Tylee André, Cohen Alan, Thurston Lydia
King's College London, UK.
Oxfordshire Mind, Oxford, UK.
BJPsych Bull. 2022 Dec;46(6):309-310. doi: 10.1192/bjb.2021.116.
Two of the authors were general practitioners (GPs) in the 1980s, when there was much interest in consultation, stimulated by the psychoanalyst Michael Balint. Around one in five psychiatrists worked in consultation liaison in general practice at that time, but in the 1990s this was stopped to increase the focus on psychosis. However, the Royal College of Psychiatrists and Royal College of General Practitioners have a strong history of collaboration, and many psychiatrists, nurses and GPs trained together in the national Trailblazers programme, focusing on service delivery in all areas of mental health. Recent proposals for mental health community collaborative networks from the NHS provide an opportunity for psychiatrists to work with GPs and a range of other professionals once more, for complex non-psychotic illness that cannot be helped by Improving Access to Psychological Therapies services. The circle is closing for GPs like us, who were working in the 1980s.
两位作者在20世纪80年代是全科医生，当时在精神分析学家迈克尔·巴林特的推动下，人们对会诊产生了浓厚兴趣。当时约五分之一的精神科医生在全科医疗中从事会诊联络工作，但在20世纪90年代，这项工作被停止，以便更加关注精神病。然而，皇家精神科医学院和皇家全科医师学院有着悠久的合作历史，许多精神科医生、护士和全科医生一起参加了全国开拓者计划的培训，重点是心理健康各个领域的服务提供。英国国民保健制度最近提出的心理健康社区协作网络计划，为精神科医生提供了一个机会，让他们再次与全科医生及一系列其他专业人员合作，处理那些无法通过改善心理治疗服务获得帮助的复杂非精神病性疾病。对于像我们这样在20世纪80年代工作的全科医生来说，这个循环正在闭合。
