Reports on how reflective practice has transformed the work of the South West Wirral elderly mental health community team.
Reports on how reflective practice has transformed the work of the South West Wirral elderly mental health community team.
Subject terms:
mental health problems, older people, reflective practice, social care provision, social work methods, community mental health services, community mental health teams;
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.
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.
Subject terms:
mental health problems, mental health services, outcomes, user views, community care, community mental health teams, evaluation;
This article asserts that as the 1983 Mental Health Act is under review, it must take into account the crucial role nurses play. The current organisation and distribution of powers and responsibilities disregards the nursing roles. Argues that there should be legal recognition of nurses' expertise in the assessment of mental disorder and the status of nurses as the professional equals of doctors and social workers needs to be recognised.
This article asserts that as the 1983 Mental Health Act is under review, it must take into account the crucial role nurses play. The current organisation and distribution of powers and responsibilities disregards the nursing roles. Argues that there should be legal recognition of nurses' expertise in the assessment of mental disorder and the status of nurses as the professional equals of doctors and social workers needs to be recognised.
Subject terms:
law, mental health problems, NHS, severe mental health problems, social policy, assessment, approved social workers, community mental health nurses, community mental health teams;
The article discusses how psychiatric nurses have a valuable role in prioritising patients referred to community mental health teams. Employing community psychiatric nurses to assess clients referred to community psychiatric teams can help target resources. Includes a study of the impact of mental health assessment nurses on referral patterns.
The article discusses how psychiatric nurses have a valuable role in prioritising patients referred to community mental health teams. Employing community psychiatric nurses to assess clients referred to community psychiatric teams can help target resources. Includes a study of the impact of mental health assessment nurses on referral patterns.
Subject terms:
mental health problems, mental health services, nurses, nursing, psychiatry, assessment, community mental health services, community mental health teams;
British Journal of Occupational Therapy, 62(11), November 1999, pp.486-506.
Publisher:
Sage
This project arose in response to increasing referrals to a local community mental health team from general practitioner fundholders, leading to unacceptable waiting times for clients. The survey was designed to gain information about the factors influencing referral to the service and the levels of satisfaction with the intervention provided. The results led to the development of a system to assess priority of referral. The system, still in use, assesses 5 components: level of distress, level of functioning, suicidal intent, motivation and contact with other services.
This project arose in response to increasing referrals to a local community mental health team from general practitioner fundholders, leading to unacceptable waiting times for clients. The survey was designed to gain information about the factors influencing referral to the service and the levels of satisfaction with the intervention provided. The results led to the development of a system to assess priority of referral. The system, still in use, assesses 5 components: level of distress, level of functioning, suicidal intent, motivation and contact with other services.
Subject terms:
mental health problems, multidisciplinary services, referral, resource allocation, surveys, waiting lists, assessment, attitudes, community mental health services, community mental health teams, general practitioners, multidisciplinary teams;
This article explores the findings of a study into the training needs of community psychiatric nurses. It highlights the need for alliances with service users, carers and voluntary organisations, as well as all members of the community mental health team.
This article explores the findings of a study into the training needs of community psychiatric nurses. It highlights the need for alliances with service users, carers and voluntary organisations, as well as all members of the community mental health team.
Subject terms:
interagency cooperation, mental health problems, service users, staff development, teamwork, training, voluntary organisations, carers, community mental health nurses, community mental health teams, communication, education;
Journal of Mental Health, 8(5), October 1999, pp.473-487.
Publisher:
Taylor and Francis
Place of publication:
London
This study aimed to evaluate professional opinion on various strategies for the clinical management of self-wounding in female patients. The strategies of maintaining regular discussion amongst involved staff and of encouraging the client to ventilate unexpressed feelings were seen as the most helpful, with medication and hospital admission regarded as unhelpful.
This study aimed to evaluate professional opinion on various strategies for the clinical management of self-wounding in female patients. The strategies of maintaining regular discussion amongst involved staff and of encouraging the client to ventilate unexpressed feelings were seen as the most helpful, with medication and hospital admission regarded as unhelpful.
Subject terms:
mental health problems, mental health professionals, mental health services, management, multidisciplinary services, outcomes, self-harm, social work methods, staff, staff management, treatment, therapy and treatment, women, attempted suicide, community mental health teams;
Tizard Learning Disability Review, 4(3), July 1999, pp.31-39.
Publisher:
Emerald
Government reports since 1990 on services for people with mental health needs, learning disabilities, challenging behaviour and/or criminal offending have recommended community living wherever possible. Nevertheless, most health and social service providers still find it difficult to attain the types of service proposed. It has recently been concluded that this was partly a result of the separation of services for people with learning disabilities form mainstream mental health services. This article reports the experience of a local service development intervention designed around the needs of this client group.
Government reports since 1990 on services for people with mental health needs, learning disabilities, challenging behaviour and/or criminal offending have recommended community living wherever possible. Nevertheless, most health and social service providers still find it difficult to attain the types of service proposed. It has recently been concluded that this was partly a result of the separation of services for people with learning disabilities form mainstream mental health services. This article reports the experience of a local service development intervention designed around the needs of this client group.
Subject terms:
learning disabilities, mental health problems, mental health services, offenders, severe learning disabilities, severe mental health problems, unmet need, challenging behaviour, community care, community mental health services, community mental health teams, cost effectiveness, health authorities;
Community Mental Health Journal, 35(3), June 1999, pp.251-269.
Publisher:
Springer
Compares the practice patterns of consumer and non-consumer providers of assertive community treatment in the United States using both quantitative and qualitative data collected as part of a randomised controlled trial.
Compares the practice patterns of consumer and non-consumer providers of assertive community treatment in the United States using both quantitative and qualitative data collected as part of a randomised controlled trial.
Subject terms:
mental health problems, mental health services, performance evaluation, randomised controlled trials, staff, staff management, staffing levels, user participation, case management, care management, community mental health teams, empathy, empowerment;
Journal of Mental Health, 8(3), June 1999, pp.245-251.
Publisher:
Taylor and Francis
Place of publication:
London
Effective relationships between users and staff are the cornerstone of effective intensive community provision for people who are unlikely to be served by more traditional forms of provision. Discusses how to develop effective relationships between community mental health teams and users. Argues that teams that are not fragmented in terms of staff time or management, where staff celebrate their differences rather than aim for consensus or 'democracy' and where issues of the exercise of power and hierarchy are honestly discussed, are most likely to be successful.
Effective relationships between users and staff are the cornerstone of effective intensive community provision for people who are unlikely to be served by more traditional forms of provision. Discusses how to develop effective relationships between community mental health teams and users. Argues that teams that are not fragmented in terms of staff time or management, where staff celebrate their differences rather than aim for consensus or 'democracy' and where issues of the exercise of power and hierarchy are honestly discussed, are most likely to be successful.
Subject terms:
interprofessional relations, mental health problems, service users, severe mental health problems, social policy, social worker-service user relationships, staff, teams, community care, community mental health services, community mental health teams, evaluation;