WHAT DO GENERAL-PRACTITIONERS AND COMMUNITY MENTAL-HEALTH TEAMS TALK ABOUT - DESCRIPTIVE ANALYSIS OF LIAISON MEETINGS IN GENERAL-PRACTICE

Background. Liaison meetings between psychiatrists and general practit ioners are now well established. Much has been written about their pur pose and structure but little about their content. Aim. A study aimed to describe the clinical focus of meetings between a community mental health team and general practitioners and the nature of the profession als' interactions. Method. Audiotapes of six consecutive monthly meeti ngs between a community mental health team and general practitioners i n two general practices were analysed. Results. Attendance rates among professionals were over 70%. Over 90% of discussion time was focused on patient-centred clinical matters. Almost two thirds of interactions were focused on patients receiving ongoing joint care; few interactio ns were devoted to new referrals or to patients who had not been asses sed. Psychotic patients, although accounting for 15% of referrals, occ upied 54% of patient-centred discussion time. Most interactions consis ted of reciprocal information exchange between members of the communit y mental health team and general practitioners. Conclusion. The high a ttendance rates indicate that both general practitioners and community mental health team members considered these meetings as high priority The steady move towards management of severely ill psychiatric patien ts in the community rather than in hospital requires close collaborati on between primary and secondary care teams. The meetings described in this paper appear to be a simple, manageable and sustainable response to this need.