scholarly journals Commissioning mental health services: role of the consultant psychiatrist

2000 ◽  
Vol 6 (1) ◽  
pp. 73-80 ◽  
Author(s):  
Chris Simpson
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practitioner ◽  
National Health Service ◽  
Health Service ◽  
Health Services ◽  
Consultant Psychiatrist ◽  
Health Authorities ◽  
Care Groups

The current National Health Service (NHS) approach to commissioning health services is in flux. The purchasing of care from providers by general practitioner fundholders (GPFHs) and health authorities has changed with the new White Papers. GPFHs no longer exist and the commissioning role is being handed over from health authorities to primary care groups (PCGs). An understanding of the reasons for change and current arrangements will aid the consultant psychiatrist in influencing this process.

scholarly journals Child and adolescent mental health problems in primary care

2000 ◽  
Vol 6 (4) ◽  
pp. 287-294 ◽  
Author(s):  
Tami Kramer ◽  
M. Elena Garralda
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practitioner ◽  
Mental Health Services ◽  
Young People ◽  
Health Services ◽  
Psychiatric Disorder ◽  
Children And Adolescents ◽  
Mental Health Problems

Epidemiological research has revealed that psychiatric disorders in children and adolescents are common, persistent and handicapping. Only 1 in 10 of those with a disorder is seen in specialist mental health services. However, the majority of children and adolescents see their general practitioner (GP) every year. Although the majority present with physical complaints, there are indications that rates of psychiatric disorder in those attending are increased and that psychiatric disorder is associated with increased consulting. These findings raise questions about the role of primary care in the promotion and management of mental health in young people.

scholarly journals General practitioner fundholding and psychiatric practice

1993 ◽  
Vol 17 (4) ◽  
pp. 193-195 ◽  
Author(s):  
Andrew Sims
Keyword(s):  
Mental Health ◽  
General Practitioner ◽  
National Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Community Health ◽  
Service Management ◽  
Community Health Services ◽  
Personal View

This is a personal view on the implications for mental health services of the Executive Letter of the National Health Service Management Executive (NHSME), published in July 1992 (EL (92) 48): ‘Guidance on the extension of the Hospital and Community Health Services elements of the GP Fundholding Scheme from 1st April, 1993’.

scholarly journals The role of integrated mental and community physical healthcare trusts in responding to the COVID-19 pandemic in the UK

2020 ◽  
pp. 1-3 ◽  
Author(s):  
Derek Tracy ◽  
Anna Forrest ◽  
Benjamin R. Underwood
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Physical Health ◽  
National Health ◽  
The Uk ◽  
Integrated Mental Health

Summary For several decades, mental health services within the UK's National Health Service were provided by specialist mental health trusts. More recently many of these trusts have integrated community physical health services into their operations. We describe here how two integrated mental health trusts in England were able to make an enhanced response to the COVID-19 pandemic.

scholarly journals The psychiatric secretary: a key player in the ‘new’ health service

1993 ◽  
Vol 17 (12) ◽  
pp. 755-756
Author(s):  
Sally A. Foster ◽  
Philip S. Davison
Keyword(s):  
General Practitioner ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Potential Role ◽  
District Health ◽  
Health Authorities

Over recent years the National Health Service has undergone many changes, one of the most important being the development of purchaser/provider roles. From April 1993 district health authorities (DHAs) and general practitioner fund holders (GPFHs) have been able to choose from which provider to purchase their adult psychiatric out-patient services. While discussions on how to attract and keep the contracts from DHAs and GPFHs have been underway at a managerial and consultant level, we believe that the potential role of a key player for hospitals, the psychiatric medical secretary, has been overlooked. This paper examines the secretarial role in the context of the ‘new’ health service.

The Consultant Psychotherapist in the National Health Service: His Role and Training

1968 ◽  
Vol 114 (509) ◽  
pp. 509-515 ◽  
Author(s):  
J. D. Sutherland
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
National Health ◽  
Psychiatric Service ◽  
Present Situation ◽  
And Training

To describe the role of the consultant psychotherapist in the mental health services, we must start from the situation in regard to psychotherapeutic needs in the community and the kinds of resources that can be mobilized to meet them. I should make it clear that when referring to consultant psychotherapists in the psychotherapeutic clinic I assume that optimally these specialists would be part of a comprehensive psychiatric service. For convenience I shall use the term “psychotherapeutic centre” to allow for the location of the psychotherapeutic services to vary according to circumstances in any one area. Also, although I shall speak often of the psychotherapist as though his was a rather separate contribution, I want to stress that this is partly a reflection of the present situation. Much of what I have to say about his role must become increasingly a part of the work of all psychiatrists.

