Development and evaluation of an inner city mental health team

1998 ◽  
Vol 33 (3) ◽  
pp. 129-135 ◽  
Author(s):  
M. Shepherd ◽  
D. Gunnell ◽  
B. Maxwell ◽  
D. Mumford
Keyword(s):  
Mental Health ◽  
Inner City ◽  
Mental Health Team ◽  
Health Team

The management of change in aCommunity Mental Health Team

2002 ◽  
Vol 25 (2) ◽  
pp. 115 ◽  
Author(s):  
Anthony Mander ◽  
Allen Gomes ◽  
David Castle
Keyword(s):  
Mental Health ◽  
Inner City ◽  
Patient Outcomes ◽  
Research Strategy ◽  
Community Treatment ◽  
Generic Model ◽  
Evidence Based ◽  
Mental Health Team ◽  
Health Team ◽  
Mental Health Literature

Assertive Community Treatment (ACT) is the most widely studied and well supported evidence based communitymanagement model for persons with severe mental illness (SMI) in the mental health literature. This report details the replacement of an unevaluated generic model of case management with ACT in a metropolitan inner city area.This is work in progress and detailed patient outcomes are not yet available. The steps taken and the problemsencountered in changing clinical practice are important over and above the intervention itself and are discussed. The main difficulty that we encountered was moving staff from focusing on and becoming demoralised by potentialproblems and obstacles to problem solving and implementation of the best available solution. Staff were consulted at all stages of the project. The use of an 'action research' strategy maximised their sense of ownership and ultimatelyenabled the project to be implemented although in a revised format to that originally envisaged. Flexibility in this regard was crucial since the budget granted was only 40% of that requested. The original aim of having all 3 sector teams of the Inner City Mental Health Service (ICMHS) involved did not eventuate due to internal organisational issues and only one team undertook to implement the ACT approach.

scholarly journals The care programme approach

1996 ◽  
Vol 20 (9) ◽  
pp. 550-552 ◽  
Author(s):  
J. S. Jamieson
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Inner City ◽  
Serious Mental Illness ◽  
Continuing Care ◽  
Community Mental Health Team ◽  
Care Programme ◽  
Mental Health Team ◽  
Health Team ◽  
High Level

The CPA encourages good psychiatric practice in the continuing care in the community of people who suffer with serious mental illness. The tiered CPA has recently been proposed with a view to channel resources towards those patients who are most in need. This study assesses whether the CPA is used appropriately and effectively among patients discharged in an inner city sector where there is a high level of serious mental illness. The results suggest that it is feasible provided there is an adequately developed community mental health team.

scholarly journals Community psychiatry's achievements

2014 ◽  
Vol 23 (4) ◽  
pp. 337-344 ◽  
Author(s):  
T. Burns
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Community Psychiatry ◽  
Psychosocial Interventions ◽  
Community Mental Health Team ◽  
Pattern Of Care ◽  
Mental Health Team ◽  
Health Team ◽  
Developed World

Mental health care in the second half of the 20th century in much of the developed world has been dominated by the move out from large asylums. Both in response to this move and to make it possible, a pattern of care has evolved which is most commonly referred to as ‘Community Psychiatry’. This narrative review describes this process, from local experimentation into the current era of evidence-based mental health care. It focuses on three main areas of this development: (i) the reprovision of care for those discharged during deinstitutionalisation; (ii) the evolution and evaluation of its characteristic feature the Community Mental Health Team; and (iii) the increasing sophistication of psychosocial interventions developed to support patients. It finishes with an overview of some current challenges.

scholarly journals To improve the communication between a community mental health team and its service users, their families and carers

2020 ◽  
Vol 9 (4) ◽  
pp. e000914
Author(s):  
Priyalakshmi Chowdhury ◽  
Amir Tari ◽  
Ola Hill ◽  
Amar Shah
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
User Satisfaction ◽  
Service User ◽  
Service Users ◽  
Not Given ◽  
Community Mental Health Team ◽  
Mental Health Team ◽  
Specialist Registrar ◽  
Health Team

This article describes the application of quality improvement (QI) to solve a long-standing, ongoing problem where service users or their carers felt they were not given enough information regarding diagnosis and medication during clinic assessments in a community mental health setting. Service users and carers had shared feedback that some of the information documented on clinic letters was not accurate and the service users were not given the opportunity to discuss these letters with the clinician. The aim of this QI project was to improve the communication between the community mental health team (CMHT) and service users and their carers. Wardown CMHT volunteered to take on this project. The stakeholders involved were the team manager and deputy manager, the team consultant, the team specialist registrar, team administrative manager, two carers and one service user. The project had access to QI learning and support through East London NHS Foundation Trust’s QI programme. The team organised weekly meetings to brainstorm ideas, plan tests of change to review progress and to agree on the next course of action. The outcome was an increase in service user satisfaction from 59.9% to 78% over a period of 6 months, and a reduction in complaints to zero.

Outcome of Referral to a Prison Mental Health Team

2006 ◽  
Vol 46 (4) ◽  
pp. 321-327 ◽  
Author(s):  
ANDREA FRIEL ◽  
TOM WHITE
Keyword(s):  
Mental Health ◽  
Mental Health Team ◽  
Health Team

scholarly journals Birmingham community mental health team for the homeless

1997 ◽  
Vol 21 (2) ◽  
pp. 74-76 ◽  
Author(s):  
Martin Commander ◽  
Sue Odell ◽  
Sashi Sashidharan
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Mentally Ill ◽  
First Year ◽  
Community Mental Health Team ◽  
Mental Health Team ◽  
Health Team ◽  
Severely Mentally Ill ◽  
Homeless Mentally Ill ◽  
History Of

Mental health services have been criticised for failing to respond to the needs of the rising number of homeless mentally ill. We report on the first year of referrals to a community mental health team established to meet the needs of the severely mentally ill homeless in Birmingham. Most users had a psychotic disorder and a lengthy history of unstable housing, and experienced a range of other disadvantages. Although the team is successfully reaching its priority group, examination of other characteristics of users has highlighted a number of issues which should inform the future planning and development of the service.

scholarly journals Processing and assessing psychiatric referrals

1994 ◽  
Vol 18 (8) ◽  
pp. 480-482
Author(s):  
Prakash Naik ◽  
Alan Lee
Keyword(s):  
Mental Health ◽  
General Practitioners ◽  
Time Delays ◽  
Past History ◽  
Mental Health Team ◽  
Health Team ◽  
The Third ◽  
Significant Difference

Referrals from general practitioners to a sectorised mental health team were audited for time delays and quality over three months. A referrers' guide was then designed to reduce referral delays and improve their quality. This was sent to all GPs. Referrals were again audited over two three month periods. There was no significant difference between corresponding time delays in the three periods. Only one item, the presence or absence of past history, was significantly improved in the third period. These results and their implications are discussed.

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