Journal of Mental Health, 7(2), April 1998, pp.165-177.
Publisher:
Taylor and Francis
Place of publication:
London
Traces the changing focus of care from institution to community and outlines the range of service models and their key ingredients, essential to successful community care. Specialist community teams, including assertive outreach and home-based treatment, show considerable advantage. Argues that the content of care must include evidence-based psychosocial interventions, but users' needs and priorities must be the guiding principle and with this in mind, work and employment should be afforded the highest priority with the 'place and train' model preferred to the traditional 'train and place' approach. Concludes with some considerations about the training and mix of staff needed to undertake these challenging roles.
Traces the changing focus of care from institution to community and outlines the range of service models and their key ingredients, essential to successful community care. Specialist community teams, including assertive outreach and home-based treatment, show considerable advantage. Argues that the content of care must include evidence-based psychosocial interventions, but users' needs and priorities must be the guiding principle and with this in mind, work and employment should be afforded the highest priority with the 'place and train' model preferred to the traditional 'train and place' approach. Concludes with some considerations about the training and mix of staff needed to undertake these challenging roles.
Subject terms:
housing, intervention, mental health problems, mental health services, models, needs, outreach services, severe mental health problems, social care provision, staff, training, assertive outreach, community mental health teams, employment;