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 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 Improving the assessment of risk of violence: a clinical audit of case note documentation

2001 ◽  
Vol 25 (7) ◽  
pp. 250-252 ◽  
Author(s):  
Michael Campbell ◽  
Robert Chaplin
Keyword(s):  
Risk Assessment ◽  
Clinical Audit ◽  
Training Session ◽  
Clinical Implications ◽  
Community Mental Health Team ◽  
Mental Health Team ◽  
Health Team ◽  
Retrospective Audit ◽  
Changes In Risk ◽  
Made In

Aims and MethodsTo improve the rate of documentation of risk in new referrals to a community mental health team. A retrospective audit of 46 case notes was followed by a training session on risk of violence. The following 50 case notes were studied for changes in risk assessment.ResultsPrior to the study there were very low rates of documentation of risk of violence. Significant improvements were made in 45% of the items in the history and mental state although not in the formulation of a risk assessment statement.Clinical ImplicationsIt is possible to improve the risk of violence documentation with no extra time, resources or paperwork and with true multi-disciplinary involvement.

Development and evaluation of an inner city mental health team

1998 ◽  
Vol 33 (3) ◽  
pp. 129-135 ◽  
Author(s):  
M. Shepherd ◽  
D. Gunnell ◽  
B. Maxwell ◽  
D. Mumford
Keyword(s):  
Mental Health ◽  
Inner City ◽  
Mental Health Team ◽  
Health Team

The management of change in aCommunity Mental Health Team

2002 ◽  
Vol 25 (2) ◽  
pp. 115 ◽  
Author(s):  
Anthony Mander ◽  
Allen Gomes ◽  
David Castle
Keyword(s):  
Mental Health ◽  
Inner City ◽  
Patient Outcomes ◽  
Research Strategy ◽  
Community Treatment ◽  
Generic Model ◽  
Evidence Based ◽  
Mental Health Team ◽  
Health Team ◽  
Mental Health Literature

Assertive Community Treatment (ACT) is the most widely studied and well supported evidence based communitymanagement model for persons with severe mental illness (SMI) in the mental health literature. This report details the replacement of an unevaluated generic model of case management with ACT in a metropolitan inner city area.This is work in progress and detailed patient outcomes are not yet available. The steps taken and the problemsencountered in changing clinical practice are important over and above the intervention itself and are discussed. The main difficulty that we encountered was moving staff from focusing on and becoming demoralised by potentialproblems and obstacles to problem solving and implementation of the best available solution. Staff were consulted at all stages of the project. The use of an 'action research' strategy maximised their sense of ownership and ultimatelyenabled the project to be implemented although in a revised format to that originally envisaged. Flexibility in this regard was crucial since the budget granted was only 40% of that requested. The original aim of having all 3 sector teams of the Inner City Mental Health Service (ICMHS) involved did not eventuate due to internal organisational issues and only one team undertook to implement the ACT approach.

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.

scholarly journals Liaison-consultation meetings in general practice

1999 ◽  
Vol 23 (3) ◽  
pp. 161-164 ◽  
Author(s):  
Rebecca J. Tipper ◽  
Ian M. Pullen
Keyword(s):  
Mental Health ◽  
General Practice ◽  
Community Mental Health ◽  
Information Exchange ◽  
Clinical Implications ◽  
Community Mental Health Team ◽  
Mental Health Team ◽  
Health Team ◽  
Audio Recordings ◽  
Shared Information

Aims and methodAudio-recordings were made over a period of six months of liaison–consultation meetings between general practitioners and a community mental health team in the Scottish Borders to show general trends in length of discussion and information exchange.ResultsMeetings were predominantly supportive, with high levels of shared information, but little educational content. Some trends in discussion time are shown.Clinical implicationsAudio-recording could form the basis for reviewing the function of liaison-consultation meetings.

scholarly journals Review of antipsychotic prescribing at HMP/YOI Low Newton

2020 ◽  
pp. 1-7
Author(s):  
Lois Carey ◽  
Stephen Barlow
Keyword(s):  
Mental Health ◽  
Antipsychotic Medication ◽  
Best Practice ◽  
Psychotic Disorders ◽  
Psychotropic Medications ◽  
Clinical Implications ◽  
Mental Health Team ◽  
Antipsychotic Medications ◽  
Off Label ◽  
Health Team

Aims and Method The purpose of this review was to establish whether the prescription of antipsychotic medication in HMP Low Newton was safe, rational and consistent with current best practice. A search of the electronic healthcare records was performed on 14 March 2018 to identify all the women in the prison who were prescribed antipsychotic medication, and then data were collected from the records. Results A total of 46 out of 336 prisoners (13.7%) had been prescribed antipsychotic medications; 29 of the 46 patients (84.8%) were also prescribed other psychotropic medications at the same time. Quetiapine was the most frequently prescribed antipsychotic and was also the most likely to be prescribed for off-label indications. Less than one-third of all antipsychotic prescriptions were for psychotic disorders. Clinical implications The rationale for prescribing all antipsychotic medication, especially for off-label indications, should be clearly documented and reviewed regularly within the prison by the mental health team and psychiatrist.

scholarly journals Mental health day centres

2001 ◽  
Vol 25 (2) ◽  
pp. 61-66 ◽  
Author(s):  
Jocelyn Catty ◽  
Tom Burns
Keyword(s):  
Mental Health ◽  
Social Services ◽  
Mental Health Problems ◽  
Clinical Implications ◽  
Community Mental Health Team ◽  
Mental Health Team ◽  
Health Team ◽  
Team Care ◽  
Physical Health Care ◽  
Day Hospitals

Aims and MethodMental health day centres have been little researched. We carried out a 1-week census at the four day centres run by a London borough.ResultsThe centres catered for a g roup with long-standing mental health problems, mostly under community mental health team care. A surprising number were suffering from physical ill health. They attended the centres primarily for social reasons or to participate in creative groups such as music and art.Very few were concurrently attending day hospitals.Clinical ImplicationsFurther work is essential to understand the distinction between NHS day hospitals and Social Services day centres in terms of utilisation and client group.This client group's needs, particularly for physical health care, require urgent attention.

scholarly journals How many patients self-medicate with St John's wort?

2001 ◽  
Vol 25 (7) ◽  
pp. 254-256 ◽  
Author(s):  
A. Redvers ◽  
R. Laugharne ◽  
G. Kanagaratnam ◽  
G. Srinivasan
Keyword(s):  
Herbal Remedy ◽  
Medical Advice ◽  
Clinical Implications ◽  
Community Mental Health Team ◽  
Mental Health Team ◽  
Health Team ◽  
St John’S Wort ◽  
Risks And Benefits ◽  
St John's Wort ◽  
Number Of Patients

Aims and MethodSt John's wort is popularly taken as a herbal remedy, but it interacts with prescribed drugs. The aim of this survey was to estimate the prevalence of patients self-medicating with St John's wort. All new referrals to a community mental health team over 5 months were asked about any use of St John's wort.ResultsFifteen patients, of 101, had taken St John's wort at some time and of those seven were currently taking it. Patients who used St John's wort tended to be younger and female. Only nine of the 15 patients took it for depressive symptoms and none had received medical advice. One patient was taking an interacting medication.Clinical ImplicationsA significant number of patients are taking St John's wort. In order to prevent drug interactions, doctors should ask all patients whether they use it, especially young women who may be on the contraceptive pill. Patients need better education about its risks and benefits and it should be taken with medical advice.

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