TY - JOUR KW - Adult KW - Attitude of Health Personnel KW - Australia KW - Community Mental Health Services/manpower/standards KW - Female KW - Humans KW - Male KW - Middle Aged KW - Physician's Role KW - Physician-Patient Relations KW - Physicians, Family/education/psychology/standards KW - Primary Health Care/methods/standards KW - Schizophrenia/epidemiology/therapy AU - V. J. Carr AU - T. J. Lewin AU - R. E. Barnard AU - J. M. Walton AU - J. L. Allen AU - P. M. Constable AU - J. L. Chapman A1 - AB - BACKGROUND: Most general practitioners (GPs) are currently treating a small number of patients with schizophrenia; however, little is known about GPs' experiences in this area. This paper examines the attitudes and roles of Australian GPs in the treatment of schizophrenia and their relationships with specialist services. METHODS: A total of 192 GPs' ratings of possible sources and forms of help for patients with schizophrenia were compared with the ratings of 50 mental health services (MHS) staff and 129 patients. Comparisons within the health professionals were also made in relation to diagnostic and treatment confidence, perceived roles, and typical problems encountered. RESULTS: Perceived helpfulness ratings were reasonably consistent across groups. However, patients tended to rank close family members as more helpful. GPs and MHS staff reported complementary roles, with a shared responsibility for early detection and relapse prevention. Treatment compliance, and communication and accessibility to specialist agencies were identified as major problems. CONCLUSIONS: GPs fulfil a valuable role in the treatment of schizophrenia, which could be enhanced through improved training. Mental health services need to work more effectively with GPs in treating schizophrenia and acknowledge their complementary roles. BT - Social psychiatry and psychiatric epidemiology C5 - Education & Workforce CP - 1 CY - Germany DO - 10.1007/s00127-004-0703-2 IS - 1 JF - Social psychiatry and psychiatric epidemiology N2 - BACKGROUND: Most general practitioners (GPs) are currently treating a small number of patients with schizophrenia; however, little is known about GPs' experiences in this area. This paper examines the attitudes and roles of Australian GPs in the treatment of schizophrenia and their relationships with specialist services. METHODS: A total of 192 GPs' ratings of possible sources and forms of help for patients with schizophrenia were compared with the ratings of 50 mental health services (MHS) staff and 129 patients. Comparisons within the health professionals were also made in relation to diagnostic and treatment confidence, perceived roles, and typical problems encountered. RESULTS: Perceived helpfulness ratings were reasonably consistent across groups. However, patients tended to rank close family members as more helpful. GPs and MHS staff reported complementary roles, with a shared responsibility for early detection and relapse prevention. Treatment compliance, and communication and accessibility to specialist agencies were identified as major problems. CONCLUSIONS: GPs fulfil a valuable role in the treatment of schizophrenia, which could be enhanced through improved training. Mental health services need to work more effectively with GPs in treating schizophrenia and acknowledge their complementary roles. PP - Germany PY - 2004 SN - 0933-7954; 0933-7954 SP - 78 EP - 84 EP - T1 - Attitudes and roles of general practitioners in the treatment of schizophrenia compared with community mental health staff and patients T2 - Social psychiatry and psychiatric epidemiology TI - Attitudes and roles of general practitioners in the treatment of schizophrenia compared with community mental health staff and patients U1 - Education & Workforce U2 - 15022051 U3 - 10.1007/s00127-004-0703-2 VL - 39 VO - 0933-7954; 0933-7954 Y1 - 2004 ER -