Status of primary and secondary mental healthcare of people with severe mental illness: an epidemiological study from the UK PARTNERS2 programme

Siobhan Reilly*, Catherine McCabe, Natalie Marchevsky, Maria Green, Linda Davies, Natalie Ives, Humera Plappert, Jon Allard, Tim Rawcliffe, John Gibson, Michael Clark, Vanessa Pinfold, Linda Gask, Peter Huxley, Richard Byng, Max Birchwood

*Corresponding author for this work

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Abstract

<jats:sec id="S2056472421000107_sec_a1"> <jats:title>Background</jats:title> <jats:p>There is global interest in the reconfiguration of community mental health services, including primary care, to improve clinical and cost effectiveness.</jats:p> </jats:sec> <jats:sec id="S2056472421000107_sec_a2"> <jats:title>Aims</jats:title> <jats:p>This study seeks to describe patterns of service use, continuity of care, health risks, physical healthcare monitoring and the balance between primary and secondary mental healthcare for people with severe mental illness in receipt of secondary mental healthcare in the UK.</jats:p> </jats:sec> <jats:sec id="S2056472421000107_sec_a3" sec-type="methods"> <jats:title>Method</jats:title> <jats:p>We conducted an epidemiological medical records review in three UK sites. We identified 297 cases randomly selected from the three participating mental health services. Data were manually extracted from electronic patient medical records from both secondary and primary care, for a 2-year period (2012–2014). Continuous data were summarised by mean and s.d. or median and interquartile range (IQR). Categorical data were summarised as percentages.</jats:p> </jats:sec> <jats:sec id="S2056472421000107_sec_a4" sec-type="results"> <jats:title>Results</jats:title> <jats:p>The majority of care was from secondary care practitioners: of the 18 210 direct contacts recorded, 76% were from secondary care (median, 36.5; IQR, 14–68) and 24% were from primary care (median, 10; IQR, 5–20). There was evidence of poor longitudinal continuity: in primary care, 31% of people had poor longitudinal continuity (Modified Modified Continuity Index ≤0.5), and 43% had a single named care coordinator in secondary care services over the 2 years.</jats:p> </jats:sec> <jats:sec id="S2056472421000107_sec_a5" sec-type="conclusions"> <jats:title>Conclusions</jats:title> <jats:p>The study indicates scope for improvement in supporting mental health service delivery in primary care. Greater knowledge of how care is organised presents an opportunity to ensure some rebalancing of the care that all people with severe mental illness receive, when they need it. A future publication will examine differences between the three sites that participated in this study.</jats:p> </jats:sec>
Original languageEnglish
Number of pages0
JournalBJPsych Open
Volume7
Issue number2
Early online date15 Feb 2021
DOIs
Publication statusPublished - Mar 2021

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