scholarly journals Prevalence of personality disorder in the case-load of an inner-city assertive outreach team

2004 ◽  
Vol 28 (12) ◽  
pp. 441-443 ◽  
Author(s):  
Maja Ranger ◽  
Caroline Methuen ◽  
Deborah Rutter ◽  
Bharti Rao ◽  
Peter Tyrer
Keyword(s):  
Personality Disorder ◽  
Inner City ◽  
Personality Assessment ◽  
Clinical Implications ◽  
National Service ◽  
Assertive Outreach ◽  
Outreach Team ◽  
National Service Framework ◽  
Icd 10 ◽  
Service Framework

Aims and MethodThe aim was to record the prevalence, type and severity of personality disorder dealt with by an inner-city outreach team. Patients on the register of an assertive outreach team were approached and asked to give informed consent for an informant interview with their principal worker to determine their personality status, using the informant-based ICD–10 version of the Personality Assessment Schedule.ResultsOf the 73 patients, 62 (85%) of whom had a psychotic diagnosis, 67 (92%) had at least one personality disorder, with 37 (51%) having complex or severe personality disorders.Clinical ImplicationsThe findings suggest that the National Service Framework requirements for assertive outreach teams tend to select many patients with comorbid personality disorder in addition to other severe psychiatric disorders.

scholarly journals Out of area hospitalisations – the view from current routine statistics

2001 ◽  
Vol 25 (10) ◽  
pp. 376-378 ◽  
Author(s):  
Gyles R. Glover ◽  
Jonathan Bindman
Keyword(s):  
Clinical Implications ◽  
National Service ◽  
General Psychiatry ◽  
National Service Framework ◽  
Catchment Areas ◽  
Central Registry ◽  
Hospital Beds ◽  
Data Record ◽  
Out Of Area ◽  
Service Framework

AIMS and MethodTo examine what current routine statistics could show about the extent to which patients are admitted to hospital beds ‘out of area’, a quality indicator proposed in the National Service Framework.ResultsAvailable data record that, on average, at least 6.9% of acute general psychiatry admissions in the English NHS happen outside the normal catchment area arrangement of a patient's health authority. However, deficiencies in the calculation – arising from lack of data, mainly about private sector admissions – and the absence of a central registry of NHS trust catchment areas suggest this is a substantial underestimate.Clinical ImplicationsThe most useful way for this issue to be examined is from year to year for individual trusts.

Alternatives to acute hospital care

2001 ◽  
Vol 11 (4) ◽  
pp. 373-378 ◽  
Author(s):  
H Gentles ◽  
J Potter
Keyword(s):  
Older People ◽  
Acute Hospital ◽  
Intermediate Care ◽  
National Service ◽  
Acute Hospital Care ◽  
Department Of Health ◽  
Health Authorities ◽  
National Service Framework ◽  
Hospital Beds ◽  
Service Framework

The National Bed Inquiry indicated that up to 20% of older people might be inappropriately occupying acute hospital beds and could be discharged if alternative services were available. The report proposed the concept of ‘Intermediate Care’ as a scenario that might contribute to resolving issues around the use of acute hospital beds. The Department of Health (DoH) Circular to Health Authorities and Local Councils with regard to Intermediate Care and the publication of the National Service Framework for Older People have brought intermediate care into mainstream health policy.

scholarly journals National Service Framework for Mental Health

2000 ◽  
Vol 24 (6) ◽  
pp. 203-206 ◽  
Author(s):  
Graham Thornicroft
Keyword(s):  
Mental Health ◽  
National Service ◽  
Department Of Health ◽  
National Service Framework ◽  
Local Flexibility ◽  
Working Age ◽  
And Performance ◽  
The Given ◽  
Clear Statement ◽  
Service Framework

The National Service Framework for Mental Health (NSF–MH) is a strategic blueprint for services for adults of working age for the next 10 years. It is both mandatory, in being a clear statement of what services must seek to achieve in relation to the given standards and performance indicators, and permissive, in that it allows considerable local flexibility to customise the services which need to be provided to fit the framework. This paper summarises the process by which the NSF was created, and its content, which became clear when it was published on 30 September 1999 (Department of Health, 1999).

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