Making a reality of user involvement in community mental health services

1998 ◽  
Vol 22 (1) ◽  
pp. 8-11 ◽  
Author(s):  
Kamaldeep Bhui ◽  
Anne Aubin ◽  
Geraldine Strathdee
Keyword(s):  
Mentally Ill ◽  
Service Management ◽  
User Involvement ◽  
Community Mental Health Services ◽  
Management Style ◽  
Rehabilitation Service ◽  
Community Based ◽  
Everyday Clinical Practice ◽  
Severely Mentally Ill ◽  
Community Based Rehabilitation

User centred services as an ideology have not become a reality of everyday clinical practice. In this paper we introduce a series of articles which describe user centred practice in a south London community-based rehabilitation service for the severely mentally ill. We emphasise the medical consultation style adopted, the service management style and specific initiatives allowing users to influence our practice and shape functional and structural components of the service.

scholarly journals A cross-sectional evaluation of a community-orientated mental health service

1995 ◽  
Vol 19 (3) ◽  
pp. 151-154
Author(s):  
Jon Spear ◽  
Andrew Cole ◽  
Jan Scott
Keyword(s):  
Mental Health ◽  
Mentally Ill ◽  
Community Mental Health Services ◽  
Cross Sectional ◽  
Neurotic Disorders ◽  
Community Psychiatric ◽  
Severely Mentally Ill ◽  
Acute Distress ◽  
To Receive

Community mental health services have been criticised for seeing those with minor psychiatric disorders at the expense of those with severe and long-term illness. We report a cross-sectional evaluation of a UK service based entirely within the community. Most patients in contact with the service (66%) had a psychotic disorder or an affective disorder. Patients with greater impairment were likely to receive more intensive treatment. Only 20% of the community psychiatric nurse (CPN) case load focused on acute distress and neurotic disorders. Within this service careful operational planning and maintaining CPNs within the secondary care system appear to be critical factors in achieving the goal of giving priority to the severely mentally ill.

A Preliminary Exploration of Goal-setting in Community-based Rehabilitation for People with Brain Impairment

2004 ◽  
Vol 5 (1) ◽  
pp. 30-41 ◽  
Author(s):  
Pim Kuipers ◽  
Glenys Carlson ◽  
Sandra Bailey ◽  
Anshu Sharma
Keyword(s):  
Brain Injury ◽  
Goal Setting ◽  
Service Provider ◽  
Service Providers ◽  
Acquired Brain Injury ◽  
Rehabilitation Service ◽  
Future Research ◽  
Training Experience ◽  
Community Based ◽  
Community Based Rehabilitation

AbstractCommunity-based rehabilitation for people with acquired brain injury (ABI) is largely driven by goals set in the course of rehabilitation by clients and service providers. A preliminary study investigating the perspectives and practice of experienced rehabilitation coordinators was undertaken to explore issues that influence goal-setting in community rehabilitation settings. Detailed interviews and subsequent rounds of clarification were conducted with six experienced rehabilitation coordinators. Key themes identified through inductive analysis include cognitive influences, other client influences, service provider influences and the client-service provider relationship in the goal-setting process. Based on the findings, a preliminary descriptive schema of goal-setting in a community-based rehabilitation service for people with acquired brain injury is suggested. Factors such as training, experience, and values of the rehabilitation coordinators are also discussed in terms of their influence on goal-setting. Some strategies to assist a person with ABI to identify and work towards achieving realistic goals are identified. Suggestions for enhancing community-based rehabilitation practices with people with ABI, and scope for future research are noted. This paper constitutes a general overview of goal-setting in community-based ABI rehabilitation.

Is There a Role for Music Therapy in the Care of the Severely Mentally Ill?

2008 ◽  
Vol 16 (6) ◽  
pp. 442-445 ◽  
Author(s):  
Denise Grocke ◽  
Sidney Bloch ◽  
David Castle
Keyword(s):  
Music Therapy ◽  
Mentally Ill ◽  
Contemporary Music ◽  
Creative Arts ◽  
Recovery Model ◽  
Viable Option ◽  
Community Based ◽  
Severely Mentally Ill

Objective: The role of music therapy in psychiatric care in Australia is briefly traced from the early 1990s to the present. With the shift to community-based care, contemporary music therapy practice for the severely mentally ill is reappraised alongside the principles of the recovery model. Conclusions: Music therapy is a viable option within the creative arts therapies for enhancing quality of life in people with severe and enduring mental illness.

scholarly journals Rehabilitation, Physical and Rehabilitation Medicine and Community Based Rehabilitation - a comment to the debate towards a differentiated view of PRM on rehabilitation system, services and training of rehabilitation professionals

1970 ◽  
Vol 5 (01) ◽  
pp. 60-67
Author(s):  
Christoph Gutenbrunner ◽  
Boya Nugraha, MS, PhD
Keyword(s):  
Rehabilitation Medicine ◽  
Rehabilitation Service ◽  
Rehabilitation Services ◽  
Community Based ◽  
Rehabilitation Professionals ◽  
Community Based Rehabilitation ◽  
Physical And Rehabilitation Medicine ◽  
Level Model ◽  
The One ◽  
Acute Rehabilitation

This comment aims to give a contribution to the debate about the best way to implement rehabilitationservices and, in particular, how specialist in Physical and Rehabilitation Medicine (PRM) define its rolein rehabilitation services in general and in Community Based Rehabilitation (CBR). The paper discussesthe use of the team rehabilitation and the definitions of CBR. A differentiated model of rehabilitationservices according to the phase of the disease and the intensity of service provision is developed. Theterm rehabilitation nowadays is used in two different ways: Rehabilitation as a health strategy or a set ofmeasures. The term CBR also is used in a dual way on the one hand describing a policy or managementstrategy or on the other hand describing the provision of “basic” rehabilitation services which is offered atthe community level. It is important to differentiate between acute, post-acute rehabilitation and long-termrehabilitation services to understand the need of different types of rehabilitation services. Additionally a5-level model of the intensity of rehabilitation services covers rehabilitation that is delivered by families,peers, neighbours, and others to highly specialized rehabilitation services, e.g. for acute rehabilitation orrehabilitation for severely affected patients. In comprehensive rehabilitation service, including CBR, the roleof PRM specialists is described in three ways: PRM deliver rehabilitation services, PRM act as an advisorand coordinator or PRM act as a trainer.Keywords: Rehabilitation definition, community based rehabilitation, rehabilitation services, Physical and Rehabilitation Medicine

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