801 General Practitioner And Primary Mental Care

ANDREOU MARTHA, health centre of Stavroupolis
Purpose: Can the General Practitioner (GP) in a rural area offer an effective primary mental care?
Design & Methods: We register in a year all mental patients who came to emergency room (ER) of Health Centre (HC) of Stavroupolis, the chronic mental patients under observation of G.P. with specialization in Social Psychiatry and the interventions for avoidance of a recurrence as well to the community education.
Results: 161 mental patients came to ER of HC Stavroupolis. The majority of them were between 40 and 80 years old and the sex ratio was 1:2 (54 men/107 women). 99 patients reported subjective symptoms while 62 patients reported objective symptoms. Case history of mental disease had 114 patients. Supporting psychotherapy has given to almost all patients while 70% of them was examined again as outpatients- so the diagnostic procedure and treatment to be completed and from the last, 20% was send to a psychiatrist. Regularly- once a month - 19 chronic mental patients were followed up from a GP under psychiatrist' s supervision (4 men: 15 women). Intervention into the family and social circle was necessary five times- once by order of the district attorney. Community education included nurses and the rest of the HC staff, the priests, the municipal social program help at home and the parents and relatives of the patients.
Conclusions: Our results demonstrate that the GP can offer an effective primary mental care when he has been trained, has support from the mental health specialists and the community education is achieved.
General Practitioner and primary mental care