|Area of discussion||Illustrative data|
|Information received about the patient||
A: Well what was her problem again originally?|
A3: There wasn't much in the referral letter was there? CMHT 10
Team Leader: "She's currently under Sure Start for help with her son's behaviour...So it's been turned down by the Mother and Baby Unit....What does anyone think? Seems to me that she's got mild to moderate depression, with no particular risks, and she's only had 20 mg of fluoxetine, so she really should be treated in primary care. " CMHT 11
CPN: It's got "he wants to end it all" (voice muffled...)
SW: Yeah, it reads as though ... that sounds actually more worrying than the other one... CMHT 23
"Doesn't say. I don't know what's been going on. ....But at the moment she does warrant additional assessment" CMHT 18
|Views on referral and referring GP||
S1: Not sure I agree with that. It's a very good referral.|
S2: No, I think it's a good referral, yes.
S3: Yes. CMHT 11
"Talk about clogging up the system with people. I mean, he's on 40 mg now." CMHT 18
|Capacity of team||CPN: "This woman is having some sort of adjustment, isn't she, difficulties? I'd like to think that we wouldn't have somebody like this in our service for a long period of time. So we need to think, like we've said before, about endings. Short term intervention maybe, couple of appointments and..." CMHT 11|
|Decisions about management of accepted referrals||
CPN: Are we going to see him?|
Psych: Yes, with the thought of early discharge back to GP. CMHT 16
A1: "It sounds like she's ready to be motivated and if she gets the help in the course of a group there might not be any need for her to have medication."
Psych: "I think that sounds appropriate."
A1: "What do you want us to do then?" Psych: "Outpatients." CMHT 18