Fund-holding and commissioning general practitioners

Tony Kendrick

doi:10.1192/pb.18.4.196

Fund-holding and commissioning general practitioners

Psychiatric Bulletin ◽

10.1192/pb.18.4.196 ◽

1994 ◽

Vol 18 (4) ◽

pp. 196-199 ◽

Cited By ~ 7

Author(s):

Tony Kendrick

Keyword(s):

Mental Health ◽

Service Provision ◽

Secondary Care ◽

Health Workers ◽

Community Mental Health Services ◽

Mental Health Workers ◽

Psychiatric Nurses ◽

Community Psychiatric ◽

Almost All ◽

Direct Referral

General practice fund-holders purchase secondary care for their patients directly, encouraging competition between providers. The scheme now includes almost all community mental health services. Practice counsellors may now be funded from secondary care budgets. Fund-holders may use their purchasing power to influence out-patient policies, have consultant sessions in their surgeries, gain direct referral to community psychiatric nurses, resist sectorisation, or change to a different provider altogether. The implications for mental health teams and their patients are discussed. Mental health workers must define their roles very dearly, and get involved in negotiating contracts now, to influence future service provision.

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Survey of roles of community psychiatric nurses and occupational therapists

Psychiatric Bulletin ◽

10.1192/pb.21.2.70 ◽

1997 ◽

Vol 21 (2) ◽

pp. 70-73 ◽

Cited By ~ 5

Author(s):

Pam Filson ◽

Tony Kendrick

Keyword(s):

Mental Health ◽

Community Mental Health ◽

Mental Health Professionals ◽

Health Workers ◽

Occupational Therapists ◽

Mental Health Workers ◽

Psychiatric Nurses ◽

Work Skills ◽

Anxiety Management ◽

Community Psychiatric

The roles of community mental health professionals may overlap and need clarifying. A survey is described of 95 occupational therapists (OT) and 200 community psychiatric nurses (CPN), of their views on their respective roles, and information on current practices. Administering medication and crisis intervention were regarded as specifically CPN roles, yet 26% of CPNs did not regularly administer medication. Half of the CPNs' clients were not chronically mentally ill, and over two-thirds of the nurses regularly carried out counselling and anxiety management. Assessing activities of daily living and work skills were seen specifically as OT tasks, yet 60% of the OTs did not usually assess work skills in practice. Roles overlapped considerably, suggesting that a more efficient approach might be to develop a generic core training for community mental health workers.

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The market for a community rehabilitation service

Psychiatric Bulletin ◽

10.1192/pb.18.2.75 ◽

1994 ◽

Vol 18 (2) ◽

pp. 75-76

Author(s):

M.T. Spurrell ◽

C.S. Thomas

Keyword(s):

Mental Health ◽

Negative Symptoms ◽

Mental Health Problems ◽

Health Workers ◽

Mental Health Workers ◽

Psychiatric Nurses ◽

Rehabilitation Service ◽

Professional Groups ◽

Community Rehabilitation ◽

Home Based

Fifty-two mental health workers in South Manchester were asked to complete a survey to try to identify patients with chronic mental health problems who would benefit from home-based rehabilitation. These patients were known to the services but were unwilling to attend activities in the day hospital or day centre or come into hospital for in-patient rehabilitation. Seventy per cent of the mental health workers who comprised psychiatrists, social workers and community psychiatric nurses completed the survey. Overall 68 patients were identified. Negative symptoms or defect state were the most frequently reported problems with difficulties with engaging or poor compliance being the next most frequently reported problem. There were some differences in the ranking of the order of problems by different professional groups.

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Foucault’s Care of the Self: A Case from Mental Health Work

Organization Studies ◽

10.1177/0170840610380809 ◽

2010 ◽

Vol 31 (11) ◽

pp. 1485-1504 ◽

Cited By ~ 32

Author(s):

Julian Randall ◽

Iain Munro

Keyword(s):

Mental Health ◽

Best Practice ◽

Health Workers ◽

The Self ◽

Mental Health Workers ◽

Psychiatric Nurse ◽

Care Of The Self ◽

Community Psychiatric ◽

Everyday Work ◽

Mental Health Work

This research concerns mental health workers who treat the victims of sexual abuse. The health workers were all part of a forum composed of doctors, counsellors and a community psychiatric nurse, who met to discuss issues of best practice in their everyday work. The research examined how these workers make sense of their work, particularly in terms of how they understand the concept of care and the kinds of knowledge that they use in their work, professional and otherwise. A great deal of scepticism was expressed concerning the traditional medical approaches to caring for the victims of abuse, and as a consequence these practitioners developed pragmatic and exploratory approaches to caring in order to help their clients. Many important similarities exist between the accounts given by the medical and voluntary practitioners of this forum and the insights of Michel Foucault’s genealogical studies of medicine, particularly his analysis of processes of normalization and his later work on the care of the self. This paper provides a re-evaluation of the concept of mental health care in terms of Foucault’s concept of ‘the care of the self’.

