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Selecting a rating scale for evaluating services to the chronically mentally ill
- Authors:
- GREEN R.S., GRACELY E.J.
- Journal article citation:
- Community Mental Health Journal, 23(2), 1987, pp.91-102.
- Publisher:
- Springer
Reports on a comparison between seven different brief rating scales and the criteria used in selecting the most appropriate.
The delivery of mental health services in the 21st century: bringing the community back in
- Author:
- ROSENHECK Robert
- Journal article citation:
- Community Mental Health Journal, 36(1), February 2000, pp.107-124.
- Publisher:
- Springer
The community mental health movement of the 1960s enjoyed widespread public support in the USA but poorly served its intended target population of seriously mentally ill individuals. Since that time professional technologies and organisational linkages have substantially improved, but there has been a loss of public support for safety net services for the least well off, in part due to a general ascendance of individualist market values, declining civic engagement and reduced support for specialised services for the disadvantaged. A new community mental health movement would be less oriented towards stimulating broad community change, and more narrowly focused on building support among decision makers and the public at large to expand the availability of costly but effective and improved services for people with severe and persistent mental illness.
The enduring relevance of case management
- Authors:
- RYAN Peter, et al
- Journal article citation:
- British Journal of Social Work, 29(1), February 1999, pp.97-125.
- Publisher:
- Oxford University Press
This article summarises the main results and policy implications of a Department of Health funded mental health case management research and development project. The project implemented case management services in four different sites, and worked with clients who were severely disabled with long-term mental illness. The article concludes that case management continues to be a model of service delivery which can achieve real benefits for clients in terms of preventing them from falling through the net, and in linking them in responsive ways to community services. However, the increased costs can make it an unattractive option for purchasers, and ways need to be found to retain the established benefits, whilst reducing the costs to service purchasers.
Doorstep delivery
- Authors:
- MINGHELLA Edana, FORD Richard
- Journal article citation:
- Health Service Journal, 20.8.98, 1998, pp.24-25.
- Publisher:
- Emap Healthcare
Reports on how a home care service for people with severe mental illness has reduced costs and proved popular with users.
A pilot study of exposure control of chronic auditory hallucinations in schizophrenia
- Authors:
- PERSAUD Rajendra, MARKS Isaac
- Journal article citation:
- British Journal of Psychiatry, 167, July 1995, pp.45-50.
- Publisher:
- Cambridge University Press
Many patients complain less of their auditory hallucinations per se than of lack of control of the experiences. There is reason to believe that a non-distraction approach could help patients gain more control over persistent auditory hallucinations and teach them that their experience is a form of thinking and has no external source. This study is a pilot of that idea.
The new American social work gospel: case management of the chronically mentally ill
- Author:
- CNAAN Ram A.
- Journal article citation:
- British Journal of Social Work, 24(5), October 1994, pp.533-557.
- Publisher:
- Oxford University Press
Case management is currently the most popular mode of service delivery in the United States, especially in community programmes for chronically mentally ill people. Proponents of case management claim that it is cost-effective and that it assures provision of necessary services to clients. Argues that case management neither empowers clients nor is it free of drawbacks. Given that many countries tend to model the United States, foreign social workers and other human service professionals should first examine the usefulness of case management vis-a-vis their own cultural and economic contexts, especially in the light of its many drawbacks.
Report of the Working Group on High Security and Related Psychiatric Provision
- Authors:
- REED John, chair
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 1994
- Pagination:
- 50p.
- Place of publication:
- London
Report from a working group with the remit to consider the most effective provision of services for patients requiring psychiatric treatment in conditions of high security in England and Wales, and the relationship between such services and the secure and related services provided within NHS regions and the Prison Service.
Independent Mental Health Advocacy (IMHA)
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2015
- Place of publication:
- London
A suite of 12 resources which includes short films, reports, at a glance summaries and tools on Independent Mental Health Advocacy. The resources aim to raise awareness and understanding of the IMHA role amongst service users and mental health staff; improve access IMHA, help providing an understand what a good service looks like, and how outcomes can be measured. The resources have been produced by the Social Care Institute for Excellence in partnership with The University of Central Lancashire (UCLan) in Preston. (Edited publisher abstract)
Service evaluation of the need for care and clinical risk management procedures using the Health of the Nation Outcome Scale (HoNOS) secure
- Authors:
- LIDDIARD Kim, et al
- Journal article citation:
- Journal of Forensic Practice, 21(1), 2019, pp.61-70.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore whether the current forensic mental health inpatient population within a medium secure unit is more or less complex (i.e. clinical and risk presentations) than former years using the Health of the Nation Outcome Scale (HoNOS) secure. Additionally, the use of the HoNOS secure as a service-wide measure is discussed in terms of its usefulness. Clinical implications and recommendations are offered for the continued use of the HoNOS secure in services more widely. Design/methodology/approach: A retrospective case review of completed HoNOS secure assessments for 130 patients over three time intervals 2012, 2015 and 2018 was used. A multivariate analysis was performed on the data using SPSS version 25. Findings: The findings revealed that contrary to clinical opinion, inpatients’ clinical and risk presentations had not changed significantly overtime. Research limitations/implications: The study shows the benefits of using the HoNOS secure at a service-wide level to explore and understand similarities and differences in inpatient admissions over time. It also highlights the usefulness of the HoNOS secure for considering different ward characteristics and the needs of patients residing in these environments. Originality/value: Although much research exists surrounding the individual use of the HoNOS secure in relation to outcomes, there is limited research focusing on use of the HoNOS secure at the service level. The paper therefore provides evidence of the utility and value of the HoNOS secure as a service-level outcome measure.
Evaluating the impact of integrated care on service utilization in serious mental illness
- Authors:
- WATERS Heidi C., FURUKAWA Michael F., JORISSEN Shari L.
- Journal article citation:
- Community Mental Health Journal, 54(8), 2018, p.1101–1108.
- Publisher:
- Springer
Serious mental illness (SMI) affects 5% of the United States population and is associated with increased morbidity and mortality, and use of high-cost healthcare services including hospitalizations and emergency department visits. Integrating behavioural and physical healthcare may improve care for consumers with SMI, but prior research findings have been mixed. This quantitative retrospective cohort study assessed whether there was a predictive relationship between integrated healthcare clinic enrollment and inpatient and emergency department utilization for consumers with SMI when controlling for demographic characteristics and disease severity. While findings indicated no statistically significant impact of integrated care clinic enrollment on utilization, the sample had lower levels of utilization than would have been expected. Since policy and payment structures continue to support integrated care models, further research on different programmes are encouraged, as each setting and practice pattern is unique. (Edited publisher abstract)