A qualitative study of referral to community mental health teams in the UK: exploring the rhetoric and the reality
2007

Referral to Community Mental Health Teams in the UK

Sample size: 35 publication Evidence: moderate

Author Information

Author(s): Chew-Graham Carolyn, Slade Mike, Montana Carolyn, Stewart Mairi, Gask Linda

Primary Institution: University of Manchester

Hypothesis

What are the perspectives of referrers and CMHTs on the referral process?

Conclusion

CMHTs struggle with variable GP expertise and flexible interpretation of referral criteria.

Supporting Evidence

  • CMHTs describe struggling to deal with GPs who are perceived as having variable expertise.
  • Referral criteria are interpreted flexibly by CMHT managers and psychiatrists.
  • GPs expressed confusion over the criteria for referring patients to CMHTs.

Takeaway

This study looks at how doctors decide who gets help from mental health teams and how that process can be confusing.

Methodology

Qualitative study with interviews and recordings of referral allocation meetings.

Potential Biases

Potential bias in decision-making based on prior knowledge of GPs and their referral history.

Limitations

Non-consent from many CMHT members limited data usefulness; small number of psychiatrists interviewed.

Participant Demographics

Participants included GPs, CMHT team leaders, and psychiatrists from diverse urban populations.

Digital Object Identifier (DOI)

10.1186/1472-6963-7-117

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