Abstract
Epidemiological studies indicate that at any given time one-fifth of adults may be experiencing a mental disorder [1-5]. Most of these cases are mild, self-limiting disorders, and specialist help is rarely sought [6]. In countries with extensive family practice around 90% of psychiatric consultations and treatment are dealt with exclusively by the primary care services [4, 7-8]. In the US, where family practice is not universal the proportion of people with mental disorders who are treated by primary care providers is reduced to around 60% [6, 9-10]. The 10% of cases referred to specialist services include many suffering from the most severe forms of mental illness. However, referral to mental health specialists are not based exclusively on the severity of the disorder [8].
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Myers, J.K., Weissman, M.M., Tischler, G.L., et al. (1984) Six month prevalences of psychiatric disorders in three sites. Archives of General Psychiatry 41, 959–967.
Blazer, D., George, L.K., Landerman, R., et al. (1985) Psychiatric disorders. A rural/urban comparison. Archives of General Psychiatry 42, 651–656.
Burnam, M.A., Hough, R.L., Escobar, J.I., et al. (1987) Six month prevalence of specific psychiatric disorders among Mexican Americans and non-hispanic whites in Los Angeles. Archives of General Psychiatry 44, 687–694.
Dilling, H., Weyerer, S. (1984) Prevalence of mental disorders in the small town rural region of Traunstein [Upper Bavaria]. Acta Psychiatrica Scandinavica 69, 60–79.
Oakley-Browne, M., Joyce, P., Wells, J.E., et al. (1989) Christchurch psychiatric epidemiology study, Part II: six month and other period prevalences of specific psychiatric disorders. Australia & New Zealand Journal of Psychiatry 23, 327–340.
Kamerow, D.B., Pincus, H.A., MacDonald, D.I. (1986) Alcohol abuse, other drug abuse, and mental disorders in medical practice. Journal of the American Medical Association 255,:2054–2057.
Goldberg, D., Huxley, P. (1980) Mental Illness in the Community, Tavistock Press, London.
Shepherd, M., Cooper, B., Brown, A.C., et al. (1981) Psychiatric Illness in General Practice.Ox ford University Press, London.
Brown, B.S., Regier, D.A., Batter, M.B. (1979) Key interactions among psychiatric disorders, primary care, and the use of psychoactive drugs, in Brown, B.S. [ed.] Clinical Anxiety/Tension in Primary Medicine. Excerpta Medicine, Princeton.
Burns, B.J., Burke, J.D. (1985) Improving mental health practices in primary care: Findings from recent research. Public Health Reports 100, 294–300.
Crow, T.J., MacMillan, J.F., Johnson, A.L., et al. (1986) A randomised controlled trial of prophylactic neuroleptic treatment. British Journal of Psychiatry 148, 120–127.
Munk-Jorgensen, P. (1986) Decreasing first admission rates of schizophrenia among makes in Denmark from 1970 to 1984: changing diagnostic patterns? Acta Psychiatrica Scandinavica 76, 45–650.
Wyatt, R.J. (1991) Neuroleptics and the natural course of schizophrenia. Schizophrenia Bulletin 17, 325–351.
McGorry, P.D., Edwards, J., Mihalopoulos, C., Harrigan, S. & Jackson, H. [1996] EPPIC: An evolving system of early detection and optimal management. Schizophrenia Bulletin 22, 305–326.
Jones, K., Poletti, A. (1986) The Italian experience reconsidered. British Journal of Psychiatry 148, 144–150.
World Health Organization (1991) Evaluation of Methods for the Treatment of Mental Disorders, WHO technical report series #812, Geneva.
Falloon, I.R.H., Fadden, G. (1985) Integrated Mental Health Care, Cambridge University Press, Cambridge.
Wing, J.K., Cooper, J.E., Sartorius, N.(1974) The Measurement and Classification of Psychiatric Symptoms, Cambridge University Press, Cambridge.
Stein, L.I., Test, M.A. (1980) An alternative to mental hospital treatment: I. Conceptual model, treatment program, and clinical evaluation. Archives of General Psychiatry 37, 392–39.
