Search results for ‘Subject term:"mental health problems"’ Sort:
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The role of primary care in community care services
- Author:
- GREAT BRITAIN. Scottish Office. National Health Service in Scotland. CRAG Working Group on Mental Illness
- Publisher:
- HMSO/Great Britain. Scottish Office. National Health Service in Scotland
- Publication year:
- 1996
- Pagination:
- 55p.,bibliog.
- Place of publication:
- Edinburgh
Report outlining issues concerned with the effective delivery of primary care services in the context of current community care legislation. While recognising the diversity of service provision the report recommends a locally co-ordinated approach to the delivery of community care by primary care teams and general practitioners. Focuses in particular on the delivery of services to people with mental health problems.
The role of primary care in community care services: executive summary
- Author:
- GREAT BRITAIN. Scottish Office. National Health Service in Scotland. CRAG Working Group on Mental Illness
- Publisher:
- HMSO/Great Britain. Scottish Office. National Health Service in Scotland
- Publication year:
- 1996
- Pagination:
- 16p.
- Place of publication:
- Edinburgh
Executive summary of a report outlining issues concerned with the effective delivery of primary care services for people with mental health problems in Scotland in the context of current community care legislation.
GPs' views and use of adult mental health services in England and Wales: a survey investigating the effect of funding
- Author:
- CORNEY Roslyn H.
- Journal article citation:
- Journal of Mental Health, 5(5), December 1996, pp.489-499.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The purchaser/provider split and the introduction of GP fundholding has meant that GPs are now key players in determining the type of adult mental health services which are delivered. This paper describes the results of a recent survey of GPs' views and their use of adult mental health services. The survey was conducted in 100 fundholding practices and the same number of non-fundholding practices in 1994. Over one-quarter of the fundholding GPs had tried to make changes in out-patient provision and had used their purchasing power either to develop 'in house' psychiatric services or to reduce the number of consultants responsible for their patients. The results also indicate the large increase over the last few years in the number of mental health professionals based in general practice. This increase was particularly marked in fundholding practices. The implications for the delivery of mental health services are discussed.
The impact of primary care counselling on psychiatric symptoms
- Authors:
- GORDON Kenneth, GRAHAM Carolyn
- Journal article citation:
- Journal of Mental Health, 5(5), December 1996, pp.515-523.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The work of three primary care counsellors was assessed over a one year period, in which clients were offered a brief intervention, under supervision of a clinical psychologist. Results suggested that clients were referred with significant mental health problems, and that counselling was effective in reducing psychiatric symptomatology. However, some of the more severely disturbed clients needed to be referred on to specialist teams, and while it can produce cost savings in some areas, counselling may therefore also create new demands on secondary care. Concludes that general practice counselling is valuable, but should be seen as an expansion of the range of mental health care, rather than an alternative to existing specialist services.
Depression and its treatment in the primary health care setting
- Author:
- ARMSTRONG Elizabeth
- Journal article citation:
- Health Visitor, 69(7), July 1996, pp.286-288.
- Publisher:
- Health Visitors' Association
Depression or anxiety syndrome are commonly reported by adults, and an increasing problem among younger people. Severe depression can lead to suicide. Postnatal depression affects up to 15 percent of new mothers. The author describes the symptoms, prevalence and treatment of depression in primary care, and the role of the health visitor in early identification and intervention with clients experiencing mental health problems.
Beyond the CMHT: moving mental health services forward in East Yorkshire
- Authors:
- ATKIN Mike, HOSTICK Chris, PECK Edward
- Journal article citation:
- Community Care Management and Planning, 4(2), February 1996, pp.51-57.
- Publisher:
- Pavillion
Recently commentators and clinicians have been challenging the robustness of the Community Mental Health Team (CMHT) model. Managers have also become increasingly sceptical about the utility of the traditional, generic CMHT which attempts to combine assessment, care planning and review with service delivery, such as crisis response, assertive outreach, continuing care and primary care liaison and counselling. This case study presents the process of outcome of a strategic review of mental health services in East Yorkshire which may look beyond the CMHT as the preferred way forward.
Planning community mental health services for women: a multiprofessional handbook
- Editors:
- ABEL Kathryn, et al
- Publisher:
- Routledge
- Publication year:
- 1996
- Pagination:
- 280p.,bibliogs.
- Place of publication:
- London
Collection of papers written from a number of different perspectives. Includes chapters on: women's mental health in the UK; motherhood and mental illness; girls in distress; planning services for black women; women, lesbians and community care; women as carers of people with severe mental health problems; homeless women; women with drug and alcohol problems; the impact of childhood sexual abuse; women and violence; women as abusers; women and primary care; a users perspective; Shanti - an intercultural psychotherapy centre for women in the community; and developing psychiatric services for women.
The use of participatory research to facilitate a psychological rehabilitation programme for child survivors of violence in a South African community
- Authors:
- PETERSEN I., MAGWAZA A.S., PILLAY Y.G.
- Journal article citation:
- Social Work Maatskaplike Werk, 32(1), 1996, pp.67-74.
At the time that this project was undertaken violence resulting from political conflict had reached endemic proportions in South Africa, having escalated since the abandonment of formal apartheid in 1990. This phenomenon has been attributed to the emergence of new class differentiation amongst the black population as a result of differential access to employment opportunities, incomes and access to urban residential resources. The central motivation for this project was to develop a model for psychological rehabilitation programmes in deprived communities within a primary mental heath care framework. Examines the concepts if primary mental health care and participatory research and outlines the research approach within a primary mental health care framework. Also evaluates the use of participatory research to promote empowerment, particularly in the context of research on the effects of violence. The feasibility of the primary mental health care framework for the delivery of trauma services is also evaluated.
Collaborative community mental health care
- Editors:
- WATKINS Mary, et al
- Publisher:
- Arnold
- Publication year:
- 1996
- Pagination:
- 384p.,bibliogs.
- Place of publication:
- London
Includes papers on: teamwork among professionals involved with disturbed families; integrating hospital and community services; policy and finance for community care; primary health care; day care and rehabilitation services; community care, community compulsion and the law; the role of the voluntary sector; managing the psychiatric emergency in the community; interventions with long-term clients; coping with drug and alcohol misuse; shifting into community focus; dealing with psychosis in families; liaison psychiatry and primary health care settings; long-term medication and the responsibilities of the team; daily living skills for clients in the community; support for community psychiatric nurses in multidisciplinary teams; principles of evaluation; evaluating community services; and multidisciplinary care in the community for users with mental health problems - guidelines for the future.