scholarly journals Admission profile: towards community based services

1992 ◽  
Vol 16 (6) ◽  
pp. 336-337
Author(s):  
R. S. Augustine ◽  
P. N. Kurian ◽  
A. Michael
Keyword(s):  
Mental Illness ◽  
Psychiatric Hospital ◽  
General Practitioners ◽  
Psychiatric Care ◽  
Total Population ◽  
Mentally Handicapped ◽  
Community Based ◽  
Special Groups ◽  
First Contact ◽  
Community Based Services

This audit examined 65 consecutive admissions to a psychiatric hospital in the Irish Midlands over six months. The admissions came from a defined sector with a total population of 39,000. In the year prior to the study major changes in the delivery of psychiatric care in the sector were instituted. These changes included the introduction of admission guidelines and extra resources in the community. The general practitioners who see mental illness at first contact were informed of these changes. Attempts were made by the sector psychiatrist team to screen for appropriateness of admission with regard to the special groups such as alcoholics, the aged and the mentally handicapped.

scholarly journals Revisiting the four core functions (4Cs) of primary care: operational definitions and complexities

2021 ◽  
Vol 22 ◽  
Author(s):  
Geronimo Jimenez ◽  
David Matchar ◽  
Gerald Choon Huat Koh ◽  
Shilpa Tyagi ◽  
Rianne M. J. J. van der Kleij ◽  
...  
Keyword(s):  
Primary Care ◽  
Digital Health ◽  
Descriptive Analysis ◽  
Community Based ◽  
Social Community ◽  
Health Technologies ◽  
Levels Of Care ◽  
Electronic Search ◽  
First Contact ◽  
Community Based Services

Abstract Background: The four primary care (PC) core functions (the ‘4Cs’, ie, first contact, comprehensiveness, coordination and continuity) are essential for good quality primary healthcare and their achievement leads to lower costs, less inequality and better population health. However, their broad definitions have led to variations in their assessment, in the innovations implemented to improve these functions and ultimately in their performance. Objectives: To update and operationalise the 4Cs’ definitions by using a literature review and analysis of enhancement strategies, and to identify innovations that may lead to their enhancement. Methods: Narrative, descriptive analysis of the 4Cs definitions, coming from PC international reports and organisations, to identify measurable features for each of these functions. Additionally, we performed an electronic search and analysis of enhancement strategies to improve these four Cs, to explore how the 4Cs inter-relate. Results: Specific operational elements for first contact include modality of contact, and conditions for which PC should be approached; for comprehensiveness, scope of services and spectrum of population needs; for coordination, links between PC and higher levels of care and social/community-based services, and workforce managing transitions and for continuity, type, level and context of continuity. Several innovations like enrolment, digital health technologies and new or enhanced PC provider’s roles, simultaneously influenced two or more of the 4Cs. Conclusion: Providing clear, well-defined operational elements for these 4Cs to measure their achievement and improve the way they function, and identifying the complex network of interactions among them, should contribute to the field in a way that supports efforts at practice innovation to optimise the processes and outcomes in PC.

An Evaluation of Community-Based Psychiatric Care for People with Treated Long-Term Mental Illness

1995 ◽  
Vol 167 (1) ◽  
pp. 26-37 ◽  
Author(s):  
Greg Wilkinson ◽  
Marco Piccinelli ◽  
Ian Falloon ◽  
Haroutyon Krekorian ◽  
Sheila McLees
Keyword(s):  
Mental Illness ◽  
Affective Disorders ◽  
Psychiatric Care ◽  
Adaptive Functioning ◽  
Social Performance ◽  
Structured Interview ◽  
Rural Setting ◽  
Community Based ◽  
Treatment Measures

BackgroundWe evaluated integrated, multidisciplinary, community-based care for a cohort of people with treated long-term mental illness over two years in a field trial set in a semi-rural setting. The aim was to organise local psychiatric services on an extramural basis with general practitioner teams as the key element.MethodTrained research workers used a structured interview to collect standardised baseline and three-monthly socio-demographic, clinical, social, family adjustment and burden, and treatment measures from patients, informants, and key-workers. Analysis included descriptive statistics and, for longitudinal data, analysis of best-fitted straight lines.ResultsWe studied 34 patients (14 with schizophrenia, 11 with major affective disorders, and 9 with minor (non-major) affective disorders and anxiety disorders) who had a mean of 12 years continuous illness. At baseline, they were mainly characterised by research workers as mildly ill with fair social adaptive functioning, and by lay informants as having moderate target symptom severity and disturbance of social performance. Over two years, there were statistically significant, slight improvements in clinical global impressions ratings by research workers, and in informants ratings of target symptoms and social performance. Most patients continued to receive prescriptions for psychotropic drugs throughout follow-up, and they had a mean of 47 therapeutic contacts, mainly from nurses. Two patients were admitted to psychiatric hospital. There were few differences between patients in different diagnostic groups.ConclusionsIntegrated, multidisciplinary, community-based psychiatric care for people with treated long-term mental illness is feasible in a semi-rural setting: patients receiving pharmacotherapy and regular psychosocial treatments remained relatively stable on clinical and social measures over two years. The unique way in which the service was monitored, by making regular, systematic assessments of patients and carers, serves as an example for other services.

