scholarly journals Fertile Imaginations: an inner city allotment group

1999 ◽  
Vol 23 (5) ◽  
pp. 291-293 ◽  
Author(s):  
Joanna Seller ◽  
Jon Fieldhouse ◽  
Michael Phelan
Keyword(s):  
Mental Illness ◽  
Inner City ◽  
Community Mental Health Team ◽  
Mental Health Team ◽  
Moral Treatment ◽  
Health Team ◽  
City Community ◽  
The Past ◽  
People With Mental Illness ◽  
Kitchen Gardens

Engaging people with mental illness in horticultural activities is nothing new. Asylums encouraged patients to work on farms, in orchards and in kitchen gardens. This activity gradually became distilled, formalised and applied clinically as ‘moral treatment’, out of which occupational therapy evolved (Paterson, 1997). ‘Fertile Imaginations' is an attempt to offer horticultural activities to people with mental illness, within the framework of an inner city community mental health team (CMHT) and to ensure that the activities that engaged and benefited patients in the past, are not now denied.

scholarly journals The care programme approach

1996 ◽  
Vol 20 (9) ◽  
pp. 550-552 ◽  
Author(s):  
J. S. Jamieson
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Inner City ◽  
Serious Mental Illness ◽  
Continuing Care ◽  
Community Mental Health Team ◽  
Care Programme ◽  
Mental Health Team ◽  
Health Team ◽  
High Level

The CPA encourages good psychiatric practice in the continuing care in the community of people who suffer with serious mental illness. The tiered CPA has recently been proposed with a view to channel resources towards those patients who are most in need. This study assesses whether the CPA is used appropriately and effectively among patients discharged in an inner city sector where there is a high level of serious mental illness. The results suggest that it is feasible provided there is an adequately developed community mental health team.

scholarly journals A follow-up study of the use of a patient-held record in mental health

2002 ◽  
Vol 26 (3) ◽  
pp. 91-92 ◽  
Author(s):  
A. Stafford ◽  
R. Laugharne ◽  
K. Gannon
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Pilot Project ◽  
Clinical Implications ◽  
Community Mental Health Team ◽  
Mental Health Team ◽  
Health Team ◽  
Follow Up Study ◽  
The Past

Aims and MethodPatient-held records have been introduced in mental health over the past 2 decades. This follow-up study aimed to evaluate one pilot project 5 years after the records were introduced. All patients initially interviewed 4 years previously were approached and asked about their use and opinion of the record.ResultsOf the 19 people interviewed, 12 were still using the record and had a positive opinion of its usefulness. Of all community mental health team contacts, 72% were recorded in the patient-held notes.Clinical ImplicationsPatient-held records are sustainable in a naturalistic clinical setting over the period of 5 years.

Capacity to Choose Homelessness and Assessment of the Need for Guardianship

GeroPsych ◽  
2015 ◽  
Vol 28 (3) ◽  
pp. 109-112
Author(s):  
Anne P. F. Wand ◽  
Carmelle Peisah ◽  
Karen L. Hunter
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Cognitive Aging ◽  
Legal Issues ◽  
Psychiatric Admission ◽  
Mental Health Team ◽  
Health Team ◽  
People With Mental Illness ◽  
Ethical And Legal Issues ◽  
Family Consent

Abstract. A 77-year-old woman with schizoaffective disorder and mild cognitive impairment, who had been homeless for much of her life, had been placed against her wishes in a locked dementia-specific hostel following a psychiatric admission for delirium. This had occurred without a formal coercive accommodation guardianship order, but with family consent. The patient was distressed by the placement, frequently expressing the wish to leave and attempting to escape. The mental health team assessed her capacity to decide where she should live. Ethical and legal issues raised by the case are presented with relevance to the burgeoning global advocacy for the autonomous rights of people with mental illness and cognitive aging shared across jurisdictions and common to many human rights frameworks.

The importance of service level measures for mental health policy

1997 ◽  
Vol 6 (S1) ◽  
pp. 229-237 ◽  
Author(s):  
Rachel Jenkins ◽  
Gyles Glover
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health Policy ◽  
Community Mental Health ◽  
Health Services ◽  
Mission Statement ◽  
Mental Health Policy ◽  
Community Mental Health Team ◽  
Mental Health Team ◽  
Health Team

The policy of any organisation is a setting out of the purposes for which it exists - its mission statement. Governments spend money on mental health services and therefore need a coherent mission statement for the use and goals to which that money is put. Moreover, the consequences of mental illness pervade all aspects of a nation's existence. Therefore a mission statement is needed to tackle mental illness and its consequences, not only by developing and using specialist mental health services to best effect, but also by using other relevant organisations as appropriate.Mental health policy is formulated at all levels from the community mental health team to the national government and thence to the World Health Organisation and the United Nations. Indeed national and international mental health policies have generally been led by local innovative best clinical practice. At local level, the policy of a community mental health team will identify the types of patients to which it seeks to provide a service, the channels through which referrals will be accepted, the type and nature of assessment and decision making about consequent interventions which will be used and a range of quality standards within which it will seek to operate. It may set out a set of desired goals in terms of the improvement in the health status of clients and the degree of consumer satisfaction it seeks to achieve. Some adverse consequences may be set out. For example, it may seek to minimise readmissions to hospital within a specified period of time or the frequency of violent or self-destructive behaviour on behalf of its clients.

