The value of community psychiatric services for the elderly’s dementia caregiver group: Exploring the perspectives of participants

Future planning and development of psychiatric services in Ontario is based on the concept of community psychiatric centres. The implementation of this program will require: 1) the utilization of general hospitals and mental hospitals to provide a more complete and comprehensive system of community psychiatric services; 2) increasing concern with the standards of care in psychiatric facilities across the Province; 3) continued and increasing involvement of local agencies and services in the community mental health effort; 4) the identification of priorities of need that will assure most effective utilization of the available professional staff. It is to be expected that efforts made to consolidate our gains, will bring issues such as these into sharper focus. As the administrative responsibility for clinical services is shifted from a central to a local authority, psychiatrists will look to their professional association more and more to represent their interests. It is to be hoped that those identified with Government will continue to respect the interest and concern of the organized profession with these problems, which must be resolved in order to further advance the practice of psychiatry in this Province.

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2. Collaboration between general practice and community psychiatric services for people with chronic mental illness

The Medical Journal of Australia ◽

10.5694/j.1326-5377.1997.tb125052.x ◽

1997 ◽

Vol 167 (5) ◽

pp. 266-271 ◽

Cited By ~ 11

Author(s):

Nicholas A Keks ◽

Tobie L Sacks ◽

B Malcolm Altson ◽

Harry H Hustig ◽

Amgad Tanaghow

Keyword(s):

Mental Illness ◽

General Practice ◽

Psychiatric Services ◽

Chronic Mental Illness ◽

Community Psychiatric

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Clinical interventions for treatment non-adherence in psychosis: Meta-analysis

The British Journal of Psychiatry ◽

10.1192/bjp.183.3.197 ◽

2003 ◽

Vol 183 (3) ◽

pp. 197-206 ◽

Cited By ~ 114

Author(s):

Michela Nosé ◽

Corrado Barbui ◽

Richard Gray ◽

Michele Tansella

Keyword(s):

Meta Analysis ◽

Scientific Evidence ◽

Educational Programme ◽

Psychiatric Services ◽

Controlled Clinical Trials ◽

Clinical Interventions ◽

Psychotherapeutic Interventions ◽

Community Psychiatric ◽

Randomised Controlled ◽

Dichotomous Outcomes

BackgroundStudies investigating the efficacy of clinical interventions for reducing treatment non-adherence have generated contrasting findings, and treatment non-adherence remains common in clinical practice.AimsTo systematically review whether there are effective clinical interventions that community psychiatric services can implement to reduce non-adherence.MethodSystematic review and metaregression analysis of randomised controlled trials (RCTs) and controlled clinical trials (CCTs) were used to assess the efficacy of interventions to enhance adherence.ResultsWe reviewed 24 studies, more than half of which were RCTs. In 14 studies the experimental intervention was an educational programme. Five studies evaluated pre-discharge educational sessions, three studies explored the benefit of psychotherapeutic interventions and two studies looked at the effect of telephone prompts. The overall estimate of the efficacy of these interventions produced an odds ratio of 2.59 (95% Cl 2.21–3.03) for dichotomous outcomes, and a standardised mean difference of 0.36 (95% Cl 0.06–0.66) for continuous outcomes.ConclusionsCommunity psychiatric services can potentially use effective clinical interventions, backed by scientific evidence, for reducing patient non-adherence.

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