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Original Article

Doctors vulnerable to psychological distress and addictions: Treatment from the Practitioner Health Programme

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Pages 157-164 | Published online: 15 Mar 2011
 

Abstract

Background. The Practitioner Health Programme (PHP) is a service set up to provide expert assessment and support to health professionals with mental and physical health problems affecting their ability to work.

Aims. The aim of this article is to examine the demographic and clinical characteristics of doctor-patients utilising PHP.

Method. We report on scores for the CORE-OM, the Work and Social Adjustment Scale and the FAST for the first 200 patients seen by PHP.

Results. Prevalent conditions included depression and alcohol dependence. Patients with co-morbid disorders showed severe distress and impairment of functioning. Ages ranged between 24 and 67, with 33.5% of the cohort aged between 30 and 39. Patients aged below 50 showed greater impairment of social functioning.

Conclusions. The needs of doctors are profound, with young doctors particularly vulnerable. Measures should be put in place to ensure that doctors at an early stage of their careers are aware of help available to them. The results highlight the importance of a service such as PHP.

Acknowledgements

We gratefully thank the patients as well as doctors and staff who participated in the study. Trudie Chalder acknowledges the financial support from the Department of Health via the National Institute for Health Research (NIHR), Specialist Biomedical Research Centre for Mental Health award to South London and Maudsley NHS Foundation Trust (SLaM) and the Institute of Psychiatry at King's College London. The authors also gratefully acknowledge NHS for funding the research for Practitioner Health Programme and its evaluation. Thanks are also given to the PHP practitioners who helped to gather the data (Jane Haywood, Max Henderson, Jay Kuruvatti, Kamal Gupta and Bijal Chheda-Varma) and to Martin Black, Operations Manager of PHP, for his help with data collection.

Declaration of interest:

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

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