Hogarty, G.E., Anderson, C.M., Reiss, D.J., et al. (1986) Family psycho-education, social skills training and maintenance chemotherapy in the aftercare treatment of schizophrenia. Archives of General Psychiatry 43, 636–642.
Falloon, I.R.H. (1985) Family Management of Schizophrenia, Johns Hopkins University Press, Baltimore.
Wallace, C.J., Liberman, R.P. (1985) Social skills training for patients with schizophrenia: a controlled clinical trial. Psychiatry Research 15, 239–247.
Tarrier, N., Barrowclough, C., Vaughn, C. (1988) The community management of schizophrenia: A controlled trial of a behavioural intervention with families to reduce relapse. British Journal of Psychiatry 153, 538.
Guy, W. (1976) E.C.D.E.U. Assessment Manual for Psychopharmacology. U.S. Department of Health, Education and Welfare. Washington D.C.
Rosser, R.M., Kind, P. (1978) A scale of valuations of states of illness: Is there a social consensus? International Journal of Epidemiology 7, 347–358.
Hamilton, M. (1960) A rating scale for depression. Journal of Neurology Neurosurgery & Psychiatry 23, 56–62.
Hamilton, M. (1959) The assessment of anxiety states by rating. British Journal of Medical Psychology, 32, 50–58.
Beck, A.T., Rush, A.J., Shaw, B.F. et al. (1979) Cognitive Therapy of Depression, Guilford Press, New York.
Folstein, M.F., Folstein, S.E. & McHugh, P.R. (1975 “Mini-Mental State”: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.
Leff, J., Kuipers, I.., Berkowitz, R., Eberlein-Vries, R., Sturgeon, D. (1982) A controlled trial of social interventions in the families of schizophrenic patients. British Journal of Psychiatry 141, 121–134.
Kane, J.M., Woerner, M., Sarentakos, S. (1986) Depot neuroleptics: a comparative review of standard intermediate and low-dose regimens. Journal of Clinical Psychiatry 47, 30–33.
Carpenter, W.T., Heinrichs, D.W. (1983) Early intervention, time-limited, targeted pharmacotherapy of schizophrenia. Schizophrenia Bulletin 9, 34–43.
Prien, R.F. (1985) Long-term maintenance pharmacotherapy in recurrent and chronic affective disorders, in M. Mirabi (ed.) The Chronically Mentally Ill: Research and Services, Spectrum, New York.
Hoult, J., Reynolds, I., Charbonneau-Powis, M., et al. (1983) Psychiatric hospital versus community treatment: Results of a randomised trial. Australian & New Zealand Journal of Psychiatry 17,160–167.
Miklowitz, D J., & Goldstein, M.J. (1997) Bipolar Disorder: A family focussed treatment approach. Guilford Press, New York.
Marks, I.M. (1987) Fears, Phobias and Rituals. Wiley, New York.
Bellack, A.S., Hersen, M., Himmelhoch, J.M. (1983) A comparison of social skills training, pharmacotherapy and psychotherapy for depression. Behaviour, Research & Therapy 21, 101–107.
Falloon, I.R.H., Magliano, L., Graham-Hole, V., Woodroffe, R.W. (1996) The stress of caring for disabled patients in a community rehabilitation service. Journal of Nervous and Mental Disease, 184, 381–384.
Falloon, I.R.H. & The Optimal Treatment Project Collaborators (1999) Optimal treatment for psychosis in an international multisite demonstration project. Psychiatric Services, 50
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2001 Springer Science+Business Media New York
About this chapter
Cite this chapter
Falloon, I.R.H. (2001). Early Detection and Intervention Through Integration With Primary Health Services: The Buckingham Project. In: Miller, T., Mednick, S.A., McGlashan, T.H., Libiger, J., Johannessen, J.O. (eds) Early Intervention in Psychotic Disorders. NATO Science Series, vol 91. Springer, Dordrecht. https://doi.org/10.1007/978-94-010-0892-1_6
Download citation
DOI: https://doi.org/10.1007/978-94-010-0892-1_6
Publisher Name: Springer, Dordrecht
Print ISBN: 978-0-7923-6750-5
Online ISBN: 978-94-010-0892-1
eBook Packages: Springer Book Archive