Long-stay rehabilitation services: briefing

Centre for Mental Health
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Based on a review of Care Quality Commission (CQC) inspection reports and interviews with experts, this briefing summarises the issues facing mental health rehabilitation services in England, which provide intensive or longer-term support for people with severe mental problems. It explores the people involved, the type and costs of services, and the way they have evolved over the last twenty years. The briefing raises concerns about long-stay rehabilitation. These include a lack of appropriate local provision of inpatient rehabilitation services, which result in out of area placements and a risk of isolation and dislocated from their local health and care services. It also found that some people are kept in services of a higher intensity than is necessary due to a lack of community services, which restricts and individuals’ independence and increases costs. A lack of oversight and regulation processes which focuses on services rather than the individual mean that some people face longer stays in inpatient services that are necessary. The paper makes a number of recommendations, including: for the Government and the NHS to provide direction for the development of local community and hospital services for people with complex mental health needs; NHS providers and clinical commissioning groups to offer local services to people requiring rehabilitation support; and for NHS providers and clinical commissioning groups maintain contact with people admitted to hospitals out of their local area. (Edited publisher abstract)

Subject terms:
severe mental health problems, rehabilitation, out-of-area placement, long stay care, mental health care, psychiatric care, secure units;
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