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Research Article

The evaluation of a mental health facilitator in general practice: effects on recognition, management, and outcome of mental illness.

K Bashir, B Blizard, A Bosanquet, N Bosanquet, A Mann and R Jenkins
British Journal of General Practice 2000; 50 (457): 626-629.
K Bashir
University Department of Psychiatry, Royal Free Hospital School of Medicine, London.
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B Blizard
University Department of Psychiatry, Royal Free Hospital School of Medicine, London.
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A Bosanquet
University Department of Psychiatry, Royal Free Hospital School of Medicine, London.
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N Bosanquet
University Department of Psychiatry, Royal Free Hospital School of Medicine, London.
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A Mann
University Department of Psychiatry, Royal Free Hospital School of Medicine, London.
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R Jenkins
University Department of Psychiatry, Royal Free Hospital School of Medicine, London.
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Abstract

BACKGROUND: Facilitation uses personal contact between the facilitator and the professional to encourage good practice and better service organisation. The model has been applied to physical illness but not to psychiatric disorders. AIM: To determine if a non-specialist facilitator can improve the recognition, management, and outcome of psychiatric illness presenting to general practitioners (GPs). METHOD: Six practices were visited over an 18-month period by a facilitator whose activities included providing guidelines and organising training initiatives. Six other practices acted as controls. Recognition (identification index of family doctors), management (psychotropic prescribing, psychological consultations with the GP, specialist mental health treatment, and the use of medical interventions and investigations), and patient outcome at four months were assessed before and after intervention. RESULTS: The mean identification index of facilitator GPs rose from 0.51 to 0.64 following intervention, while that of the control GPs fell from 0.67 to 0.59 (P = 0.046). The facilitator had no detectable effect on management or patient outcome. CONCLUSIONS: The facilitator improved recognition of psychiatric illness by GPs. Generic facilitators can be trained to take on a mental health role; however, the failure to achieve more fundamental changes in treatment and outcome implies that facilitator intervention requires development.

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British Journal of General Practice: 50 (457)
British Journal of General Practice
Vol. 50, Issue 457
August 2000
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The evaluation of a mental health facilitator in general practice: effects on recognition, management, and outcome of mental illness.
K Bashir, B Blizard, A Bosanquet, N Bosanquet, A Mann, R Jenkins
British Journal of General Practice 2000; 50 (457): 626-629.

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The evaluation of a mental health facilitator in general practice: effects on recognition, management, and outcome of mental illness.
K Bashir, B Blizard, A Bosanquet, N Bosanquet, A Mann, R Jenkins
British Journal of General Practice 2000; 50 (457): 626-629.
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  • Exploratory cluster randomised controlled trial of shared care development for long-term mental illness.
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Print ISSN: 0960-1643
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