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Matching service development to mental health needs: a case study of a rural county
- Authors:
- RING Chris, CAMBRIDGE Paul, CARPENTER John
- Journal article citation:
- Research Policy and Planning, 16(1), 1998, pp.10-19.
- Publisher:
- Social Services Research Group
The development of Somerset's mental health services from 1991 to 1996 involved the closure of the county's last long-stay hospital, and its replacement by more local in-patient provision and an expansion of community services. The process and outcome of this change is examined, drawing upon (a) an externally commissioned evaluation in 1994-6 and (b) a comprehensive mental health needs assessment in 1996. The findings from these studies indicate that the development of accommodation for people with severe and long-term mental health problems has been dominated by the needs of long-stay residents in the old institutions. This led initially to geographical inequities and a shortage of supported accommodation for others with severe and enduring mental health problems. However, developments during this period also suggest a local capacity to detect and respond to unmet needs in this group.
From the asylum to the community: A longitudinal study of staff involved in the transition from Tone Vale Hospital to community-based services
- Authors:
- CARPENTER John, et al
- Journal article citation:
- Journal of Mental Health, 9(2), April 2000, pp.211-230.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Reports on a longitudinal study of the effects on staff of the transition from a Victorian asylum to dispersed community-based services is reported. The majority of staff supported the policy of community care in general and following the closure, two-thirds thought it better for staff, although only half considered it was better for people with mental health problems. Throughout the transition, relatively low levels of stress were reported and job satisfaction was high. Role clarity and low role conflict were predictors of low stress and job satisfaction. Job satisfaction was also predicted by supportive management and job responsibilities. The study demonstrates that major changes in working environments and in job responsibilities can be accomplished without undue stress and uncertainty and also that the job satisfaction of mental health staff can be maintained.
Choice, information and dignity: involving users and carers in care management in mental health
- Authors:
- CARPENTER John, SBARAINI Silvia
- Publisher:
- Policy Press
- Publication year:
- 1997
- Pagination:
- 105p.
- Place of publication:
- Bristol
Describes the development and evaluation of an integrated approach to care management and care programming which involves empowering users and carers involved with the mental health system. The study is an example of participatory research and uses quantitative and qualitative methods to assess user and carer involvement. Looks at how mental health services can be more responsive to the needs of people with severe and long-term mental health problems and at whether it is possible to involve service users and carers effectively in developing plans for their care and treatment in the community.