A trial of problem-solving by community mental health nurses for anxiety, depression and life difficulties among general practice patients: the CPN-GP study1)

2007 ◽  
Vol 5 (4) ◽  
pp. 94-96
Author(s):  
Berry Middel
Keyword(s):  
Mental Health ◽  
General Practice ◽  
Problem Solving ◽  
Community Mental Health ◽  
Mental Health Nurses ◽  
Community Mental Health Nurses ◽  
Anxiety Depression

scholarly journals Cost-effectiveness of referral for generic care or problem-solving treatment from community mental health nurses, compared with usual general practitioner care for common mental disorders

2006 ◽  
Vol 189 (1) ◽  
pp. 50-59 ◽  
Author(s):  
Tony Kendrick ◽  
Lucy Simons ◽  
Laurence Mynors-Wallis ◽  
Alastair Gray ◽  
Judith Lathlean ◽  
...  
Keyword(s):  
Mental Health ◽  
Cost Effectiveness ◽  
Problem Solving ◽  
Community Mental Health ◽  
Mental Disorders ◽  
Common Mental Disorders ◽  
Mental Health Nurses ◽  
Nurse Care ◽  
Gp Care ◽  
Community Mental Health Nurses

BackgroundUK general practitioners (GPs) refer patients with common mental disorders to community mental health nurses.AimsTo determine the effectiveness and cost-effectiveness of this practice.MethodRandomised trial with three arms: usual GP care, generic mental health nurse care, and care from nurses trained in problem-solving treatment; 98 GPs in 62 practices referred 247 adult patients with new episodes of anxiety, depression and life difficulties, to 37 nurses.ResultsThere were 212 (86%) and 190 (77%) patients followed up at 8 and 26 weeks respectively. No significant differences between groups were found in effectiveness at either point. Mean differences in Clinical Interview Schedule – Revised scores at 26 weeks compared with GP care were –1.4 (95% Cl –5.5 to 2.8) for generic nurse care, and 1.1 (–2.9 to 5.1) for nurse problem-solving. Satisfaction was significantly higher in both nurse-treated groups. Mean extra costs per patient were £283 (95% Cl 154–411) for generic nurse care, and £315 (183–481) for nurse problem-solving treatment.ConclusionsGPs should not refer unselected patients with common mental disorders to specialist nurses. Problem-solving should be reserved for patients who have not responded to initial GP care.

Measuring the workload of community mental health nurses: A review of the literature

2008 ◽  
Vol 29 (1) ◽  
pp. 32-42 ◽  
Author(s):  
Julie Henderson ◽  
Eileen Willis ◽  
Bonnie Walter ◽  
Luisa Toffoli
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Review Of The Literature ◽  
Mental Health Nurses ◽  
Community Mental Health Nurses

Clinical supervision and burnout: the influence of clinical supervision for community mental health nurses

2006 ◽  
Vol 15 (8) ◽  
pp. 1007-1015 ◽  
Author(s):  
Deborah Edwards ◽  
Philip Burnard ◽  
Ben Hannigan ◽  
Linda Cooper ◽  
John Adams ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Clinical Supervision ◽  
Mental Health Nurses ◽  
Community Mental Health Nurses
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