Facilitating access to voluntary and community services for patients with psychosocial problems: a before-after evaluation
2008

Helping Patients with Psychosocial Problems Access Community Services

Sample size: 108 publication Evidence: moderate

Author Information

Author(s): Justin Grayer, John Cape, Lisa Orpwood, Judy Leibowitz, Marta Buszewicz

Primary Institution: Centre for Outcomes Research and Effectiveness (CORE), University College London

Hypothesis

Can graduate primary care mental health workers effectively facilitate access to community services for patients with psychosocial problems?

Conclusion

Graduates with limited training in mental health can help patients with psychosocial problems access voluntary and community services, which patients find valuable.

Supporting Evidence

  • 58% of patients contacted a community service suitable for their needs.
  • Patient satisfaction scores indicated moderate satisfaction with the service.
  • Reduction in probable mental health problems from 83% to 52%.

Takeaway

This study shows that recent graduates can help people with mental health issues find community support, and most patients liked the help they received.

Methodology

A before-after design was used, evaluating patient satisfaction and mental health outcomes after referrals to a GPCMHW.

Potential Biases

Patients who consented were more likely to speak English as a first language, which may introduce bias.

Limitations

The study may not be representative as practices volunteered, and not all patients consented or completed follow-up.

Participant Demographics

{"age_mean":43.14,"gender_distribution":{"male":38,"female":62},"ethnicity_distribution":{"white":67,"other":33},"first_language_distribution":{"english":81.6,"other":18.4},"work_status_distribution":{"employed":26.2,"unemployed":73.8}}

Statistical Information

P-Value

0.014

Confidence Interval

95% CI, 17% – 44%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2296-9-27

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