‘Blink and You'll Miss It’? The Impact of the National Service Framework for Mental Health on Primary Care

2003 ◽  
Vol 8 (4) ◽  
pp. 23-27
Author(s):  
Frankie Pidd
2008 ◽  
Vol 32 (2) ◽  
pp. 49-52 ◽  
Author(s):  
Peter Huxley ◽  
Sherrill Evans ◽  
Maria Munroe ◽  
Leticia Cestari

Aims and MethodCommunity mental health team (CMHT) services in many Western countries have been remodelled to focus on people with the most severe illnesses and complex problems. Complexity scores using the Matching Resource to Care (MARC2) measure from CMHT cases in 2004–2005 (n=1481) are compared with scores in 1997–1998 (n=3178) in the same locations, before the introduction of the National Service Framework, and before the impact of the creation of integrated mental health trusts in England.ResultsThe 2004–2005 baseline complexity scores are all worse than those in 1997–1998.Clinical ImplicationsIf increased targeting brought about by the National Service Framework and other reforms has led to a greater proportion of people with complex problems in case-loads, what care services, if any, are now being received by people who were in receipt of CMHT services before the reforms?


2002 ◽  
Vol 12 (4) ◽  
pp. 327-341 ◽  
Author(s):  
Steve Iliffe ◽  
Jill Manthorpe

The current focus on dementia risks eclipsing other mental health problems of later life. While the National Service Framework for Older People (NSF) has highlighted depression as an important disorder meriting special consideration,1 anxiety and psychoses in older people remain difficult problems for practitioners to manage. This paper reviews the prevalence and impact, recognition, complexity and prognosis and treatment for these three clinical problems, and proposes a framework for ‘good enough practice’


2000 ◽  
Vol 24 (6) ◽  
pp. 203-206 ◽  
Author(s):  
Graham Thornicroft

The National Service Framework for Mental Health (NSF–MH) is a strategic blueprint for services for adults of working age for the next 10 years. It is both mandatory, in being a clear statement of what services must seek to achieve in relation to the given standards and performance indicators, and permissive, in that it allows considerable local flexibility to customise the services which need to be provided to fit the framework. This paper summarises the process by which the NSF was created, and its content, which became clear when it was published on 30 September 1999 (Department of Health, 1999).


2002 ◽  
Vol 26 (11) ◽  
pp. 403-406 ◽  
Author(s):  
Graham Thornicroft ◽  
Jonathan Bindman ◽  
David Goldberg ◽  
Kevin Gournay ◽  
Peter Huxley

The purpose of this paper is to identify the important gaps in research coverage, particularly in areas key to the National Service Framework for Mental Health (NSF-MH) (Department of Health, 1999) and the NHS Plan (Department of Health, 2000), and to translate these gaps into researchable questions, with a view to developing a potential research agenda for consideration by research funders.


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