TY - JOUR
KW - Antidepressive Agents/adverse effects/therapeutic use
KW - Community Mental Health Services
KW - Cooperative Behavior
KW - Depressive Disorder/drug therapy
KW - Drug Therapy, Combination
KW - England
KW - Evidence-Based Medicine
KW - Humans
KW - Interdisciplinary Communication
KW - Long-Term Care
KW - Medical Audit
KW - Patient Care Team
KW - Patient Discharge
KW - Practice Guidelines as Topic
KW - Primary Health Care
KW - State Medicine
AU - S. Butler
AU - K. Klepacka
AU - M. Agius
AU - R. Zaman
A1 - 
AB - INTRODUCTION: Recently there has been pressure on Secondary Psychiatric services to discharge patients back into Primary care. This project is to show what depression treatments are used by Bedford East Community Mental Health Team (BECMHT) and therefore identify whether some of these patients could be appropriately managed in Primary care. SUBJECTS AND METHOD: We identified, using an anonymised database, patients being treated with different anti-depressant regimens in BECMHT. We compared these treatments with the steps described in NICE Guidelines, and other evidence based treatment modalities which we found on literature search. Based on this data, we attempted to predict which patients it might be safe to discharge to primary care for ongoing treatment. RESULTS: Many different combinations of medications were found. Many patients had other intercurrent mental health diagnoses. DISCUSSION: There are many possible evidence based treatments for depression which can be employed once those listed by NICE are exhausted. We review all of these. Some patients are, accordingly, on combinations of medication as augmentation strategies.It is responsible to only discharge patients into Primary care when their symptoms are controlled. CONCLUSION: We identified groups of patients who might be transferred back to primary care for maintenance treatment, provided that shared care protocols are in Place, and there is easy access to secondary care services should the need arise.
BT - Psychiatria Danubina
C5 - General Literature
CP - 2
CY - Croatia
IS - 2
JF - Psychiatria Danubina
N2 - INTRODUCTION: Recently there has been pressure on Secondary Psychiatric services to discharge patients back into Primary care. This project is to show what depression treatments are used by Bedford East Community Mental Health Team (BECMHT) and therefore identify whether some of these patients could be appropriately managed in Primary care. SUBJECTS AND METHOD: We identified, using an anonymised database, patients being treated with different anti-depressant regimens in BECMHT. We compared these treatments with the steps described in NICE Guidelines, and other evidence based treatment modalities which we found on literature search. Based on this data, we attempted to predict which patients it might be safe to discharge to primary care for ongoing treatment. RESULTS: Many different combinations of medications were found. Many patients had other intercurrent mental health diagnoses. DISCUSSION: There are many possible evidence based treatments for depression which can be employed once those listed by NICE are exhausted. We review all of these. Some patients are, accordingly, on combinations of medication as augmentation strategies.It is responsible to only discharge patients into Primary care when their symptoms are controlled. CONCLUSION: We identified groups of patients who might be transferred back to primary care for maintenance treatment, provided that shared care protocols are in Place, and there is easy access to secondary care services should the need arise.
PP - Croatia
PY - 2010
SN - 0353-5053; 0353-5053
SP - 317
EP - 322
EP - 
T1 - Depression Treatment by Bedford East Community Mental Health Team: An audit to assess how many patients in a Bedfordshire Community Mental Health Team might safely be transferred to Primary Care
T2 - Psychiatria Danubina
TI - Depression Treatment by Bedford East Community Mental Health Team: An audit to assess how many patients in a Bedfordshire Community Mental Health Team might safely be transferred to Primary Care
U1 - General Literature
U2 - 20562773
VL - 22
VO - 0353-5053; 0353-5053
Y1 - 2010
ER -