scholarly journals The consultant psychiatrist and community care

1993 ◽  
Vol 17 (9) ◽  
pp. 513-516 ◽  
Author(s):  
Matt Muijen
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Community Mental Health ◽  
Social Services ◽  
Care Management ◽  
Community Care ◽  
Care Programme ◽  
Lead Agency ◽  
Consultant Psychiatrist ◽  
Health Centres

It cannot be ignored that community care is now a fact, and not merely an issue. Some mental hospitals have closed and the number of mental illness beds have been reduced overall by about 40% over the last decade and a range of hostels, multidisciplinary rehabilitation teams and community mental health centres have been launched. The move towards well integrated and well coordinated community care has been urged by a large number of reports, white papers and policies including the second Griffiths report, Working for Patients, Caring for People, The Health of the Nation, the Care Programme Approach and care management, with social services becoming the lead agency in community care.

scholarly journals Responsibility and accountability in community mental health teams

1995 ◽  
Vol 19 (5) ◽  
pp. 281-285 ◽  
Author(s):  
Steve Onyett
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Social Services ◽  
Care Management ◽  
Care Programme ◽  
Health And Social Services ◽  
Professional Responsibilities ◽  
Operational Management ◽  
Management Responsibility

Community mental health teams are handicapped by long-standing ambiguities about responsibility and accountability. Professional responsibilities need to be separated from practitioner's responsibilities as employees, and clear lines of accountability established accordingly. This requires stronger delegated operational management responsibility at team level. Greater attention should be paid to defining shared, core responsibilities among team practitioners employed by health and social services. These are here defined as ‘care coordinating’ responsibilities and provide a means of reconciling the care programme approach and care management into coherent practice.

scholarly journals The NHS and Community Care Act, 1990

1994 ◽  
Vol 18 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Graham Thornicroft
Keyword(s):  
Social Services ◽  
Unmet Needs ◽  
Community Care ◽  
International Perspective ◽  
Care Programme ◽  
Lead Agency ◽  
Needs Assessments ◽  
Care Plans ◽  
The Uk ◽  
Recent Government

This is the first in a series of articles to be published serially in the Psychiatric Bulletin on recent government policy and legislation. Each article will describe a different piece of legislation and place it in its international perspective, highlighting how it will affect individual psychiatric practice, users of mental health services and the working relationship with purchasers and managers. The articles are aimed at all practising psychiatrists and those in training who wish to familiarise themselves with the important recent legislation that is having a profound effect on the practice of psychiatry in the UK. The legislation that will be covered includes the NHS and Community Care Act, The Health of the Nation community care plans and mental illness specific grant, the care programme approach, discharge and aftercare planning procedures, NHS trusts, fundholding and commissioning general practitioners and the purchaser provider split. There will be a summarising article to reflect common themes and trends. The series was commissioned by Dr Sara Davies and Dr Jeanette Smith, Trainee Editors at the Psychiatric Bulletin.The National Health Service and Community Care Act, 1990, enacts some provisions contained in the Working for Patients and Caring for People White Papers. The former measures were introduced immediately in 1990 and contain, for example, the legal basis for NHS trusts and fund-holding GPs. Most of the community care sections of the Act were delayed in their implementation until April 1993. The key element is allocating the main coordinating responsibility as ‘lead agency’ to local social service authorities; they are charged with conducting ‘needs assessments’ on clients presenting with problems. Whether, however, there is a legal obligation upon social services departments to provide care for people with unmet needs to not yet dear.

scholarly journals Psychiatric beds attached to a community mental health centre

1997 ◽  
Vol 21 (4) ◽  
pp. 202-204 ◽  
Author(s):  
Jed Boardman ◽  
Richard Hodgson ◽  
Martyn Lewis
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Community Mental Health ◽  
Severe Mental Illness ◽  
Community Care ◽  
Health Centre ◽  
Community Mental Health Centre ◽  
Psychiatric Institutions ◽  
Mental Health Centre ◽  
Psychiatric Beds

The loss of psychiatric beds associated with the closure of large psychiatric institutions creates problems for the community care of those with severe mental Illness. This paper describes the use and possible advantages of a non-acute in-patient unit attached to a Community Menial Hearth Centre in North Staffordshire which has prioritised Individuals with severe mental Illness.

The Role of the Occupational Therapist in a Community Mental Health Centre in Greece

1986 ◽  
Vol 49 (12) ◽  
pp. 389-391 ◽  
Author(s):  
I Tsipra ◽  
P Voutsina ◽  
E Charitaki ◽  
V Tomaras ◽  
A Kapsali ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Centre ◽  
Occupational Therapist ◽  
Community Mental Health Centre ◽  
Rehabilitation Unit ◽  
Care Programme ◽  
Mental Health Centre ◽  
Schizophrenic Patients

This article deals with a developing rehabilitation unit for mentally ill people, mostly chronic schizophrenic patients, which has been integrated into the Community Mental Health Centre of two Athenian boroughs. The unit includes a day care programme, a vocational training workshop and a social therapeutic club. All these programmes have been developed for the first time in Greece at a certain community level. The authors describe the rationale and the structure of the rehabilitation unit and the role of the occupational therapist.

Comment: ‘Devining’ The Role of the Consultant Psychiatrist in a Public Mental Health Service

1998 ◽  
Vol 32 (5) ◽  
pp. 612-615 ◽  
Author(s):  
Alan Rosen
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Public Mental Health ◽  
Consultant Psychiatrist ◽  
Persistent Mental Illness ◽  
Public Mental Health Service ◽  
Key Players ◽  
Recovery Program

We admitted to ourselves, …and to our colleagues that we cannot treat people with severe and persistent mental illness as independent practitioners, and asked to be key players on the multidisciplinary team (Extract from A 12-Step Recovery Program for Psychiatrists [1]).

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