Psychiatry SHOs should consider psychological treatment for depression
Tóm tắt
To determine the extent to which psychiatrists of different grades complied with published recommendations regarding referral for psychological treatment of patients suffering from depression.
Clinic letters regarding patients with depression were audited to see whether patients were referred for psychological treatment and, if not, whether a reason was recorded. The results were presented and the audit repeated.
There was little difference in the results of the two audits. Overall, 51 per cent of depressed patients were referred for psychological treatment and 26 per cent were not referred without a reason being given. SHOs were significantly (
SHOs should be encouraged to consider psychological treatment for depression and to record their reasons when not making a referral for this.
This audit has identified a probable reluctance of SHOs to consider referral for psychological treatment and hence suggests that this issue should be specifically addressed as a supervision and training issue.
Từ khóa
Tài liệu tham khảo
Crossan, I., Curtis, D. and Ong, Y‐L. (2004), “An audit of psychiatric discharge summaries: completing the cycle”, Psychiat Bull, Vol. 28, pp. 329‐31.
DoH (2001), “Treatment choice in psychological therapies and counselling: evidence based clinical practice guideline”, available at: www.doh.gov.uk/mentalhealth/treatmentguideline.
NICE (2003), “Depression: the management of depression in primary and secondary care. Second consultation”, available at: www.nice.org.uk/pdf/Depression_NICEguideline_2ndconsultation.pdf.
NICE (2004), “Depression: management of depression in primary and secondary care – NICE guidance”, available at: www.nice.org.uk/pdf/cg023fullguideline.pdf.
Thomson O'Brien, M.A., Oxman, A.D., Davis, D.A., Haynes, R.B., Freemantle, N. and Harvey, E.L. (2000a), “Audit and feedback: effects on professional practice and health care outcomes”, Cochrane Database of Systematic Reviews, CD000259.
Thomson O'Brien, M.A., Oxman, A.D., Davis, D.A., Haynes, R.B., Freemantle, N. and Harvey, E.L. (2000b), “Audit and feedback versus alternative strategies: effects on professional practice and health care outcomes”, Cochrane Database of Systematic Reviews, CD000260.