scholarly journals Measurement of risk by a community forensic mental health team

2005 ◽  
Vol 29 (1) ◽  
pp. 9-12 ◽  
Author(s):  
John Dowsett
Keyword(s):  
Inner City ◽  
Risk Profile ◽  
Assessment Instrument ◽  
Clinical Implications ◽  
Forensic Mental Health ◽  
Mental Health Team ◽  
Health Team ◽  
City Community ◽  
Risk Assessment Instrument ◽  
Forensic Samples

Aims and MethodThe aim of this study was to evaluate the predictive validity of the HCR–20 risk assessment instrument for the case-load of an inner-city community forensic team. File review and an interview with the keyworker for each patient were used to compile the information, and the author completed the HCR–20 for all patients. Cases were followed up for an average of 2.5 years to collect information on recidivism.ResultsThe risk profile for this sample was comparable to published North American studies. Patients who were subsequently charged with or convicted of violent offences all scored highly on the HCR–20.Clinical ImplicationsThe HCR–20 appears to be a useful instrument for stratifying risk within community forensic samples; this finding has implications for intensity of treatment and supervision. However, the data also suggest that services need to target criminogenic variables more effectively.

scholarly journals Service innovations: from depot clinic to medication review service – developing an evidence-based service within a community mental health team

2007 ◽  
Vol 31 (1) ◽  
pp. 19-21 ◽  
Author(s):  
Amlan Basu ◽  
Ronan J. McIvor
Keyword(s):  
Community Service ◽  
Hospital Setting ◽  
Conveyor Belt ◽  
Evidence Based ◽  
Community Mental Health Team ◽  
Mental Health Team ◽  
Health Team ◽  
City Community ◽  
Health Promotion And Education ◽  
To Receive

Over the years the ‘depot clinic’ has become little more than a conveyor belt for patients to receive depot medication from nursing staff within a hospital setting. Indeed, the concept of the depot clinic has not significantly changed since the introduction of neuroleptic medication in the 1950s. A lack of review of the service has resulted in suboptimal treatment, unchecked side-effects and a lack of monitoring of physical health. We describe the redesign of a depot service within an inner city community service, with emphasis on evidence-based practice, regular, patient-centred reviews, support, health promotion and education.

scholarly journals Community mental health team management in severe mental illness: A systematic review

2001 ◽  
Vol 178 (6) ◽  
pp. 497-502 ◽  
Author(s):  
Shaeda Simmonds ◽  
Jeremy Coid ◽  
Philip Joseph ◽  
Sarah Marriott ◽  
Petertyrer
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Illness ◽  
Community Mental Health ◽  
Severe Mental Illness ◽  
Odds Ratio ◽  
Team Management ◽  
Community Mental Health Team ◽  
Mental Health Team ◽  
Health Team

BackgroundCommunity mental health teams are now generally recommended for the management of severe mental illness but a comparative evaluation of their effectiveness is lacking.AimsTo assess the benefits of community mental health team management in severe mental illness.MethodA systematic review was conducted of community mental health team management compared with other standard approaches.ResultsCommunity mental health team management is associated with fewer deaths by suicide and in suspicious circumstances (odds ratio=0.32, 95% CI 0.09–1.12), less dissatisfaction with care (odds ratio=0.34, 95% CI 0.2–0.59) and fewer drop-outs (odds ratio=0.61, 95% CI 0.45–0.83). Duration of in-patient psychiatric treatment is shorter with community team management and costs of care are less, but there are no gains in clinical symptomatology or social functioning.ConclusionsCommunity mental health team management is superior to standard care in promoting greater acceptance of treatment, and may also reduce hospital admission and avoid deaths by suicide. This model of care is effective and deserves encouragement.

scholarly journals Evaluation of a client held record introduced by a community mental health team

1997 ◽  
Vol 21 (12) ◽  
pp. 757-759 ◽  
Author(s):  
Anna Stafford ◽  
Richard Laugharne
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Community Mental Health ◽  
Patient Involvement ◽  
Community Mental Health Team ◽  
Mental Health Team ◽  
Health Team

A client held record for patients with long-term mental illness was introduced by a community mental health team in east London. The record was evaluated by asking the opinions of 45 patients and examining how their client record had been used. Over 80% of the patients found the record and the information it contained useful, 74% of contacts were recorded in the booklet and the client held record had begun to be used by many professionals for purposes other than appointments and medication. A client held record can increase patient involvement in care and help communication between professionals.

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