Evolving service interventions in Nunhead and Norwood

1998 ◽  
Vol 173 (5) ◽  
pp. 371-375 ◽  
Author(s):  
Thomas Becker ◽  
Frank Holloway ◽  
Paul McCrone ◽  
Graham Thornicroft
Keyword(s):  
Mentally Ill ◽  
Psychiatric Service ◽  
Community Mental Health Services ◽  
Service Evaluation ◽  
Continuing Care ◽  
Local Resources ◽  
Community Psychiatric ◽  
Severely Mentally Ill ◽  
Community Psychiatric Service ◽  
Community Team

BackgroundService evaluation requires a detailed understanding of the services studied.MethodCommunity mental health services evaluated in the PRiSM Psychosis Study in south London are described. The intensive sector and standard sector services are contrasted.ResultsThe intensive sector had two teams with extended opening hours: a psychiatric acute care and emergency (PACE) team, and a psychiatric assertive continuing care (PACT) team focusing on care for people with chronic illness. In the standard sector there was a generic community team providing office-hour assessments, case management of the severely mentally ill and close liaison with in-patient services. The team made use of the local psychiatric emergency clinic and of other local resources. The intensive sector was characterised by: more admissions to fewer beds, more non-hospital residential places, extended hours, on-call rota, wider range of interventions, more medical and nursing staff, a lower nursing grade mix and higher staff turnover. The standard sector had a less highly resourced generic community psychiatric service.ConclusionsChange in services has been more marked in the intensive sector.

scholarly journals A cross-sectional evaluation of a community-orientated mental health service

1995 ◽  
Vol 19 (3) ◽  
pp. 151-154
Author(s):  
Jon Spear ◽  
Andrew Cole ◽  
Jan Scott
Keyword(s):  
Mental Health ◽  
Mentally Ill ◽  
Community Mental Health Services ◽  
Cross Sectional ◽  
Neurotic Disorders ◽  
Community Psychiatric ◽  
Severely Mentally Ill ◽  
Acute Distress ◽  
To Receive

Community mental health services have been criticised for seeing those with minor psychiatric disorders at the expense of those with severe and long-term illness. We report a cross-sectional evaluation of a UK service based entirely within the community. Most patients in contact with the service (66%) had a psychotic disorder or an affective disorder. Patients with greater impairment were likely to receive more intensive treatment. Only 20% of the community psychiatric nurse (CPN) case load focused on acute distress and neurotic disorders. Within this service careful operational planning and maintaining CPNs within the secondary care system appear to be critical factors in achieving the goal of giving priority to the severely mentally ill.

The Effects that Patients Have on their Families in a Community Care and a Control Psychiatric Service—A Two Year Follow-up

1968 ◽  
Vol 114 (508) ◽  
pp. 265-278 ◽  
Author(s):  
Jacqueline Grad ◽  
Peter Sainsbury
Keyword(s):  
Mentally Ill ◽  
Community Care ◽  
Care Service ◽  
Psychiatric Service ◽  
Research Unit ◽  
Admission Rates ◽  
Community Psychiatric ◽  
Community Psychiatric Service ◽  
Made In

The effects that mentally ill people have on their families have been more commented upon than studied. The currently favoured practice of community care has increased the need for a systematic attempt to evaluate the families' problems, and an opportunity to do this occurred when a community psychiatric service was introduced in Chichester in 1958, while the neighbouring Salisbury district continued with a conventional hospital-based service. The Medical Research Council's Clinical Psychiatry Research Unit has been evaluating the new service to find out how it affects referral and admission rates; how it influences social and clinical outcome, and the effect it has on the community itself. As the patient's family is the sector of the community most closely concerned in any extension of the extra-mural care of patients, we began by assessing the effects on them. The present paper therefore describes the assessments we made of the burden the patients' families carried in the Chichester Community Care Service and compares their burden with that experienced by families in Salisbury, where admission to hospital was more commonly practised. The comparison is made in terms of the relief that was afforded the two groups of families over a period of two years.

Factors Influencing Referrals to a Community Psychiatric Service

1969 ◽  
Vol 3 (3) ◽  
pp. 170-174
Author(s):  
I. Pilowsky ◽  
W. Childs
Keyword(s):  
Mental Health Problems ◽  
Psychiatric Service ◽  
Demographic Variables ◽  
Demographic Characteristics ◽  
Referral Rate ◽  
Referral Patterns ◽  
Class Composition ◽  
Factors Influencing ◽  
Community Psychiatric ◽  
Community Psychiatric Service

Referral patterns to a community psychiatric service have been correlated with demographic variables relating to the population (120,000) served. The total suburban referral rate correlated significantly with social class composition and general practitioner sensitivity. Diagnosis has been considered in relation to referral rates and the demographic characteristics of individual suburbs. These findings suggest that studies of this sort can play an important part in delineating the mental health problems to which a service is sensitive and in helping to discover areas in the region to which special attention might be paid.

