider practice population. CONCLUSIONS: The secondary effects of mental health professionals on the clinical behaviour of general practitioners are comparatively modest and inconsistent and seem to be restricted to patients directly under the care of the mental health professional.
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A Cochrane systematic review has confirmed the need for greater collaboration between primary care sector and specialist mental healthcare services to improve the effectiveness of early intervention in mental health.
“a Cochrane systematic review has confirmed the need for greater collaboration between primary care sector and specialist mental healthcare services [100]”
From Prevention and early intervention in youth mental health: is it time for a multidisciplinary and trans-diagnostic model for care? (2020) · cites this paper as [100]
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- Authors
- Bower, P.
- Affiliations
- University of Manchester (GB)
- Corresponding author
- Bower, P.
- ORCID
- Bower, P.
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2000-03-04
- Volume
- 320
- Issue
- 7235
- Pages
- 614-617
- ISSN
- 0959-8138 (ISSN-L)
- PMC
- PMC27305
- OpenAlex
- W2027526049
- Cited by
- 56
- References
- 29
- Citations by year
- 2024: 1 · 2020: 2 · 2018: 1 · 2016: 2 · 2015: 1 · 2014: 4 · 2013: 1 · 2012: 3
- FWCI
- 1.90
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- BMJ (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- general practitioners, primary care mental health services, psychotropic prescribing, secondary care referral, consultation rates, clinical behavior
- MeSH terms
- Community Mental Health Services, Health Personnel, Humans, Physicians, Family, Professional Practice
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