European Forum Primary Care location:Gotheborg date:3-4 september 2012
To study the problems and possibilities of general practitioners caring for patients with psychiatric problems in general and especially psychosis
Integrated health care and collaboration with primary care generates a better outcome for patients with psychosis. General practitioners should be prepared for this task
First project: A focus group research was performed in two regions using and extending the scope of previous studies looking for the problems and opportunities GPs experience in the care for psychotic patients
Second project: In a postal survey the International Study on General Practitioners and Early Psychosis was replicated to learn more about general practice and psychoses.
To improve the care for psychotic patients, GPs should be supported in the diagnostic process. Additional education concerning functional decline and the use of antipsychotics is useful. An improvement, integration and rethinking of the collaboration with mental healthcare services and psychiatrists is needed. Support for specialized services of ambulatory care is needed. These results are comparable with international data.
GPs have potentially an important role in the care for psychotic patients provided that knowledge and skills are improved and the collaboration with the secondary mental health care is reorganized.