Social Policy and Administration, 28(3), September 1994, pp.263-285.
Publisher:
Wiley
The reform of community and long-term care has been an important theme of policy development around the world during the last decade. British community care is a particularly interesting and impressive example of changes which have parallels in other countries. They include: achieving greater flexibility in the response to the needs and wishes of users and carers; containing costs increases and achieving greater cost-effectiveness; consolidation of structures; competition, variety and choice in a mixed economy; care management and assessment; clarity in targeting; improvement of mechanisms for orchestrating the system. Reviews the evidence on equity and efficiency in British community care: resources, needs and outcomes, and, in particular, targeting and the production of welfare.
The reform of community and long-term care has been an important theme of policy development around the world during the last decade. British community care is a particularly interesting and impressive example of changes which have parallels in other countries. They include: achieving greater flexibility in the response to the needs and wishes of users and carers; containing costs increases and achieving greater cost-effectiveness; consolidation of structures; competition, variety and choice in a mixed economy; care management and assessment; clarity in targeting; improvement of mechanisms for orchestrating the system. Reviews the evidence on equity and efficiency in British community care: resources, needs and outcomes, and, in particular, targeting and the production of welfare.
Subject terms:
mental health problems, needs, older people, social care provision, carers, care management, community care;
Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
A pioneering multi-disciplinary team formed to help elderly people with mental health problems and their carers is now facing the challenge of fitting into a authority-wide commissioning and care management. The successes and failures of the Middleton Elderly Resource and Intervention Team (MERIT) are described.
A pioneering multi-disciplinary team formed to help elderly people with mental health problems and their carers is now facing the challenge of fitting into a authority-wide commissioning and care management. The successes and failures of the Middleton Elderly Resource and Intervention Team (MERIT) are described.
Subject terms:
intervention, joint commissioning, joint planning, mental health problems, mental health services, multidisciplinary services, older people, care management, commissioning, multidisciplinary teams;
According to a new enquiry report from the Mental Health Foundation government policy is undermining community care for people with severe mental health illness. The inquiry team, led by Sir William Utting found services to be confused, fragmented, under-resourced, and all too frequently failed to meet the needs of their clients. The conclusions of the report are summarised and the key recommendations are outlined.
According to a new enquiry report from the Mental Health Foundation government policy is undermining community care for people with severe mental health illness. The inquiry team, led by Sir William Utting found services to be confused, fragmented, under-resourced, and all too frequently failed to meet the needs of their clients. The conclusions of the report are summarised and the key recommendations are outlined.
Subject terms:
mental health, mental health problems, multidisciplinary services, policy, politics, public inquiries, social care provision, central government, care management, community care;
Surveys users' views on the case mangement approach to service delivery for people with severe mental health problems. Explores their level of satisfaction with the service, the degree to whcih they were involved in their care plan, their access to services, their willingness to seek advice from the care manager, and the degree to which they felt the case managment scheme had improved their quality of life. Responses were generally favourable, though not uncritical.
Surveys users' views on the case mangement approach to service delivery for people with severe mental health problems. Explores their level of satisfaction with the service, the degree to whcih they were involved in their care plan, their access to services, their willingness to seek advice from the care manager, and the degree to which they felt the case managment scheme had improved their quality of life. Responses were generally favourable, though not uncritical.
Subject terms:
mental health problems, mental health services, service users, severe mental health problems, surveys, user participation, user views, care management, care planning, community care;
Describes a joint approach to care programming in Derbyshire which concentrates on people with long-term and complex mental illness.
Describes a joint approach to care programming in Derbyshire which concentrates on people with long-term and complex mental illness.
Subject terms:
joint working, joint planning, long term care, mental health, mental health problems, severe mental health problems, social services, care management, care programme approach, community care, health authorities;
Suicide, depression, and isolation are just three of the consequences of allocating fewer case workers to people with severe mental health problems. Looks at the ways in which social services can help these vulnerable clients
Suicide, depression, and isolation are just three of the consequences of allocating fewer case workers to people with severe mental health problems. Looks at the ways in which social services can help these vulnerable clients
Subject terms:
interagency cooperation, mental health, mental health problems, multidisciplinary services, schizophrenia, severe mental health problems, social services, social care provision, care management, community care, health care;
Part of a series of studies looking into the implementation of the NHS and Community Care Act 1990. This paper made recommendations for changes and improvements to the implementation process, where it involves GP's and primary health care teams, under the following headings: referrals for assessment; assessment; care management; discharge from hospital; admissions to care; information systems; black and minority ethnic communities; user and carer experiences; people with mental health problems; working relationships; and commissioning and purchasing.
Part of a series of studies looking into the implementation of the NHS and Community Care Act 1990. This paper made recommendations for changes and improvements to the implementation process, where it involves GP's and primary health care teams, under the following headings: referrals for assessment; assessment; care management; discharge from hospital; admissions to care; information systems; black and minority ethnic communities; user and carer experiences; people with mental health problems; working relationships; and commissioning and purchasing.
Subject terms:
information management, joint planning, mental health problems, NHS, monitoring, multidisciplinary services, hospital discharge, primary care, teams, user views, assessment, black and minority ethnic people, care management, community care, commissioning, evaluation, general practitioners;