Search results for ‘Subject term:"mental health problems"’ Sort:
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Does early intervention for psychosis services make economic sense?
- Author:
- McCRONE Paul
- Journal article citation:
- Mental Health Today, June 2012, pp.31-33.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Early intervention services have existed in England for more than a decade. This article examines whether they deliver the cost savings and cost effectiveness to justify them. It suggests that current evidence points to early intervention services providing cost savings and cost effectiveness, but more research is needed to clarify the conclusions. It concludes that much of the cost saving can be made in terms of increased economic activity and reduced crime, as well as reducing costs in health care settings.
Costing different models of mental health service provision
- Authors:
- McCRONE Paul, CHISHOLM Daniel, BOULD Martin
- Journal article citation:
- Mental Health Research Review, 6, May 1999, pp.14-17.
- Publisher:
- Personal Social Services Research Unit
This article describes one recent attempt to model the costs of a range of mental health care strategies in an outer-London health authority. The perceived value of the modelling approach to service costing was to supply insights into and estimates of broad directions of change, which could subsequently inform a wider discussion between local clinicians, planners and managers about future mental health service in the locality.
Information systems and the take-up of benefits by mentally ill people
- Author:
- McCRONE Paul
- Journal article citation:
- Mental Health Review, 4(2), June 1999, pp.21-23.
- Publisher:
- Pier Professional
Describes the use of a computerised welfare benefits assessment tool, Lisson Grove Benefits Program, to assist in identifying an individuals entitlement. Findings suggest that many people were not receiving their full entitlement.
Quality of life and service utilisation of psychotic patients in south London: the PRISM study
- Authors:
- CLARKSON Paul, McCRONE Paul
- Journal article citation:
- Journal of Mental Health, 7(1), February 1998, pp.71-80.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Quality of Life (QQL) measures are being used increasingly in the assessment of outcomes in community services for the mentally ill. This article presents evaluations made by an epidemiologically representative group of psychotic patients in South London concerning their quality of life while receiving a comprehensive range of community care services. Results indicate differences in patients' evaluations of quality of life according to specific services used.
The development of a Local Index of Need (LIN) and its use to explain variations in social services expenditure on mental health care in England
- Authors:
- McCRONE Paul, et al
- Journal article citation:
- Health and Social Care in the Community, 14(3), May 2006, pp.242-253.
- Publisher:
- Wiley
This paper's aims are to (1) describe the development of a new indicator of mental health needs, (2) use the index to explain variations in social services expenditure on mental health, and (3) compare the index with other established measures of need. A principal components analysis of sociodemographic variables considered to be indicators of need was used to produce four distinct factors for 148 Local Authority areas in England. A weighted sum of these factors was used to produce a single index. (Weights were the proportion of variance explained by each factor.) The index was used in a regression model to explain variations in spending on mental health care and was compared with (1) a model containing the four individual factors, (2) the current method of allocating resources, (3) the index used to allocate resources to primary care trusts, (4) the Mental Illness Needs Index (MINI), (5) four indices of deprivation produced by the Office of the Deputy Prime Minister, and (6) the average of the above four indices. The new index could explain 54% of variation, compared with 56% using the current method. The four-factor model could explain 66%, whilst the other models could explain between 37% and 20%. This new index has the advantage that it is not based on previous levels of utilisation or expenditure and yet still explains a comparable amount of variation as the current method. However, a disaggregated model containing individual factors may be preferable.
The Camberwell Assessment of Need: comparison of assessments by staff and patients in an inner-city and a semi-rural community area
- Authors:
- NAJIM Hellme, McCRONE Paul
- Journal article citation:
- Psychiatric Bulletin, 29(1), January 2005, pp.13-17.
- Publisher:
- Royal College of Psychiatrists
The aim of the study was to examine the association between the assessment of need by staff and by severely mentally ill patients using the Camberwell Assessment of Need in a semi-rural setting (Maidstone, n=50) and an inner-city area (Camberwell, n=127). Staff and patients were interviewed separately. We specifically examined differences in the total number of needs between Camberwell and Maidstone, differences in the number of unmet needs and differences in the level of agreement between staff and service users. Patients in Maidstone had fewer needs than those in Camberwell according to both staff (4.9 v. 5.8) and patients (4.2 v. 6.3), fewer unmet needs rated (staff, 1.1 v.1.5; patients, 1.0 v.1.9) and a greater level of concordance between staff and patients. The needs of severely mentally ill patients were greater in the innercity area compared with the semi-rural one. The fact that agreement between staff and service users was less in the inner-city area also suggests that more stable staff-patient relationships existed in the rural area.
Credit where credit's due
- Authors:
- McCRONE Paul, THORNICROFT Graham
- Journal article citation:
- Community Care, 18.9.97, 1997, p.23.
- Publisher:
- Reed Business Information
Many people with mental health problems do not claim their full entitlement to benefits. The authors explain how computerised assessment helped identify the problem.
More severe mental illness is more concentrated in deprived areas
- Authors:
- GLOVER Gyles R., LEESE Morven, McCRONE Paul
- Journal article citation:
- British Journal of Psychiatry, 175, December 1999, pp.544-548.
- Publisher:
- Cambridge University Press
The greater frequency of mental illness in deprived and inner-city populations is well recognised; allocation of funds in the UK health service makes some allowance for this. However, it is not clear whether the differences are similar for all levels of mental health care need. This study examines the range in prevalence of mental health problems at primary care, general secondary care and forensic levels.