Child Health Services in England and Wales: An Overview

PEDIATRICS ◽  
1990 ◽  
Vol 86 (6) ◽  
pp. 1032-1036
Author(s):  
Shirley Goodwin
Keyword(s):  
Health Policy ◽  
General Practitioner ◽  
National Health Service ◽  
Child Health ◽  
Health Service ◽  
Health Services ◽  
Social Security ◽  
Child Health Services ◽  
England And Wales ◽  
The Impact

Child health services in England and Wales are rendered largely through the National Health Service and Social Security. The activities of local authorities are also important to child health. The structure and scope of services offered children by each of these is presented and discussed, with special attention to changes anticipated during the next 2 years. The care of children is integrated into the system serving all ages, so that services are difficult to evaluate and resources are shared with other groups. Health policy for children is fragmentary, although encouraging trends are visible in the evolution of existing policy. The impact of impending changes in hospital, community, and general practitioner services on the care of children is unclear at this time.

Student mental health and the general practitioner

1975 ◽  
Vol 13 (25) ◽  
pp. 99-100
Keyword(s):  
Mental Health ◽  
Higher Education ◽  
General Practitioner ◽  
Health Service ◽  
Health Services ◽  
Mental Health Problems ◽  
Health Problems ◽  
Student Health ◽  
Student Health Services ◽  
The University

Although most universities run a health service, students with important mental health problems are often seen by their general practitioner. There are a number of reasons for this; first, health services in the colleges of higher education outside universities are still patchy and incomplete. Second, students are on vacation for up to 24 weeks a year. Third, a student may choose to consult anyone, and may prefer someone unconnected with the university. Last, many students live at home and continue to see their general practitioner. This underlines the need for close liason between the general practitioner and student health services.

scholarly journals Advances in psychiatric treatment in primary care

2001 ◽  
Vol 7 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Christopher Dowrick
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
National Health Service ◽  
Health Service ◽  
Health Professionals ◽  
Depressive Disorders ◽  
Mental Health Problems ◽  
Psychiatric Treatment ◽  
Mental Illnesses ◽  
Breaking Work

Following ground-breaking work by Shepherd et al (1966) and, more recently, Goldberg & Huxley (1992), primary care is now recognised as the arena in which most contact occurs between the National Health Service (NHS) and people with mental health problems. General practitioners (GPs) remain the first, and in many cases the only, health professionals involved in the management of a whole range of conditions, from common anxiety and depressive disorders to severe and enduring mental illnesses.

scholarly journals Ethical Concerns or Medical Dominance? Ethical Responsibility Conflicts Between Mental Health Authorities and Social Researchers

2017 ◽  
Vol 13 (10) ◽  
pp. 226
Author(s):  
Dilrukshi Abeysinghe
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Health Services ◽  
Social Research ◽  
Ethical Responsibility ◽  
Service Users ◽  
Research Projects ◽  
Health Authorities ◽  
Health Institutions

The objective of this paper is to examine the ethical responsibility conflicts between mental health authorities and social researchers. This issue is examined with reference to the social research protocols imposed by the authorities of mental health institutions based on ethical grounds. It also explores how such ethical conflicts affect social research, which provides convincing evidence for the enhancement of mental health services. This paper analyzes ethical reasoning conflicts between social researchers and mental health authorities in terms of the psychiatric and social approaches to mental health and distress. The study is based on eight research projects to be conducted at mental health institutions in Sri Lanka during the period 2014–2016 that were designed by two academic staff members, two postgraduates, and four undergraduates in the Department of Sociology at the University of Colombo. Data was collected from the eight researchers who designed the research projects and from four administrative officers, one officer from each of the concerned institutions where the projects were to be conducted. A structured interview method was used to collect the data. According to the findings, the protocols recommended by mental health authorities based on ethical grounds divest social researchers of their ethical responsibility to conduct research that could advance mental health services and assist mental health service users. The study reveals that such protocols deprive mental health service users of their right and autonomy to make decisions about divulging information, expressing views, and accessing meaningful social relationships and activities.

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