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The 'Ward-in-a-House': residential care for the severely disabled
- Author:
- SHEPHERD Geoff
- Journal article citation:
- Community Mental Health Journal, 31(1), February 1995, pp.53-69.
- Publisher:
- Springer
Considers the 'new-long-stay' psychiatric patients - also often described as 'difficult-to-place' or as exhibiting 'challenging behaviour', and their need of a new kind of institution - one which has some of the characteristics of hospital and some of the characteristics of conventional, community housing. Services for people with long-term mental illness in the Cambridge Health District are discussed, and the use of the 'Ward-in-a-House' model, and outcomes from the use of this model.
Implementing recovery: a methodology for organisational change
- Authors:
- SHEPHERD Geoff, BOARDMAN Jed, BURNS Michael
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 2010
- Pagination:
- 19p.
- Place of publication:
- London
Recovery, the pursuit of quality of life by people with mental health problems, is core to mental health services in Australia, New Zealand, Ireland, USA, as well as England (‘New Horizons’, 2009). Following two Sainsbury Centre for Mental Health’s papers about recovery in 2008 and 2009, this methodology for the organisational changes, needed and reported in 2009 (following workshops with over 300 professionals, from 5 mental health trusts and independent organisations), can be used by statutory/non-statutory mental health providers and health/social care commissioners to deliver a ‘person-centred’ service. The principles mirror those in the 2009 National Mental Health Development Unit commissioning guidance. With, sections entitled ‘developing and how to use the methodology’, ‘views of commissioners’, ‘assessing services at the outset’, ‘agreeing priorities for action’, ‘tracking progress’, ‘future developments’, with reference to SMART goals (specific, measureable, agreed-upon, realistic, time-based) and boxed areas highlighting 10 changes/challenges and defining 3 engagement, development, and transformation stages of organisational change, the text is followed by 10 frameworks for organisational change and 2 templates for identifying priorities. In addition, the authors relate health system reforms, such as the 2010 standard National Mental Health contract and the National Social Inclusion programme (2009) suggesting they might add leverage to driving providers towards recovery-oriented delivery.
Models of community care
- Author:
- SHEPHERD Geoff
- Journal article citation:
- 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.