Changing patterns of mental health care in Greece (1984–1996)

1999 ◽  
Vol 14 (8) ◽  
pp. 462-467 ◽  
Author(s):  
M.G. Madianos ◽  
J. Tsiantis ◽  
C. Zacharakis
Keyword(s):  
Mental Health ◽  
Technical Assistance ◽  
Psychiatric Care ◽  
Significant Shift ◽  
Community Based ◽  
Mental Hospitals ◽  
Reform Programme ◽  
Changing Patterns ◽  
Community Based Services

SummaryGreece joined the European Community in 1981 and, three years later, the Commission of the European Communities provided financial and technical assistance under EEC Regulation 815/84 for the modernisation of the traditional psychiatric care system, with the emphasis on decentralisation of mental health services and the development of community-based services, as well as on deinstutionalization of long-stay patients and improvement of conditions in public mental hospitals. Over the last 11 years, the implementation of the EEC Reg. 815/84 programme contributed to a significant shift towards extramural care and rehabilitation. The role of the large mental hospitals has gradually been diminished and a large number of long-stay patients have been deinstitutionalised. It is commonly accepted that the EEC-funded psychiatric reform programme, despite inadequacies and constraints, had an impact on the changing mental health scene in Greece.

Peer Commentaries on ‘An Evaluation of Community-based Psychiatric Care for People with Treated Long-Term Mental Illness’

1995 ◽  
Vol 167 (1) ◽  
pp. 38-40 ◽  
Author(s):  
Ian Pullen ◽  
Tony Kendrick
Keyword(s):  
Mental Illness ◽  
Psychiatric Care ◽  
Community Based

The following two commentaries were invited by the editor, and add to a series of reviews and comments that are published together with particular papers.

scholarly journals Mental illness stigma research in Argentina

2015 ◽  
Vol 12 (4) ◽  
pp. 86-88 ◽  
Author(s):  
Martin Agrest ◽  
Franco Mascayano ◽  
Sara Elena Ardila-Gómez ◽  
Ariel Abeldaño ◽  
Ruth Fernandez ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Professionals ◽  
Mental Illness Stigma ◽  
Future Research ◽  
Community Perceptions ◽  
Community Based ◽  
People With Mental Illness ◽  
National Mental Health ◽  
Community Based Services

Studies regarding stigma towards mental illness in Argentina blossomed after the first National Mental Health Law was passed in 2010. Methodological limitations and contradictory results regarding community perceptions of stigma hinder comparisons across domestic and international contexts but some lessons may still be gleaned. We examine this research and derive recommendations for future research and actions to reduce stigma. These include tackling culture-specific aspects of stigma, increasing education of the general population, making more community-based services available and exposing mental health professionals to people with mental illness who are on community paths to recovery.

scholarly journals Fiji's Mental Health Decree 2010

2016 ◽  
Vol 13 (2) ◽  
pp. 41-43 ◽  
Author(s):  
Odille Chang
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Human Rights ◽  
Psychiatric Hospital ◽  
Mental Healthcare ◽  
Patient Treatment ◽  
Community Based ◽  
Mental Treatment ◽  
Rights Issues

Fiji's Mental Treatment Act 1940 had become outdated, in part because it concentrated on treatment within a psychiatric hospital. The Mental Health Decree 2010 covers not only in-patient treatment but also the promotion of mental health, the prevention of mental illness, and the community-based and rehabilitative aspects of mental healthcare, as well as human rights issues.

scholarly journals Forming the Youth Music Action Group

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Cherry Hense
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Music Therapy ◽  
Service Provision ◽  
Unmet Need ◽  
Local Area ◽  
Community Based ◽  
Action Group ◽  
Youth Music ◽  
Community Based Services

Young people recovering from mental illness may benefit from ongoing musical opportunities in the community following music therapy engagement in mental health services. In this paper I describe the second cycle of a Participatory research project investigating young people’s musical identities in their recovery from mental illness. This cycle explored the types of services needed for young people’s ongoing recovery and compared these against the reality of service provision in the local area. Findings revealed the need for a unique advocacy body to facilitate partnerships between institutions and community-based services and lead to the forming of a Youth Music Action Group to address this unmet need. 

scholarly journals Wither old age psychiatry?

2014 ◽  
Vol 26 (7) ◽  
pp. 1055-1058 ◽  
Author(s):  
James Warner
Keyword(s):  
Mental Illness ◽  
Old Age ◽  
Community Based ◽  
Royal Hospital ◽  
Adult Services ◽  
People With Mental Illness ◽  
Old Age Psychiatry ◽  
Set Up ◽  
The Uk ◽  
Community Based Services

I think it is fair to say that the UK was one of the first countries to develop dedicated old age psychiatry services. The first such documented service was set up in the Crichton Royal Hospital in Dumfries in 1958 (Robinson, 1965). This arose after decades of recognition that older people with mental illness get a raw deal if they are managed in adult services (Hilton, 2012). Following a slow start, specific old age services began to burgeon. The discipline got recognition as a separate faculty in the Royal College of Psychiatrists in 1988, and throughout the eighties and nineties, virtually all areas of the UK developed their own specialist old age psychiatry services; multi-disciplinary teams working with people over the age of 65 generally providing community-based services with input to people's homes as the norm.

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