Search results for ‘Subject term:"mental health problems"’ Sort:
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Service integration requires planning from the top
- Author:
- GREEN Linda
- Journal article citation:
- Community Care, 25.3.99, 1999, p.10.
- Publisher:
- Reed Business Information
Looks at how while important steps have been made to improve care for mental health service users, the Social Services Inspectorate still believes that more ground can be made in integrating services.
Implementation of the care programme approach across health and social services for dual diagnosis clients
- Authors:
- KELLY Michael, HUMPHREY Charlotte
- Journal article citation:
- Journal of Intellectual Disabilities, 17(4), 2013, pp.314-328.
- Publisher:
- Sage
- Place of publication:
- London
Care for clients with mental health problems and concurrent intellectual disability (dual diagnosis) is currently expected to be provided through the care programme approach (CPA), an approach to provide care to people with mental health problems in secondary mental health services. When CPA was originally introduced into UK mental health services in the 1990s, its implementation was slow and problematic, being hampered in part by problems occurring at a strategic level as health and social service organizations attempted to integrate complex systems. This article reports on a more recent attempt to implement CPA for dual diagnosis clients in one mental health foundation trust in a large English city. The Trust was implementing a joint mental health and intellectual disability CPA policy across five of its constituent boroughs. Semi-structured interviews with key informants at Trust and borough levels focused on the Trust’s overall strategy for implementing CPA and on how it was being put into practice at the front line. Documentary analysis and the administration of the Partnership Assessment Tool were also undertaken. Data were analysed using a framework approach. Progress in implementing CPA varied but overall was extremely limited in all the boroughs. The study identified six key contextual challenges that significantly hindered the implementation progress. These included organizational complexity; arrangements for governance and accountability; competing priorities; financial constraints; high staff turnover and complex information and IT systems. The only element of policy linked to CPA that had been widely taken up was the Greenlight Framework and Audit Toolkit (GLTK). The fact that the toolkit had targets and penalties associated with its implementation appeared to have given it priority. None of the contextual challenges identified in this study were specifically related to CPA as a policy or to the needs and circumstances of dual diagnosis clients. Nevertheless, they inhibited the types of organizational change and partnership working that implementing CPA for a client group of this kind required. Unless these more generic factors are acknowledged and addressed when introducing policies such as CPA, the chances of effective implementation will inevitably be compromised. (Edited publisher abstract)
Still building bridges: the report of a national inspection of arrangements for the integration of care programme approach with care management
- Author:
- ORMISTON Hester
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 1999
- Pagination:
- 83p.
- Place of publication:
- London
Report based on inspections of social services department arrangements for the care programme approach/care management for people with mental health problems in fifteen local authorities. The inspections were undertaken by multidisciplinary teams and focused on the experience of service users and their carers.
Still building bridges: arrangements for the integration of care programme approach with care management
- Author:
- GREAT BRITAIN. Department of Health. Social Services Inspectorate
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 1999
- Pagination:
- 2p.
- Place of publication:
- London
Letter accompanying report based on inspections of social services departments arrangements for the care programme approach/care management of adults with mental health problems in fifteen local authorities.
Still building bridges: arrangements for CPA/care management systems; a brief guide for social services departments, health trusts and health authorities on providing integrated mental health services
- Author:
- GREAT BRITAIN. Department of Health. Social Services Inspectorate
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 1999
- Pagination:
- 6p.
- Place of publication:
- London
Safety networks
- Authors:
- MILLINGTON Celia, SLATER Wendy
- Journal article citation:
- Health Service Journal, 21.7.94, 1994, p.29.
- Publisher:
- Emap Healthcare
Describes a joint approach to care programming in Derbyshire which concentrates on people with long-term and complex mental illness.
Factors influencing the implementation of the care programme approach
- Authors:
- NORTH Cathy, RITCHIE Jane, WARD Kit
- Publisher:
- HMSO/Great Britain. Department of Health
- Publication year:
- 1994
- Pagination:
- 130p.
- Place of publication:
- London
Research study evaluating the working of the care programme approach (CPA) for people referred to specialist psychiatric services. The approach required district health authorities, in collaboration with social services departments, to design and implement systematic arrangements for deciding whether a patient can be treated in the community, and if so, ensuring that they receive the necessary health and social care.