An Alternative to Group Homes

1978 ◽  
Vol 132 (4) ◽  
pp. 356-360 ◽  
Author(s):  
B. H. Anstee
Keyword(s):  
Social Workers ◽  
Group Homes ◽  
County Council ◽  
Psychiatric Nurses ◽  
Short Stay ◽  
Community Psychiatric ◽  
Statutory Duty

SummaryThis paper describes a supported lodgings scheme as an alternative to group homes. It is pointed out that the County Council has a statutory duty to finance supported lodgings and that schizophrenics are ideally suited to such a scheme. Some short-stay, the majority of the ‘new’ non-demented long-stay, and a large number of the ‘old’ long-stay patients have been discharged by this means. Aftercare facilities were important, as nearly half attended the day centre and over one third were regularly visited in their lodgings by the community psychiatric nurses and social workers.

scholarly journals Inner-city general practice population of people with schizophrenia

1998 ◽  
Vol 22 (4) ◽  
pp. 221-225 ◽  
Author(s):  
Grant Blair ◽  
Carl Deaney
Keyword(s):  
General Practice ◽  
Inner City ◽  
Information Sharing ◽  
Social Workers ◽  
Psychiatric Nurses ◽  
Care Plan ◽  
Limited Information ◽  
Social Disability ◽  
Community Psychiatric ◽  
Practice Population

A survey of people with schizophrenia in an inner-city general practice was undertaken to identify levels of social disability, service receipt and patterns of care received. Contacts with general practitioners, psychiatrists, community psychiatric nurses and social workers were quantified, and the nature of the contacts assessed. Overall social disability for the group was marked (mean Health of the Nation Outcome Scales (HoNOS) rating 55.5). There was a correlation coefficient of +0.899 between the numbers of agencies involved and the overall HoNOS scores suggesting appropriate targeting of care. While there were few differences in the HoNOS ratings of the various contact subsets, there were significant differences in the extent of agencies contact with patients, the greatest number of contacts being in general practice. Limited information sharing, the absence of a formal shared care plan and sectorisation of services are thought to obstruct more effective general practice involvement in care.

Further Observations on the Practice of Community Care in Salford

1988 ◽  
Vol 153 (1) ◽  
pp. 30-37 ◽  
Author(s):  
K. Wooff ◽  
D. P. Goldberg
Keyword(s):  
Mental Health ◽  
Social Workers ◽  
Mentally Ill ◽  
Community Care ◽  
Psychiatric Nurses ◽  
Supportive Supervision ◽  
Stable Case ◽  
Professional Managers ◽  
Community Psychiatric ◽  
Attached Community

Differences in the clinical characteristics of clients have not been found to account for the interprofessional differences in community psychiatric nurses' and mental health social workers' practice in Salford. We found the consultant-attached mental health social workers, who worked closely with the specialist psychiatric team and who received supportive supervision from their professional managers, maintained stable case-loads, but the primary-care attached community psychiatric nurses, who were isolated from the specialist psychiatric team, and who received little supportive supervision from their professional managers, carried case-loads of increasing size. Failure to improve the way in which services for the mentally ill in the community are co-ordinated is likely to perpetuate the worst characteristics of life in the old back wards into the era of ‘community care’.

scholarly journals Key workers in the Multi-disciplinary Team

1987 ◽  
Vol 11 (12) ◽  
pp. 419-419 ◽  
Author(s):  
Shaun Stevenson
Keyword(s):  
Social Workers ◽  
Occupational Therapists ◽  
Psychiatric Nurses ◽  
Team Approach ◽  
Community Psychiatric ◽  
Multi Disciplinary Team

Today the practice of psychiatry often involves a multi-disciplinary team comprising doctors, nurses, psychologists, social workers, occupational therapists, community psychiatric nurses and physiotherapists. Each discipline has its own contribution to make to the planning of care programmes for patients in the context of a team approach.

Lithium Maintenance: 1. A Standard Education Programme for Patients

1991 ◽  
Vol 158 (2) ◽  
pp. 197-200 ◽  
Author(s):  
Malcolm Peet ◽  
Norman S. Harvey
Keyword(s):  
Social Workers ◽  
Education Programme ◽  
Educational Programme ◽  
Psychiatric Nurses ◽  
Control Group ◽  
Patient Knowledge ◽  
Not Given ◽  
Factual Information ◽  
Community Psychiatric ◽  
Standard Education

A videotape lecture and written hand-out containing factual information about lithium were given to 30 attenders at a lithium clinic. A further 30 patients acted as a control group and were not given the programme until later in the study. The educational programme resulted in substantial and significant increases in patient knowledge about lithium, such that knowledge increased from a baseline comparable with that of social workers to a level similar to that of community psychiatric nurses. Patients' attitudes to lithium also became more favourable after education.

The Practice of Community Psychiatric Nursing and Mental Health Social Work in Salford Some Implications for Community Care

1988 ◽  
Vol 152 (6) ◽  
pp. 783-792 ◽  
Author(s):  
K. Wooff ◽  
D. P. Goldberg ◽  
T. Fryers
Keyword(s):  
Mental Health ◽  
Psychiatric Symptoms ◽  
Psychiatric Patients ◽  
Psychiatric Nurses ◽  
Health Staff ◽  
Mental Health Staff ◽  
Term Care ◽  
Community Psychiatric ◽  
Wide Range

The context and content of work undertaken with individual clients by community psychiatric nurses (CPNs) and mental health social workers (MHSWs) in Salford were found to be significantly different. Although there were some areas of overlap, the ways in which the two professions worked were quite distinct. MHSWs discussed a wide range of topics and were as concerned with clients' interactions with family and community networks as they were with symptoms. Their interviews with schizophrenic clients followed a similar pattern to those with other groups, and they worked closely with psychiatrists and other mental health staff. CPNs, on the other hand, focused mainly on psychiatric symptoms, treatment arrangements, and medications, and spent significantly less time with individual psychotic clients than they did with patients suffering from neuroses. They were as likely to be in contact with general practitioners as they were with psychiatrists, and had fewer contacts with other mental health staff than the MHSWs. There was evidence that the long-term care of chronic psychiatric patients living outside hospital required more co-ordinated long-term multidisciplinary input.

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