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Delivering for mental health using self-help in primary care and community based services: a guide to everyday service delivery for mild to moderate psychological problems: lessons from the Doing Well by People with Depression programme
- Author:
- SCOTLAND. Scottish Executive
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2006
- Pagination:
- 37p.
- Place of publication:
- Edinburgh
This guide is an interactive practical approach to setting up supported self-help services for the treatment of psychological problems in a primary care/community-based setting. It has been taken from the learning and the evaluation of the Doing Well by People with Depression programme funded by the former Centre for Change and Innovation (now the Improvement and Support Team). Reasons for implementing a service are outlined along with definitions of self-help.
Developing a model psychiatric treatment program for patients with intellectual disability in a community mental health centre
- Authors:
- HACKERMAN Florence, et al
- Journal article citation:
- Community Mental Health Journal, 41(1), February 2006, pp.13-24.
- Publisher:
- Springer
The Special Needs Clinic of the Johns Hopkins Bayview Medical Center in Baltimore, Maryland provides comprehensive treatment for patients with developmental or intellectual disability and psychiatric illness. This report describes the clinical characteristics and service utilization of patients attending this clinic. Factors that support quality mental health services that are both cost-effective and accessible are identified.
National programme for improving mental health and well-being small research projects initiative 2005-06: how can community services support mental health and well-being?
- Author:
- Connor Anne
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2006
- Pagination:
- 2p.
- Place of publication:
- Glasgow
A study to identify the experiences and views of people with serious mental health problems, and of members of other community groups(which were likely to include people who had mental health problems), about what keeps them well and ways in which community services can support people’s mental health and wellbeing is presented. The study involved a series of group interviews, planned and led by people who had personal experience of mental health problems.
Dual diagnosis patients in community or hospital care: One-year outcomes and health care utilization and costs
- Authors:
- TIMKO Christine, et al
- Journal article citation:
- Journal of Mental Health, 15(2), April 2006, pp.163-177.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This American study evaluated the effectiveness and cost-effectiveness of community- and hospital-based acute residential treatment for dually disordered patients, and whether moderately-ill patients benefited more from community care, and severely-ill patients from hospital care. Two hundred and thirty patients with dual substance use and psychiatric disorders were randomly assigned to community or hospital acute care programs that had the same level of service-intensity. They were followed for 1 year (80%) using the Addiction Severity Index. Patients' health care utilization was assessed from charts, VA databases, and health care diaries; costs were assigned using methods established by the VA Health Economics Resource Center. Patients had better substance use outcomes when they were initially assigned to community rather than to hospital acute care. Patients assigned to hospital care had shorter index stays, but these index stays were more costly than were the longer index stays of patients assigned to community care. Patients assigned to hospital care also had more mental health follow-up outpatient visits, and more costly mental health follow-up stays, over the study year. The authors concluded that cost savings may be achieved without loss of benefit to all but the most decompensated dually disordered patients by shifting the locus of acute treatment from hospital to community care.
Tomorrow's world
- Author:
- MAIN Liz
- Journal article citation:
- Mental Health Today, February 2006, pp.16-18.
- Publisher:
- Pavilion
- Place of publication:
- Hove
This article draws on a new policy paper, 'The future of mental health: a vision for 2015', put forward by the Local Government Association, the NHS Confederation, the Sainsbury Centre for Mental Health (SCMH) and the Association of Directors of Social Services (ADSS). The article takes as its focus the changes to service design, access and delivery that will produce better outcomes for users and carers. The vision is concerned only with working age adults.