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Table 1 Analysis of the allocation meeting transcripts

From: A qualitative study of referral to community mental health teams in the UK: exploring the rhetoric and the reality

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
  1. The professional identity of the speaker (eg Psych, CPN) is given where it could be identified from listening to the recording of the meeting. Where it was not possible to identify the speaker, a letter and number indicates different members of the team (and thus diffierent speakers).