scholarly journals Deploying a community mental health team for the effective care of individuals with schizophrenia

1995 ◽  
Vol 1 (7) ◽  
pp. 199-206 ◽  
Author(s):  
Geraldine Strathdee
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Mentally Ill ◽  
Health Centre ◽  
Community Mental Health Centre ◽  
Mental Health Team ◽  
Severely Mentally Ill ◽  
Effective Care ◽  
Mental Health Centre ◽  
The 1960S

Community mental health teams (CMHTs) have their origin in the American Community Mental Health Centre programme of the 1960s. The teams were mandated to provide services with an emphasis on the needs of the severely mentally ill (SMI). However, over time the focus of work became ‘the worried well’, to the neglect of those with severe mental illness. CMHTs are now a firm feature of British psychiatry. A Sainsbury Centre study recently identified over three hundred CMHTs across England, defining themselves as comprising at least four members, from two or more disciplines, with a caseload of individuals with mental health disorders, largely residing in the community.

scholarly journals Impact of a fast-track assessment clinic on waiting times and non-attendance rates for new referrals to a community mental health centre

2005 ◽  
Vol 29 (11) ◽  
pp. 413-415 ◽  
Author(s):  
Akinwande Ogunbamise ◽  
Marion Reardon ◽  
Mo Mohoboob ◽  
Paul Lelliott
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Fast Track ◽  
Waiting Times ◽  
Health Centre ◽  
Assessment Process ◽  
Community Mental Health Centre ◽  
Assessment Clinic ◽  
Mental Health Team ◽  
Mental Health Centre

Aims and MethodA new fast-track assessment (FTA) clinic was established by a community mental health team (CHMT) in SouthEast London. Previously, those who responded to an opt-in letter were offered an appointment with a duty worker or at an out-patient clinic. In the new system, all routine referrals are booked into a single fortnightly clinic staffed by two doctors and two to three other CMHT staff with post-clinic discussion of all cases (2–6 min per case). A total of 100 consecutive referrals before the introduction of the FTA clinic were compared with 100 following the introduction.ResultsThe interval between receipt of referral to first appointment offered was reduced from 55 to 18 days and to actual assessment from 71 to 26 days. Eighty-four referrals to the FTA were offered a first appointment date that was within 21 days of receipt of a referral, compared with four before the introduction of the FTA. These differences were highly significant. There was a trend for more patients to attend for assessment after the FTA clinic was introduced (79 compared with 68).Clinical ImplicationsThis simple re-engineering of the assessment process within a CMHT has achieved its objective of reducing waiting times to first assessment appointment. It also appears to have reduced the number of referrals that do not result in an assessment.

The Role of the Occupational Therapist in a Community Mental Health Centre in Greece

1986 ◽  
Vol 49 (12) ◽  
pp. 389-391 ◽  
Author(s):  
I Tsipra ◽  
P Voutsina ◽  
E Charitaki ◽  
V Tomaras ◽  
A Kapsali ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Centre ◽  
Occupational Therapist ◽  
Community Mental Health Centre ◽  
Rehabilitation Unit ◽  
Care Programme ◽  
Mental Health Centre ◽  
Schizophrenic Patients

This article deals with a developing rehabilitation unit for mentally ill people, mostly chronic schizophrenic patients, which has been integrated into the Community Mental Health Centre of two Athenian boroughs. The unit includes a day care programme, a vocational training workshop and a social therapeutic club. All these programmes have been developed for the first time in Greece at a certain community level. The authors describe the rationale and the structure of the rehabilitation unit and the role of the occupational therapist.

scholarly journals Birmingham community mental health team for the homeless

1997 ◽  
Vol 21 (2) ◽  
pp. 74-76 ◽  
Author(s):  
Martin Commander ◽  
Sue Odell ◽  
Sashi Sashidharan
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Mentally Ill ◽  
First Year ◽  
Community Mental Health Team ◽  
Mental Health Team ◽  
Health Team ◽  
Severely Mentally Ill ◽  
Homeless Mentally Ill ◽  
History Of

Mental health services have been criticised for failing to respond to the needs of the rising number of homeless mentally ill. We report on the first year of referrals to a community mental health team established to meet the needs of the severely mentally ill homeless in Birmingham. Most users had a psychotic disorder and a lengthy history of unstable housing, and experienced a range of other disadvantages. Although the team is successfully reaching its priority group, examination of other characteristics of users has highlighted a number of issues which should inform the future planning and development of the service.