Assistenza psichiatrica e monitoraggio dei servizi. Il Registro dei casi di Caltagirone 1987–1990

1992 ◽  
Vol 1 (1) ◽  
pp. 45-60 ◽  
Author(s):  
Gaetano Interlandi ◽  
Maria Grazia Sotera
Keyword(s):  
Psychiatric Service ◽  
Similar Rate ◽  
Outpatient Clinics ◽  
Case Register ◽  
Diagnostic Categories ◽  
Community Psychiatric ◽  
Multiple Structures ◽  
Community Psychiatric Service ◽  
Made In

RiassuntoSono descritte, con la stessa metodologia impiegata in altre 4 aree italiane sedi di Registro Psichiatrico dei Casi (RPC), le caratteristiche della catchment-aerea, del RPC, della struttura e dei principi del Dipartimento di Psichiatria di Caltagirone. II monitoraggio della domanda su 4 anni evidenzia che i tassi di prevalenza annua (763/100000 residenti adulti) e un giorno (223/100000 residenti adulti) hanno valori inferiori ai RPC europei. I tassi di incidenza (281/100000 residenti adulti) indicano un afflusso di nuovi casi appartenenti a tutte le categorie diagnostiche. II RPC di Caltagirone monitora l'attività svolta in strutture e servizi a differente gradiente assistenziale: residenziale ospedaliera, residenziale non ospedaliera, semiresidenziale, ambulatoriale, domiciliare, ecc. II rapporto tra prevalenza annua non ospedaliera e ospedaliera è nel 1990 di 4,4 a 1. II tasso di lungoassistiti è di 122/100000 residenti adulti, con una tendenza ad un accumulo per quelli che vivono nel territorio, mentre vi è un calo di quelli che sono in Comunità. II costo del Dipartimento, che è andato riducendosi dal 1987 al 1990, è in buona parte da addebitare alle giornate di assistenza in Comunità.Parole chiaveservizi psichiatrici territoriali, registri psichiatrici dei casi, utilizzazione dei servizi.SummaryThe principles, structure, Psychiatric Case Register (PCR) and catchment-area of the Community Psychiatric Service of Caltagirone are described, using the same methodology employed in 4 other Italian PCRs. The monitoring of the demand over 4 years shows that the year prevalence (763'100000 adult inhabitants) and day prevalence (248'100000 adult inhabitants) rates are lower than those of other European PCRs. Incidence rate (248'100000 adult inhabitants) shows that new patients belong to all diagnostic categories. The PCR records data of the activities made in multiple structures and services, offering different degrees of care: residential in and outside the hospital, semiresidential, care in outpatient clinics, domiciliary care, etc. The ratio between non-hospitalized and hospitalized users is 4.3 to 1. The rate of long-term patients is 122'100000 adult inhabitants; the rate of long-term patients living in the community is increasing over the years, whereas the similar rate of patients living in the sheltered apartments is decreasing. The costs of the Service (which have decrease from 1987 to 1990) have to be attributed mainly to the costs of the treatment in sheltered apartments.

Eighteen Years of Community Psychiatric Service in the Island of Samsø

1977 ◽  
Vol 131 (1) ◽  
pp. 41-48 ◽  
Author(s):  
Johannes Nielsen ◽  
Jørgen Achton Nielsen
Keyword(s):  
Psychiatric Hospital ◽  
General Practitioners ◽  
Rural Population ◽  
Psychiatric Service ◽  
Home Visits ◽  
Referral Rate ◽  
Community Psychiatric ◽  
The Mean ◽  
Community Psychiatric Service

SummaryAn analysis has been made of patients aged 15 + referred to the community psychiatric service in a Danish rural population during 18 years. The mean referral rate per year was 17·9 per 1,000.The majority of the patients (79 per cent) were referred to the clinic by the general practitioners, and it is stressed that a close and good co-operation between the psychiatrists and the local physicians is one of the most important factors in establishing a good community psychiatric service.Only 11 per cent of all referrals were admitted to a psychiatric hospital. The admission frequency for psychoses was only 19 per cent, and it was estimated that it would have been approximately 44 per cent higher, if the service had been of the usual hospital-oriented type. Forty-three per cent of the patients were visited by the psychiatrist in their home at least once and 42 per cent of all 6,000 consultations were home visits.When evaluating the treatment possibilities it was considered that approximately 50 per cent of all patients referred could be treated by the local physicians after examination by psychiatrists and discussion of the cases with them.

Sign in / Sign up

Export Citation Format

Share Document