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Observational Study
. 2016 Jul 18;6(7):e011579.
doi: 10.1136/bmjopen-2016-011579.

Consultations in general practices with and without mental health nurses: an observational study from 2010 to 2014

Tessa Magnée  1 , Derek P de Beurs  1 , Dinny H de Bakker  2 , Peter F Verhaak  3
Affiliations
Observational Study

Consultations in general practices with and without mental health nurses: an observational study from 2010 to 2014

Tessa Magnée et al. BMJ Open. .

Abstract

Objectives: To investigate care for patients with psychological or social problems provided by mental health nurses (MHNs), and by general practitioners (GPs) with and without MHNs.

Design: An observational study with consultations recorded by GPs and MHNs.

Setting: Data were routinely recorded in 161-338 Dutch general practices between 2010 and 2014.

Participants: All patients registered at participating general practices were included: 624 477 patients in 2010 to 1 392 187 patients in 2014.

Outcome measures: We used logistic and Poisson multilevel regression models to test whether GPs recorded more patients with at least one consultation for psychological or social problems and to analyse the number of consultations over a 5-year time period. We examined the additional effect of an MHN in a practice, and tested which patient characteristics predicted transferral from GPs to MHNs.

Results: Increasing numbers of patients with psychological or social problems visit general practices. Increasing numbers of GPs collaborate with an MHN. GPs working in practices with an MHN record as many consultations per patient as GPs without an MHN, but they record slightly more patients with psychological or social problems (OR=1.05; 95% CI 1.02 to 1.08). MHNs most often treat adult female patients with common psychological symptoms such as depressive feelings.

Conclusions: MHNs do not seem to replace GP care, but mainly provide additional long consultations. Future research should study to what extent collaboration with an MHN prevents patients from needing specialised mental healthcare.

Keywords: HEALTH SERVICES ADMINISTRATION & MANAGEMENT; MENTAL HEALTH; PRIMARY CARE; PSYCHIATRY.

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Figures

Figure 1
Figure 1
Numbers of patients with at least one consultation for psychological or social problems at Dutch GPs and MHNs per 1000 registered patients between 2010 and 2014 (crude rates). GP, general practitioner; MHN, mental health nurse.
Figure 2
Figure 2
Mean number of consultations per patient with psychological or social problems seen by Dutch GPs and MHNs between 2010 and 2014 (crude rates). GP, general practitioner; MHN, mental health nurse.
See this image and copyright information in PMC

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References

    1. World Health Organization (WHO). Integrating mental health into primary care: a global perspective. WHO Publishing, 2008. http://www.who.int/mental_health/resources/mentalhealth_PHC_2008.pdf (accessed 22 Dec 2015).
    1. Organisation for Economic Co-operation and Development (OECD). Focus on health: making mental health count. OECD Publishing, 2014. (cited 22 December 2015). http://www.oecd.org/els/health-systems/Focus-on-Health-Making-Mental-Hea...
    1. WHO. Mental health action plan 2013–2020. WHO Publishing, 2013. (cited 22 December 2015). http://www.who.int/mental_health/publications/action_plan/en/
    1. Verhaak PF, van de Lisdonk EH, Bor JH et al. . GPs’ referral to mental health care during the past 25 years. Br J Gen Pract 2000;50:307–8. - PMC - PubMed
    1. Verhaak PF, van Dijk CE, Nuijen J et al. . Mental health care as delivered by Dutch general practitioners between 2004 and 2008. Scand J Prim Health Care 2010;30:156–62. 10.3109/02813432.2012.688707 - DOI - PMC - PubMed

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