Search results for ‘Subject term:"mental health problems"’ Sort:
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Improving equity and efficiency in British community care
- Authors:
- DAVIES Bleddyn, KNAPP Martin
- Journal article citation:
- Social Policy and Administration, 28(3), September 1994, pp.263-285.
- Publisher:
- Wiley
The reform of community and long-term care has been an important theme of policy development around the world during the last decade. British community care is a particularly interesting and impressive example of changes which have parallels in other countries. They include: achieving greater flexibility in the response to the needs and wishes of users and carers; containing costs increases and achieving greater cost-effectiveness; consolidation of structures; competition, variety and choice in a mixed economy; care management and assessment; clarity in targeting; improvement of mechanisms for orchestrating the system. Reviews the evidence on equity and efficiency in British community care: resources, needs and outcomes, and, in particular, targeting and the production of welfare.
The mental health residential care study: classification of facilities and description of residents
- Authors:
- LELLIOTT Paul, AUDINI Bernard, KNAPP Martin, CHISHOLM Daniel
- Journal article citation:
- British Journal of Psychiatry, 169, August 1996, pp.139-147.
- Publisher:
- Cambridge University Press
The NHS is no longer a virtual monopoly provider of mental health residential care. This makes it difficult to assess the volume, range and adequacy of provision. In this study facilities providing residential care in eight districts were compared on levels of staffing, staff qualifications, and the characteristics of their residents. Results found that there was great variation between districts in the number of places available per unit of the population, especially in those with 24-hour waking cover. It is suggested that one consequence of the diversification in provision of mental health residential accommodation has been a relative reduction in the proportion of provision available to the most severely disabled, particularly those who pose a risk of acting violently.