Integrating the services would be easier if GPs had some training in mental health or its treatment. A couple of lectures does not help. Given that at least a quarter of the people they see will have a MH illness......
The Taskforce report puts very strong emphasis on prevention, especially for children and young people. 75% of all adult mental illness has its onset before the age of 24. How many times is prevention mentioned in the 5YFV? Absolute zero! Inevitable result - even more pressure on over subscribed services
While reading the article from Chris-----some of it I advocated many years ago I wonder if having MH as one aspect of a combined physical and MH surgery I wonder as a sufferer of BP for many years I find it will not work properly unless the MH therapists are experienced and not just given a quick course on MH illness ---I'm also concerned about MH patients having to seek advice at GP surgery's ------ mixing both types of s/user in waiting rooms needs to be thought through extensively ---- if the idea is to keep these s/users separate may increase some costs ------------ fact that patients may be disturbed by being seen with MH S/USERS creating problems around the big problem of STIGMA --- there are still GP's who either do not want to know about MH or who lack the will to learn about these issues -------MH is a major illness creating people with distinct different symptoms and behavioral problems especially BP
The need for the integration of mental health services with General Practice is urgent . It's great that Chris is working on this issue. As usual I write this in haste before the morning surgery but from meetings earlier this week it is on my mind that we must no longer ignore the profession of Pharmacy when we talk about General Practice. A quick "Google" search on the topic of "Social Pharmacy" reveals over 7 million hits or websites ! Some Pharmacy firms such as Rowlands Pharmacy are already "on the case" so to speak in the UK. It would be good if Chris - and others at The Kings Fund - made a start in trying to learn about "Social Pharmacy" and how the Pharmacist working with Town and Parish Councils and Trained Volunteers such as "Dementia Friends" could transform Primary Health Care in the years to come. Malcolm Rigler