scholarly journals Consultant psychiatrists' experiences of using supervised discharge Results of a national survey

2000 ◽  
Vol 24 (11) ◽  
pp. 412-415 ◽  
Author(s):  
Donna Franklin ◽  
Vanessa Pinfold ◽  
Jonathan Bindman ◽  
Graham Thornicroft
Keyword(s):  
Mental Health ◽  
Random Sample ◽  
National Survey ◽  
Medication Compliance ◽  
Mental Health Provider ◽  
Clinical Implications ◽  
Health Provider ◽  
Legal Power ◽  
Structured Questionnaire

Aims and MethodSupervised discharge orders (SDOs) enable a degree of compulsion to be exerted over patients in the community. We aimed to establish the level of, and reasons for, their use and consultants' perceptions of their effectiveness. All mental health provider NHS trusts in England were surveyed, and a random sample cohort of cases was identified. Community responsible medical officers (CRMOs) were surveyed using a semi-structured questionnaire.ResultsWe identified 596 cases subject to SDOs in 170 mental health provider trusts (100%) in England, involving 18% of consultant psychiatrists. Responses were obtained from the CRMOs of 185 patients (84%) from a sample of 221 cases. The SDO was described as helpful or very helpful in 77% of cases in which it had been in place for over 2 months. In 58% of cases the SDO was intended to improve medication compliance, and in 46% of these cases it was perceived to be effective in doing so.Clinical ImplicationsSDOs are not widely used in England. However, for those patients who are made subject to supervised discharge, the order appears to be effective and may improve medication compliance, despite the absence of the legal power to enforce treatment.

Psychiatric patients at greatest risk and in greatest need

2000 ◽  
Vol 177 (1) ◽  
pp. 33-37 ◽  
Author(s):  
Jonathan Bindman ◽  
Andrew Beck ◽  
Graham Thornicroft ◽  
Martin Knapp ◽  
George Szmukler
Keyword(s):  
Mental Health ◽  
Random Sample ◽  
Psychiatric Patients ◽  
Mental Health Provider ◽  
Health Provider ◽  
Care Programme ◽  
Factors Associated ◽  
Patients At Risk ◽  
Self Harm ◽  
Measures Of Risk

BackgroundMental health provider trusts in England were required in 1994 to establish local Supervision Registers of patients at risk.AimsTo identify the factors associated with registration, and obtain clinicians' views on its effectiveness.MethodAt a random sample of 14 trusts data were collected from case notes, keyworkers and responsible medical officers.ResultsA sample of 133 registered patients were more disabled and had more extensive histories of violence and self-harm than 126 comparison patients on the upper tier of the Care Programme Approach (CPA). Those registered were a heterogeneous group. For some there was little evidence of risk. In most cases clinicians did not believe registration had improved care.ConclusionsThe Supervision Register policy has not resulted in the identification of a well-defined group. Its effectiveness is limited by the lack of operationalised measures of risk.

scholarly journals Street triage services in England: service models, national provision and the opinions of police

2018 ◽  
Vol 42 (6) ◽  
pp. 253-257 ◽  
Author(s):  
Abirami Kirubarajan ◽  
Stephen Puntis ◽  
Devon Perfect ◽  
Marc Tarbit ◽  
Mary Buckman ◽  
...  
Keyword(s):  
Mental Health ◽  
National Survey ◽  
Police Officers ◽  
Traditional Approach ◽  
Clinical Implications ◽  
Modes Of Operation ◽  
Specialist Services ◽  
Service Models ◽  
The Law ◽  
Core Part

Aims and methodStreet triage services are increasingly common and part of standard responses to mental health crises in the community, but little is understood about them. We conducted a national survey of mental health trusts to gather detailed information regarding street triage services alongside a survey of Thames Valley police officers to ascertain their views and experiences.ResultsTriage services are available in most areas of the country and are growing in scope. There is wide variation in levels of funding and modes of operation, including hours covered. Police officers from our survey overwhelmingly support such services and would like to see them expanded.Clinical implicationsMental health crises now form a core part of policing and there are compelling reasons for the support of specialist services. Recent changes to the law have heightened this need, with a requirement for specialist input before a Section 136 is enacted. Those who have experienced triage services report it as less stigmatising and traumatic than a traditional approach, but there remains little evidence on which to base decisions.Declaration of interestNone.

scholarly journals Suicide and the Air Force Mental Health Provider: Frequency and Impact

2006 ◽  
Vol 171 (9) ◽  
pp. 844-848
Author(s):  
Randon S. Welton ◽  
Lisa R. Blackman
Keyword(s):  
Mental Health ◽  
Air Force ◽  
Mental Health Provider ◽  
Health Provider

Community Mental Health Provider Reluctance to Provide Pharmacotherapy May Be a Barrier to Addressing Perinatal Depression: A Preliminary Study

2012 ◽  
Vol 84 (2) ◽  
pp. 169-174 ◽  
Author(s):  
Nancy Byatt ◽  
Kathleen Biebel ◽  
Gifty Debordes-Jackson ◽  
Rebecca S. Lundquist ◽  
Tiffany A. Moore Simas ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Perinatal Depression ◽  
Mental Health Provider ◽  
Health Provider ◽  
Preliminary Study
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