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Improved investment in mental health services: value for money?
- Author:
- GOLDBERG David
- Journal article citation:
- British Journal of Psychiatry, 192(2), February 2008, pp.88-91.
- Publisher:
- Cambridge University Press
Changes in staff employed by mental health services, where the extra staff are deployed, and patterns of expenditure within the whole service and within community mental health teams are examined. Some of the new expenditure has been well spent, and has produced improvements in the service. However, one must also take account of the costs of the greatly increased numbers of managers, who impose two sorts of costs: that of their own salaries, and the opportunity costs of front-line staff having to attend meetings and write reports rather than seeing patients. Throughout the rest of the NHS, money has been wasted on needless reorganisations, on consultant and general practitioner contracts, and on information technology that has so far failed to deliver tangible advantages. The emphasis on central control undermines local initiatives and wastes resources. Some central control is inevitable, but policies need to be developed in collaboration with clinicians. At local level, expenditure by primary care trusts and mental health trusts also needs to be scrutinised by committees that should include representatives of front-line mental health staff.
The narrative and the bureaucratic: An analysis of an independent inquiry report into homicide
- Author:
- GOLDBERG David
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 16(1), March 2005, pp.149-166.
- Publisher:
- Taylor and Francis
The development of mental health services in the United Kingdom is influenced by independent inquiries commissioned following homicides by people in contact with psychiatric services. Each inquiry may make recommendations based on examination of a single incident. These recommendations may be applied widely within the health service. This paper examines one report as a literary text; the series of events leading to the homicide is analysed in terms of narrative, while the recommendations are taken to be in the realm of the bureaucratic. Suggestions are made as to how the specific narrative leads to generalisable recommendations. The paper ends by debating the current place of narrative-based argumentation in the development of social policy founded on effective bureaucratic frameworks.
The origins and course of common mental disorders
- Authors:
- GOLDBERG David, GOODYER Ian
- Publisher:
- Routledge
- Publication year:
- 2005
- Pagination:
- 230p., bibliog.
- Place of publication:
- London
This book describes the nature, characteristics and causes of common emotional and behavioural disorders across the lifespan, providing an account or recent advances in our knowledge of the origins and history of anxious, depressive and behavioural disorders. Combining a lifespan approach with developments in neurobiology, this book describes the epidemiology of emotional and behavioural disorders in childhood, adolescence and adult life. Goldberg and Goodyer demonstrate how both genes and environments exert different but key effects on the development of these disorders and suggest a developmental model as the most appropriate for determining vulnerabilities for psychopathology.
Pervasive alienation: on seeing the invisible, meeting the inaccessible and engaging ‘lost to contact’ clients with major mental illness
- Authors:
- AGGETT Percy, GOLDBERG David
- Journal article citation:
- Journal of Interprofessional Care, 19(2), March 2005, pp.83-92.
- Publisher:
- Taylor and Francis
Increasing integration of services for adults with severe mental health problems has highlighted the challenges to services posed by clients who are difficult to engage. There is a dearth of studies on direct work with individuals who are reclusive and difficult to contact, in contrast with the bulk of literature where the patient and network are present and available. This paper describes the work of a busy CMHT with such clients; barriers to collaborative work are explored and some of the team's strategies to overcome these barriers are delineated. Long, slow and persistent contact is observed to be a core feature of the work. The paper goes on to examine the fit between the realities of ongoing work with such clients and the available therapeutic and service discourses.
Why are there so few adolescent day services
- Authors:
- GOLDBERG David, COLLIER Paula
- Journal article citation:
- Young Minds Magazine, 40, May 1999, pp.14-16.
- Publisher:
- YoungMinds
Given the demand for adolescent in-patients beds, it is surprising that there should be so few adolescent psychiatric day programmes. The authors uses their experience of setting up a day and outreach service, to reflect on why adolescent day services are so thin on the ground.
Protection and loss: working with learning-disabled adults and their families
- Authors:
- GOLDBERG David, et al
- Journal article citation:
- Journal of Family Therapy, 17(3), August 1995, pp.263-280.
- Publisher:
- Wiley
Describes a method of working with learning-disabled adults and their families when they encounter entrenched difficulties. Two significant themes are identified: the patterning of life-cycle transitions and the recurrence of grief. Therapy consists of joining the family members to evolve and develop hypotheses about what is preventing them moving to the next family life-cycle stage.
Interface between primary care and specialist mental health care
- Authors:
- GOLDBERG David, JACKSON Gayle
- Journal article citation:
- British Journal of General Practice, 42(405), July 1992, pp.267-269.
- Publisher:
- Royal College of General Practitioners
Describes various patterns of co-operation between specialist, GPs and community mental health teams.
The poison of racism and the self-poisoning of adolescents
- Authors:
- GOLDBERG David, HODES Matthew
- Journal article citation:
- Journal of Family Therapy, 14(1), February 1992, pp.51-67.
- Publisher:
- Wiley
Describes the effects of racism on families when children reach adolescence. Suggests that racism may contribute to distortions of the process by which adolescents, especially girls, negotiate increased autonomy. Racism may increase parental protectiveness, which is resisted by adolescent children. Sometimes this can lead to conflict culminating in a crisis in which the adolescent attempts suicide by overdosing.
Common mental disorders: a bio-social model
- Authors:
- GOLDBERG David, HUXLEY Peter
- Publisher:
- Routledge
- Publication year:
- 1991
- Pagination:
- 210p.,tables,bibliog.
- Place of publication:
- London
Combines insights from social psychiatry with recent findings in biological psychiatry and provides a model for common mental disorders. The physical processes which underlie states of depression and anxiety are described, together with the environmental factors that effect these processes. Concludes by discussing the implications of recent findings both for the future pattern of services and for training needs of mental health professionals.
Mental illness in the community: the pathway to psychiatric care
- Authors:
- GOLDBERG David, HUXLEY Peter
- Publisher:
- Tavistock
- Publication year:
- 1980
- Pagination:
- 201p.,tables,bibliog.
- Place of publication:
- London