Journal of Social Work Practice, 15(1), May 2001, pp.37-56.
Publisher:
Taylor and Francis
Place of publication:
Philadelphia, USA
This paper investigates the phenomenon of three clients living in squalor, all of whom have severe and enduring mental health problems, and are on the caseload of a mental health social work team. By thinking about the clients both individually and as a group, within a psychoanalytic framework, it attempts to understand their squalor in a new way, with a particular regard to the transference and counter transference experienced by the practitioner. By making use of social work literature as well as that concerning organisations and community care, it also discusses the impact these clients make on the wider community around them, and examines some of the dilemmas faced by the practitioner. The implications for social work are serious and far-reaching, and these are discussed with regard to long-term intervention as well as professional and personal scrutiny.
This paper investigates the phenomenon of three clients living in squalor, all of whom have severe and enduring mental health problems, and are on the caseload of a mental health social work team. By thinking about the clients both individually and as a group, within a psychoanalytic framework, it attempts to understand their squalor in a new way, with a particular regard to the transference and counter transference experienced by the practitioner. By making use of social work literature as well as that concerning organisations and community care, it also discusses the impact these clients make on the wider community around them, and examines some of the dilemmas faced by the practitioner. The implications for social work are serious and far-reaching, and these are discussed with regard to long-term intervention as well as professional and personal scrutiny.
Subject terms:
mental health problems, psychoanalysis, severe mental health problems, social care provision, social work methods, community mental health services, community mental health teams;
Psychiatric Bulletin, 25(7), July 2001, pp.250-252.
Publisher:
Royal College of Psychiatrists
This article aims to improve the rate of documentation of risk in new referrals to a community mental health team. A retrospective audit of 46 case notes was followed by a training session on risk of violence. Found that prior to the study there were very low rates of documentation of risk of violence. Significant improvements were made in 45% of the items in the history and mental state although not in the formulation of a risk assessment statement. Concludes that it is possible to improve the risk of violence documentation with no extra time, resources or paperwork and with true multi-disciplinary involvement.
This article aims to improve the rate of documentation of risk in new referrals to a community mental health team. A retrospective audit of 46 case notes was followed by a training session on risk of violence. Found that prior to the study there were very low rates of documentation of risk of violence. Significant improvements were made in 45% of the items in the history and mental state although not in the formulation of a risk assessment statement. Concludes that it is possible to improve the risk of violence documentation with no extra time, resources or paperwork and with true multi-disciplinary involvement.
Subject terms:
mental health problems, mental health services, management, risk, risk assessment, violence, assessment, case records, community mental health teams;
Psychiatric Bulletin, 25(5), May 2001, pp.169-171.
Publisher:
Royal College of Psychiatrists
Comments on the prevalence of unemployment among people with severe mental illness and the role community mental health teams can have in returning people to work. Discusses assessment and the various possible destinations for users such as the open job market, jobs in social firms, sheltered workshops or supported employment. Suggests that all these models of rehabilitation have their merits and that there must be increased investment in this field.
Comments on the prevalence of unemployment among people with severe mental illness and the role community mental health teams can have in returning people to work. Discusses assessment and the various possible destinations for users such as the open job market, jobs in social firms, sheltered workshops or supported employment. Suggests that all these models of rehabilitation have their merits and that there must be increased investment in this field.
Subject terms:
mental health problems, rehabilitation, severe mental health problems, sheltered employment, supported employment, unemployment, assessment, community care, community mental health teams, employment;
Mental Health and Learning Disabilities Care, 4(8), April 2001, pp.258-259.
Publisher:
Pavilion
In the second of a series of articles on the National Service Framework, this article describes how one trust's mental health services have worked with local primary health care services towards achieving standard two.
In the second of a series of articles on the National Service Framework, this article describes how one trust's mental health services have worked with local primary health care services towards achieving standard two.
Subject terms:
mental health problems, mental health services, NHS, primary care, stress, standards, training, community mental health teams;
Psychiatric Bulletin, 25(2), February 2001, pp.61-66.
Publisher:
Royal College of Psychiatrists
Mental health day centres have been little researched. This article reports on a 1-week census carried out at the four day centres run by a London borough. Results found the centres catered for a group with long-standing mental health problems, mostly under community mental health team care. A surprising number were suffering from physical ill health. They attended the centres primarily for social reasons or to participate in creative groups such as music and art. Very few were concurrently attending day hospitals. Calls for further studies to understand the distinction between NHS day hospitals and Social Services day centres in terms of utilisation and client group.
