Psychiatry SHOs should consider psychological treatment for depression

Emerald - Tập 12 Số 3 - Trang 150-154 - 2007
MelissaWillis1, Lynette C.M.Low2, SagirParkar1, DavidCurtis1
1East London and City Mental Health Trust, Royal London Hospital, Whitechapel, London, UK
2Barts and The London School of Medicine and Dentistry, London, UK

Tóm tắt

PurposeTo determine the extent to which psychiatrists of different grades complied with published recommendations regarding referral for psychological treatment of patients suffering from depression.Design/methodology/approachClinic 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.FindingsThere 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 (p=0.008) more likely than other grades not to refer without giving a reason.Practical implicationsSHOs should be encouraged to consider psychological treatment for depression and to record their reasons when not making a referral for this.Originality/valueThis 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.

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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.

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Thông tin xuất bản

Emerald

Tập 12 Số 3

150-154

Thông tin tác giả