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Time for a meeting of minds
- Author:
- HOWELL Valerie
- Journal article citation:
- Health Service Journal, 14.5.98, 1998, pp.28-29.
- Publisher:
- Emap Healthcare
The government's emphasis on restoring public confidence in ailing mental health services is only one part of a radical agenda facing managers. Discusses the new policy agenda for mental health services.
Steering a steady course in an era of compulsory treatment: taking mental health nursing into the millennium
- Authors:
- HOWELL Valerie, NORMAN Ian
- Journal article citation:
- Journal of Mental Health, 9(6), December 2000, pp.605-616.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Serious concern about public safety underpins development of mental health services that will inevitably lead to a more explicit policing role for mental health nurses in particular. For the first time in a generation the current national strategy for mental health services is accompanied by an investment programme which, whatever its deficits, marks an attempt to ensure that previous deficits are made good. Further, evidence from other countries where compulsory treatment has been introduced would suggest that the success or failure of such measures is related to whether or not they are integrated into effective, comprehensive and adequately funded systems of mental health care. This paper discusses steps that mental health nurses might take to ensure that they maintain a role whose primary purpose continues to be the care of the individual patient (service user) even within a health care system oriented increasingly towards social control.
Upsetting the apple cart whilst pulling it along the road: implementing the national service framework for mental health
- Authors:
- PECK Edward, GROVE Bob, HOWELL Valerie
- Journal article citation:
- Managing Community Care, 8(2), April 2000, pp.36-44.
- Publisher:
- Pavilion
This article argues that the traditional approach to translating national policy into local practice, based as it is on a metaphor of organisations as machines, will not lead to effective implementation of the national service framework for mental health. Rather, the paper contends that there is need for a broader range of metaphors of organisation to be deployed in the creation of robust implementation process and suggests three-negotiated order, chaos theory and learning theory - that the authors have found of particular value.