The consequences of an open referral system to a community mental health service

The first 590 patients referred to a community mental health service (the Early Intervention Service) in an inner‐city district were separated into groups based on their referral source. The service has an open referral system allowing any agency (including patients) to contact the service by letter or by telephone, and priority is given to patients with serious mental illness. The results of open referral showed that the number of referrals was adequate for the service to process, the proportion of inappropriate referrals was similar in all referral agencies, and milder cases of mental illness were referred more often from doctors than from other agencies. It is concluded that an open referral system is likely to be more sensitive to need and has some advantage over closed referral arrangements in inner‐city areas.

[1]  L. Hansson,et al.  Utilization and patterns of care in comprehensive psychiatric care organizations , 1992, Acta psychiatrica Scandinavica.

[2]  T. Johnson,et al.  Early intervention in psychiatric emergencies: a controlled clinical trial , 1992, The Lancet.

[3]  M. Barnes.  Book Review: Psychiatric Beds and Resources: Factors Influencing Bed Use and Service Planning , 1992 .

[4]  D. Goldberg,et al.  The pathways to psychiatric care: a cross-cultural study , 1991, Psychological Medicine.

[5]  P. Tyrer,et al.  The Early Intervention Service: the first 18 months of an Inner London demonstration project , 1990 .

[6]  T. Fahy,et al.  Police Admissions to a Psychiatric Hospital , 1990, British Journal of Psychiatry.

[7]  D. Owens,et al.  Severe mental disorder in Afro-Caribbean patients: some social, demographic and service factors , 1989, Psychological Medicine.

[8]  R. Giel,et al.  Patterns of care in the field of mental health , 1989, Acta psychiatrica Scandinavica.

[9]  J. Horder.  Working with General Practitioners , 1988, British Journal of Psychiatry.

[10]  C. Pantelis,et al.  The South Camden Schizophrenia Survey: An experience of community-based research , 1988 .

[11]  S. Hirsch,et al.  Psychiatric beds and resources : factors influencing bed use and service planning , 1988 .

[12]  H. Häfner.  Do we still need beds for psychiatric patients? , 1987 .

[13]  H. Häfner.  Do we still need beds for psychiatric patients? An analysis of changing patterns of mental health care. , 1987, Acta psychiatrica Scandinavica.

[14]  B. Ineichen,et al.  Psychiatric Hospital Admissions in Bristol. I. Geographical and Ethnic Factors , 1984, British Journal of Psychiatry.

[15]  B. Ineichen,et al.  Psychiatric Hospital Admissions in Bristol. II. Social and Clinical Aspects of Compulsory Admission , 1984, British Journal of Psychiatry.

[16]  Meng Hooi Lim.  A Psychiatric Emergency Clinic: A Study of Attendances Over Six Months , 1983, British Journal of Psychiatry.

[17]  B Jarman,et al.  Identification of underprivileged areas , 1983, British medical journal.

[18]  V. Lehtinen,et al.  Treatment prevalence in psychiatric outpatient care in Finland A COMPARATIVE STUDY OF TWO AREAS , 1980, Acta psychiatrica Scandinavica.

[19]  Peter Huxley,et al.  Mental illness in the community: The pathway to psychiatric care , 1980 .

[20]  T. Fahy.  Pathways of Specialist Referral of Depressed Patients from General Practice , 1974, British Journal of Psychiatry.

[21]  Boris OGUIBENINE,et al.  The Psychiatric patient, the general practitioner, and the outpatient clinic: an operational study and a review , 1971, Psychological Medicine.