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The impact of community health reform on service users: a cohort study
- Authors:
- BARR Wally, HUXLEY Peter
- Journal article citation:
- Health and Social Care in the Community, 7(2), March 1999, pp.129-139.
- Publisher:
- Wiley
Reports on a study designed to assess the impact of recent reforms on service users. The functioning of users of community mental health services in a North Wales town was assessed before the advent of two significant service changes - the establishment of a local Community Mental Health Team (CMHT) and the introduction of the main community care reforms in April 1993. Results found the establishment of a CMHT was associated with a temporary fall in social functioning, quality of life and satisfaction with services and there was no evidence to conclude that organisational reforms had led to an improvement in user outcomes in the medium term. Concludes that future mental health reorganisation should be based on the evidence of research which includes an assessment of the impact of reforms on service users.