Objectives: The objectives of this study were: (i) to improve general practitioners' knowledge of the mental disorders they commonly treat, and to increase their confidence in managing people with these disorders; and (ii) to increase general practitioners' familiarity with the Logan-Beaudesert Mental Health Service.
Method: Eleven general practitioners met with psychiatrists from the Logan-Beaudesert Mental Health Service in six 2-hour sessions held at monthly intervals. Each session comprised a teaching component, a consumer interview and a case-conference. Outcomes were measured using an objective test of general practitioners' knowledge, a subjective test of their confidence in dealing with mental health problems, and satisfaction surveys for participating consumers, general practitioners and psychiatrists.
Results: On the objective test, the scores of 10 out of the 11 general practitioners improved (p < 0.05). On the subjective test, the ranked scores improved in nine out of the 11 cases (p < 0.05). Consumers, general practitioners and psychiatrists expressed their satisfaction with the format and content of the course.
Conclusions: Having improved the knowledge of a group of general practitioners who are familiar with the functioning of the Logan-Beaudeserl Mental Health Service, the stage is now set to proceed to the next step: the shared-care project.
BarrettJEBarrettJAOxmanTEGerberPDThe prevalence of psychiatric disorders in a primary care practice. Archives of General Psychiatry1988; 45:1100–1106.
2.
CarrVJDonovanP.Psychiatry in general practice: a pilot scheme using the liaison–attachment model. Medical Journal of Australia1992; 156:379–382.
3.
HorderJ.Working with general practitioners. British Journal of Psychiatry1988; 153:513–520.
4.
WellsKBStewartAHaysRDThe functioning and well-being of depressed patients: results from the medical outcomes study. Journal of the American Medical Association1989; 262:914–919.
5.
GoldbergDHuxleyP.Common mental disorders: a biosocial model. London: Tavistock Routledge, 1992.
6.
GoldbergDBlackwellB.Psychiatric practice in general practice: a detailed study using a new method of case identification. British Medical Journal1970; 2:439–443.
7.
McNamaraKLewisT.General practitioners’ recognition and management of psychiatric illness. Medical Journal of Australia1989; 151:250–257.
8.
PhongsarenPWardJEOldenburgBFGordonJJMental health care practices and educational needs of general practitioners. Medical Journal of Australia1995; 162:139–142.
9.
EisenbergL.Treating depression and anxiety in primary care: closing the gap between knowledge and practice. New England Journal of Medicine1992; 326:1080–1084.
10.
MitchellARKPsychiatrists in primary health care settings. British Journal of Psychiatry1985; 147:371–379.
11.
Victorian Drug Usage Advisory Committee.Psychotropic drug guidelines. 3rd ed.North Melbourne, Vic.: Victorian Medical Postgraduate Foundation, 1995.
12.
CoxJLHaldenJMSagovskyR.Detection of postnatal depression: development of the 10-item Edinburgh postnatal depression scale. British Journal of Psychiatry1987; 150:782–786.
13.
RadloffLSThe CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement1977; 1:385–401.
14.
RutzWvon KnorringLWalinderJ.Long-term effects of an educational program for general practitioners given by the Swedish committee for the prevention and treatment of depression. Acta Psychiatrica Scandanavica1992; 85:83–88.