<?xml version="1.1" encoding="utf-8"?>
<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">HPR</journal-id><journal-title-group><journal-title>Health Psychology Research</journal-title></journal-title-group><issn>TBA</issn><eissn>2420-8124</eissn><publisher><publisher-name>Health Psychology Research</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4081/hpr.2013.e9</article-id><article-categories><subj-group subj-group-type="heading"><subject>General</subject></subj-group></article-categories><title>The in-house psychologist:  do we speak the same  language? Short report  of a qualitative practice project</title><url>https://healthpr.org/journal/HPR/1/1/10.4081/hpr.2013.e9</url><author>SchoenmakersBirgitte,LepeleireJan De</author><pub-date pub-type="publication-year"><year>2013</year></pub-date><volume>1</volume><issue>1</issue><history><date date-type="pub"><published-time>2013-01-02</published-time></date></history><abstract>Interdisciplinary collaboration is gaining importance. Although general practices (GP&amp;rsquo;s) have a comprehensive experience in collabora tion with psychologists, research on this topic is scarce. In house referrals to a psychologist are assumed to lower the thresholds for patients and GP&amp;rsquo;s. In this study it was investigated whether the GP&amp;rsquo;s reasons to refer in were accor dance with the treatment strategy of the resid ing psychologist. The study is performed in a retrospective, observational cross section design. The studied population were the resid ing psychologist and GP&amp;rsquo;s. Both were asked to complete a questionnaire. Outcome measures where the referral reasons of the GP&amp;rsquo;s and the treatment strategy of the psychologist. A total sample of 92 patients of 6 GP&amp;rsquo;s was studied. Over 60% of the patients were referred for coun seling but only in 25% of the cases this proposal was carried out by the psychologist. Overall, the referral reasons of the GP&amp;rsquo;s were not in accor dance with the treatment strategy of the psy chologist. A close collaboration and communica tion between general practitioners and psychol ogists is both difficult and indispensable. This practice research demonstrated that the referral motives of the GP&amp;rsquo;s usually do not correspond to the treatment policy of the psychologist. This observation is partly explained by a lack of understanding of the GP in the treatment strategies of the psychologists. Another part of the explanation is that there is a pre-selection of the GPs referrals rather influenced by patient characteristics than by pathology.&amp;nbsp;</abstract><keywords>primary health care, mental health  services, general practice</keywords></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>1. Ashworth M, Clement S, Sandhu J, et al. Psychiatric referral rates and the influence of on-site mental health workers in general practice. Br J Gen Pract 2002;52:39-41.2. Cape J, Parham A. Relationship between practice counselling and referral to outpatient psychiatry and clinical psychology. Br J Gen Pract 1998;48:1477-80.3. Tata P, Eagle A, Green J. Does providing more accessible primary care psychology services lower the clinical threshold for referrals? Br J Gen Pract 1996;46:469-72.4. Clatney L, Macdonald H, Shah SM. Mental health care in the primary care setting: family physicians&amp;rsquo; perspectives. Can Fam Physician 2008;54:884-9.5. Sigel P, Leiper R. GP views of their management and referral of psychological problems: a qualitative study. Psychol Psychother 2004;77:279-95.6. Raine R, Lewis L, Sensky T, et al. Patient determinants of mental health interventions in primary care. Br J Gen Pract 2000;50:620-5.7. Gulbrandsen P, Hjortdahl P, Fugelli P. General practitioners&amp;rsquo; knowledge of their patients&amp;rsquo; psychosocial problems: multi-practice questionnaire survey. BMJ 1997;314:1014-8.8. Kovess-Masfety V, Saragoussi D, Sevilla-Dedieu C, et al. What makes people decide who to turn to when faced with a mental health problem? Results from a French survey. BMC Public Health 2007;7:188.9. Bushnell J, McLeod D, Dowell A, et al. Do patients want to disclose psychological problems to GPs? Fam Pract 2005;22:631-7.10. Hull SA, Jones C, Tissier JM, et al. Relationship style between GPs and community mental health teams affects referral rates. Br J Gen Pract 2002;52:101-7.11. Schulte TJ, Isley E, Link N, et al. General practice, primary care, and health service psychology: concepts, competencies, and the combined-integrated model. J Clin Psychol 2004;60:1011-25.12. Bushnell J, McLeod D, Dowell A, et al. The treatment of common mental health problems in general practice. Fam Pract 2006;23:53-9.13. Raine R, Lewis L, Sensky T, et al. Patient determinants of mental health interventions in primary care. Br J Gen Pract 2000;50:620-5.14. Jorm AF, Korten AE, Jacomb PA, et al. Beliefs about the helpfulness of interventions for mental disorders: a comparison of general practitioners, psychiatrists and clinical psychologists. Aust N Z J Psychiatry 1997;31:844-51.15. Freiberg-Golvan D, Fradkin P, McCormack H, et al. Working together. General practitioners and psychologists. Aust Fam Physician 1988;17:998-9.16. Salmon P, Stanley B, Milne D. Psychological problems in general practice patients: two assumptions explored. Br J Clin Psychol 1988;27:371-9.17. Younes N, Gasquet I, Gaudebout P, et al. General practitioners&amp;rsquo; opinions on their practice in mental health and their collaboration with mental health professionals. BMC Fam Pract 2005;6:18.</p><pub-id pub-id-type="doi"/></element-citation></ref></ref-list></back></article>