Mental health day centres have been little researched. This article reports on a 1-week census carried out at the four day centres run by a London borough. Results found the centres catered for a group with long-standing mental health problems, mostly under community mental health team care. A surprising number were suffering from physical ill health. They attended the centres primarily for social reasons or to participate in creative groups such as music and art. Very few were concurrently attending day hospitals. Calls for further studies to understand the distinction between NHS day hospitals and Social Services day centres in terms of utilisation and client group.
Subject terms:
mental health problems, physical illness, psychiatric day care, community mental health services, community mental health teams, day centres, day services, health, health care;
Psychiatric Bulletin, 25(2), February 2001, pp.56-58.
Publisher:
Royal College of Psychiatrists
Nationally, a variety of community care projects are being developed to replace institution-based care. Describes an innovative system of providing mental health care in Southport, combining an extended day service with short-term hospital admission - the partial hospitalisation philosophy. Findings support the use of short-stay admission coupled with extended day care and crisis line support to provide a viable alternative to admission to the acute ward.
Nationally, a variety of community care projects are being developed to replace institution-based care. Describes an innovative system of providing mental health care in Southport, combining an extended day service with short-term hospital admission - the partial hospitalisation philosophy. Findings support the use of short-stay admission coupled with extended day care and crisis line support to provide a viable alternative to admission to the acute ward.
Subject terms:
hospitals, mental health problems, mental health services, hospital admission, severe mental health problems, community care, community mental health teams, day services, deinstitutionalisation, crisis intervention;
Psychiatric Bulletin, 25(4), April 2001, pp.146-148.
Publisher:
Royal College of Psychiatrists
Describes how a generic community mental health team (CMHT) introduced strategies for early intervention with no extra funding. A style of intervention was developed to engage and maintain contact with people with recent onset psychosis. Looks at the model as a possible alternative to setting up specialised teams.
Describes how a generic community mental health team (CMHT) introduced strategies for early intervention with no extra funding. A style of intervention was developed to engage and maintain contact with people with recent onset psychosis. Looks at the model as a possible alternative to setting up specialised teams.
Subject terms:
intervention, mental health problems, models, patients, prevention, schizophrenia, treatment, therapy and treatment, community mental health teams, early intervention, financing;
McCLELLAND Norman, HUMPHREYS Martin, CONLON Lorraine, HILLIS Tony
Publisher:
Butterworth-Heinemann
Publication year:
2001
Pagination:
157p.,bibliogs.
Place of publication:
Oxford
Follows the continuum of care for patients who suffer from mental disorders, reflecting current forensic mental health nursing care practice. Reaside Clinic medium secure unit in the West Midlands is used as a focus, showing multi-disciplinary care from initial assessment, through patient stay, to discharge into the community. Contents include: Referral to admission; assessment; treatment approaches; interprofessional working; vocational rehabilitation; dealing with hostility; suicide; legal aspects; research and training; aftercare; diversion from custody; future challenges.
Follows the continuum of care for patients who suffer from mental disorders, reflecting current forensic mental health nursing care practice. Reaside Clinic medium secure unit in the West Midlands is used as a focus, showing multi-disciplinary care from initial assessment, through patient stay, to discharge into the community. Contents include: Referral to admission; assessment; treatment approaches; interprofessional working; vocational rehabilitation; dealing with hostility; suicide; legal aspects; research and training; aftercare; diversion from custody; future challenges.
Subject terms:
mental health problems, multidisciplinary services, rehabilitation, risk, schizophrenia, suicide, therapies, therapy and treatment, training, vocational rehabilitation, admission to care, after care, assessment, carers, community mental health nurses, community mental health teams, custodial institutions;
Reports on the development of a joint mental health strategy for older people in a central London Borough. The project brought together clinicians and practitioners from a variety of settings, the voluntary sector, and users and carers. The aim of the project was to develop a shared philosophy of care based on promoting independence and from this to identify the components of a spectrum of care that would meet the wide range of needs of elders with mental ill health. The borough had high levels of deprivation, unemployment and poor housing. In addition there was a rich ethnic diversity within the borough.
Reports on the development of a joint mental health strategy for older people in a central London Borough. The project brought together clinicians and practitioners from a variety of settings, the voluntary sector, and users and carers. The aim of the project was to develop a shared philosophy of care based on promoting independence and from this to identify the components of a spectrum of care that would meet the wide range of needs of elders with mental ill health. The borough had high levels of deprivation, unemployment and poor housing. In addition there was a rich ethnic diversity within the borough.
Subject terms:
home care, joint working, mental health problems, mental health services, NHS trusts, multidisciplinary services, older people, policy, primary care, social services, staff, standards, training, user participation, voluntary sector, carers, community mental health teams, dementia;