Mortality Rates and Trends Among Bologna Community Mental Health Service Users

2018 ◽  
Vol 206 (12) ◽  
pp. 944-949 ◽  
Author(s):  
Domenico Berardi ◽  
Raimondo Maria Pavarin ◽  
Federico Chierzi ◽  
Laura Terzi ◽  
Valentina Manzo ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Community Mental Health ◽  
Health Service ◽  
Mortality Rates ◽  
Community Mental Health Service ◽  
Service Users

Should all community mental health teams be sectorised?

2020 ◽  
Vol 37 (1) ◽  
pp. 48-54
Author(s):  
R. Vaughan ◽  
K. Antczak ◽  
L. Kowalewski ◽  
L. Feeney
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Service ◽  
Community Mental Health ◽  
Health Service ◽  
Health Service Delivery ◽  
Community Mental Health Service ◽  
Service Users ◽  
Health Service Provision ◽  
Catchment Areas

ObjectivesSectorised catchment areas have characterised Irish mental health service delivery since the devolution of institutional care. Unlike other catchment areas, the Cluain Mhuire Community Mental Health Service (CMCMHS) never sectorised. With the development of Community Health Networks (CHNs) and Primary Care Centres, the CMCMHS has come under renewed pressure for structural change. We aimed to consider the implications of these proposed changes on staff and service users.MethodWe obtained demographic information comparing the CHNs with respect to attendee numbers, new referrals and admissions over a 1- year period. Secondly, we conducted an anonymous survey seeking opinions on the proposals to switch to a sector-based model and/or specialist inpatient care.ResultsReferral and admission rates differed across CHNs, broadly consistent with populations. About 36% of staff and 33% of service users supported changing to a sector-based system. In the event of a sector-based system of care being implemented, 66% of service users felt that existing service users should remain under the care of their current team. There was little support among any group for the development of specialist inpatient teams.ConclusionsWe discuss the benefits and drawbacks of sectorisation of mental health service provision. Most patients did not want to change teams either as current service users or as re-referrals (indicating it will take a significant time to transition to a sector-based system). Without clear pathways towards integration with primary care teams, the advantages of sectorisation may not outweigh the challenges associated with its implementation.

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