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The Social Contact Group: An Example of Long-Term Group Work in Community Mental Health Care

British Journal of Occupational Therapy ◽

10.1177/030802269505800508 ◽

1995 ◽

Vol 58 (5) ◽

pp. 214-218 ◽

Cited By ~ 13

Author(s):

Wendy Bryant

Keyword(s):

Mental Health ◽

Community Mental Health ◽

Health Workers ◽

Social Contact ◽

Community Mental Health Services ◽

Occupational Therapists ◽

Mental Health Workers ◽

Group Leaders ◽

Day Services

Social contact groups offer support and social activities to long-term users of community mental health services. In this study, seven groups in Surrey were compared with 10 groups elsewhere, using information supplied by group leaders. From this comparison, those features that characterise social contact groups have been identified. In addition, those individuals attending the groups in Surrey were invited to identify the benefits of membership. Their positive response indicated the success of these groups in meeting their need for social contact and suggests that this approach should be considered by those developing day services for people with long-term needs. Occupational therapists, with their expertise in analysing and coordinating activities, have a major role to play in organising these groups in conjunction with other mental health workers.

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The use of the Health of the Nation Outcome Scales (HoNOS) to inform discharge and transfer decisions in community mental health services

Australian Health Review ◽

10.1071/ah090013 ◽

2009 ◽

Vol 33 (1) ◽

pp. 13 ◽

Cited By ~ 15

Author(s):

Liz Prowse ◽

Tim Coombs

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Community Mental Health ◽

Health Services ◽

Long Term Care ◽

Health Workers ◽

Community Mental Health Services ◽

Mental Health Workers ◽

Term Care

Discharge from public community mental health services has proven difficult for mental health workers and managers. Mental illness can often be long term, with ongoing disability, requiring a need for corresponding long-term care. Community mental health services are now becoming recovery focused and are recognising the need for alternative management arrangements for individuals with long-term care needs. There are, however few tools to assist in the decision making about discharge or transfer of care between community mental health teams. This article describes a quality improvement project to develop a flag for mental health workers to prompt decisions regarding discharge and transfer using the Health of the Nation Outcome Scales (HoNOS). Relevant literature and HoNOS data collected as part of routine clinical practice were reviewed to develop the flag. The implementation process is described along with plans for future developments.

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Chinese mental health workers’ family-focused practices: a cross-sectional survey

BMC Health Services Research ◽

10.1186/s12913-021-06572-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Hao Yao ◽

Lili Guan ◽

Changchun Zhang ◽

Yang Pan ◽

Jinxiang Han ◽

...

Keyword(s):

Mental Health ◽

Mental Disorders ◽

Mental Health Professionals ◽

Health Professionals ◽

Health Workers ◽

Mental Health Workers ◽

Psychiatric Nurses ◽

Dissemination And Implementation ◽

Cross Sectional ◽

Convenience Sample

Abstract Background Mental disorders impose heavy burdens on patients’ families and children. It is imperative to provide family-focused services to avoid adverse effects from mental disorders on patients’ families and children. However, implementing such services requires a great deal of involvement of mental health workers. This study investigated the attitudes, knowledge, skills, and practices in respect to family-focused practices (FFP) in a sample of Chinese mental health workers. Methods A cross-sectional study design was employed to examine the attitudes, knowledge, skills, and practices of a convenience sample of Chinese mental health workers in respect to FFP, using the Chinese version of the Family-Focused Mental Health Practice Questionnaire (FFMHPQ). Results In total, 515 mental health workers participated in our study, including 213 psychiatrists, 269 psychiatric nurses, and 34 allied mental health professionals (20 clinical psychologists, 9 mental health social workers, and 4 occupational therapists). Compared with psychiatric nurses, psychiatrists and allied mental health professionals provided more support for families and children of patients with mental illness and were more willing to receive further training in FFP. However, there were no significant differences on knowledge, skills, and confidence across different profession types. After adjusting for demographic and occupational variables, previous training in FFP was positively associated with mental health workers’ knowledge, skills, and confidence about FFP, but not actual support to families and children. Conclusions Professional differences on FFP exist in Chinese mental health workers. Training is needed to engage psychiatrists and other allied workforce in dissemination and implementation of FFP in China.

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Bilingual Professionals in Community Mental Health Services

Australian & New Zealand Journal of Psychiatry ◽

10.3109/00048679809065537 ◽

1998 ◽

Vol 32 (3) ◽

pp. 424-433 ◽

Cited By ~ 11

Author(s):

Penny Mitchell ◽

Abd Malak ◽

David Small

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Community Mental Health ◽

Health Services ◽

Service Provision ◽

Health Workers ◽

Community Mental Health Services ◽

Community Health Services ◽

Clinical Service ◽

Service Development

Objective: This paper presents results from research that explored the roles of bilingual professionals in community mental health services in the Sydney metropolitan area of New South Wales. There were two main objectives to the research: (i) to identify and describe the roles of bilingual professionals that are important in improving the quality of community mental health services for clients from non-English-speaking backgrounds (NESB); and (ii) to identify and describe the factors that facilitate and inhibit the conduct of these roles. Method: Data collection involved indepth interviews with bilingual professionals and team leaders in community mental health services and various other community health services; and various staff responsible for policy and service development with regard to cultural diversity. Results: Bilingual mental health workers were found to have at least four critical roles. These were (i) direct clinical service provision to NESB clients; (ii) mental health promotion and community development; (iii) cultural consultancy; and (iv) service development. Respondents reported that the latter three roles were seriously underdeveloped compared to the clinical service provision role. Conclusions: It is critical that service managers implement strategies to make better use of the linguistic and cultural skills of bilingual professionals. In addition to their role in clinical service provision ways must be found to facilitate the community-focused, cultural consultancy and service development roles of bilingual professionals employed in mental health services.

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