Facilitating access to voluntary and community services for patients with psychosocial problems: a before-after evaluation.
Facilitating access to voluntary and community services for patients with psychosocial problems: a before-after evaluation.
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DOI：
10.1186/1471-2296-9-27
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发表时间：
2008-05-07
影响因子：
2.9
通讯作者：
Buszewicz M
中科院分区：
文献类型：
--
作者：
Grayer J;Cape J;Orpwood L;Leibowitz J;Buszewicz M
有心理问题的患者可能会受益于各种社区，教育，娱乐和志愿部门的资源，但全科医生往往是指这些由于缺乏知识和时间。本研究评估了毕业生初级保健精神卫生工作者（GPCMHWs）的可接受性和有效性，促进获得自愿和社区部门的服务，为患者的心理问题。来自伦敦13个普通诊所的心理社会问题患者被转介到GPCMHW社区链接计划，该计划提供信息和支持，以获得自愿和社区资源。对患者满意度、心理健康和社会结果以及初级保健资源的使用进行了评价。108名患者同意参加研究。在三个月的随访中，63人（58%）与被确定为适合其需求的社区服务取得了联系。大多数人对GPCMHW在确定和支持获得适当服务方面提供的帮助表示满意。在GHQ-12上有可能的心理健康问题的患者数量从83%减少到52%（差异31%（95% CI，17% - 44%））。社会适应有所改善，初级保健咨询和精神药物处方的频率减少。毕业生在精神卫生方面的培训有限，而且事先不了解当地社区资源，可以帮助有心理问题的患者获得自愿和社区服务，患者重视这样的计划。有证据表明，在减少心理社会和精神健康问题方面取得了一些成效。
Patients with psychosocial problems may benefit from a variety of community, educational, recreational and voluntary sector resources, but GPs often under-refer to these through lack of knowledge and time. This study evaluated the acceptability and effectiveness of graduate primary care mental health workers (GPCMHWs) facilitating access to voluntary and community sector services for patients with psychosocial problems. Patients with psychosocial problems from 13 general practices in London were referred to a GPCMHW Community Link scheme providing information and support to access voluntary and community resources. Patient satisfaction, mental health and social outcomes, and use of primary care resources, were evaluated. 108 patients consented to take part in the study. At three-month follow-up, 63 (58%) had made contact with a community service identified as suitable for their needs. Most were satisfied with the help provided by the GPCMHW in identifying and supporting access to a suitable service. There was a reduction in the number of patients with a probable mental health problem on the GHQ-12 from 83% to 52% (difference 31% (95% CI, 17% – 44%). Social adjustment improved and frequencies of primary care consultations and of prescription of psychotropic medications were reduced. Graduates with limited training in mental health and no prior knowledge of local community resources can help patients with psychosocial problems access voluntary and community services, and patients value such a scheme. There was some evidence of effectiveness in reducing psychosocial and mental health problems.
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影响因子：
3.5
作者：
Faulkner, M
通讯作者：
Faulkner, M
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作者：
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通讯作者：
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