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Chapter 20 - Adult Mental Health Services

Published online by Cambridge University Press:  04 April 2024

By
David Kingdon  and
Paul Rowlands
Edited by
David Kingdon ,
Paul Rowlands  and
George Stein
David Kingdon
Affiliation:
University of Southampton
Paul Rowlands
Affiliation:
Derbyshire Healthcare NHS foundation Trust
George Stein
Affiliation:
Emeritus of the Princess Royal University Hospital
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Summary

Mental health services are intended to provide the means to deliver interventions and care to people experiencing mental health problems. This can only be achieved if the staff and resources to provide interventions and care are available. Unfortunately, the current design and resourcing of services can seriously interfere with this happening. Services have evolved over centuries, and many practices are determined by convention and limited by resources, particularly availability of staff in sufficient numbers and with appropriate skills. Mental Health Service provision, commissioning and funding in the NHS, and the evidence base are rapidly developing. Community mental health services, early intervention, assertive outreach, inpatient, outpatient, intensive care units and home treatment teams form key components, but clinical and patient-rated outcomes are still too infrequently measured to guide service development. The complexity of these services and their interfaces with primary care and specialist mental health teams are discussed in this chapter.

Keywords

mental health servicesfundinghistoryevidencecommunity mental health servicesearly interventionassertive outreachinpatientoutpatientstaff burnoutintensive care unitshome treatment teamsclinical outcomes
Type
Chapter
Information
Seminars in General Adult Psychiatry , pp. 767 - 804
Publisher: Cambridge University Press
Print publication year: 2024

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