Multidisciplinary or Nondisciplinary: Evaluation of Staff Functioning in a Community Mental Health Centre

1984 ◽  
Vol 18 (2) ◽  
pp. 172-178 ◽  
Author(s):  
Jerzy Krupnski ◽  
Lenora Lippmann
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Centre ◽  
Community Mental Health Centre ◽  
Staff Members ◽  
Active Involvement ◽  
Leading Role ◽  
Mental Health Centre ◽  
Community Roles

This paper describes the staffing aspects of an experimental community mental health centre (Melville Clinic). The different components of staff roles of members of a team consisting of different health professionals, crystallised during the three-year period with a shift from a ‘nondisciplinary’ to a ‘multidisciplinary’ approach, with preservation of ‘generalised’ and ‘specialised’, ‘clinical’ and ‘community’ roles of all staff members. The decision-making in the centre oscillated between group decisions by all staff members, and the acceptance of the leading role of the psychiatrist with the active Involvement of the test of the staff. This paper provides a model for multidisciplinary teamwork in community mental health centres.

Self-Referrals to a Community Mental Health Centre: A Three Year Study

1985 ◽  
Vol 147 (5) ◽  
pp. 540-544 ◽  
Author(s):  
Francoise M. Hutton
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Centre ◽  
Direct Access ◽  
Appropriate Use ◽  
Short Term ◽  
Community Mental Health Centre ◽  
Psychiatric Disturbance ◽  
Mental Health Centre

The records of all 53 clients who referred themselves to a community mental health centre in the first three years of its existence were studied retrospectively. These showed increasing and generally appropriate use of direct access for the relief of serious, often long-standing emotional distress. Self-referrals were much more often men than women, and some clients would probably not have been reached in any other way. The service seemed to reduce the local GPs' burden, at least subjectively. However, no-one presented with acute psychiatric disturbance or immediately impending breakdown. Any prevention achieved seems likely to be long-term rather than short-term.

Assessment of coping with stress in patients with schizophrenic in a Community Mental Health Centre, in Turkey

2020 ◽  
pp. 1-16
Author(s):  
Gulay Tasdemir Yigitoglu ◽  
Gulseren Keskin
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Centre ◽  
Demographic Variables ◽  
Community Mental Health Centre ◽  
Coping With Stress ◽  
Cross Sectional ◽  
Coping Methods ◽  
Mental Health Centre ◽  
Emotional Social Support

Abstract Objective: To assess schizophrenia patients’ approach toward coping with stress in terms of demographic variables. Methods: The cross-sectional descriptive study was conducted at the State Hospital Community Mental Health Centre, Turkey, from November 1, 2013, to April 30, 2014, and comprised patients diagnosed with schizophrenia. Data was collected using Sociodemographic Information Form, and the Coping Assessment Questionnaire Inventory. It was analysed using SPSS 18.  Results: Of the 53 patients, 14(26.4%) were females, and 39(73.5%) were males. The overall mean age was 38±10.66 years. Highest mean score was recorded for the emotion-focussed coping subscale which was 63.49±10.64. Female patients used emotional social support, focussing on problems and venting emotions techniques (p<0.05). Patients who did not use alcohol received higher scores from religious coping subscales, while patients who used alcohol scored higher from substance use and dysfunctional coping subscales (p<0.05). Conclusion: Most schizophrenia patients were found to be using emotion-focussed coping methods. Continuous....

Monitoring performance in a community mental health centre

1995 ◽  
Vol 8 (6) ◽  
pp. 38-41 ◽  
Author(s):  
Derek Milne ◽  
Simon Eminson ◽  
Heather Wood ◽  
Lillian Hamilton ◽  
Kevin Gibson
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Centre ◽  
Community Mental Health Centre ◽  
Mental Health Centre ◽  
Monitoring Performance
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