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Community mental health team case-loads and diagnostic case-mix

  • Nan Greenwood (a1), Brock Chisholm (a1), Tom Burns (a1) and Kate Harvey (a1)
Abstract
Aims and Method

Information concerning team staffing, keyworker case-loads, and keyworker diagnostic case-mix was collected from six community mental health teams caring for 1651 patients to establish the clinical burden across teams and professions.

Results

Team case-loads varied from 427 to 121, an average of 275 patients. Over half the patients were female, and psychotic disorders constituted 44% of the sample. The most common diagnoses were schizophrenia (28.6%) and depression (23.6%). Keyworker case-loads varied across both teams and professions, averaging 30 patients per full-time equivalent. Psychiatrists' case-loads were the largest. Diagnostic case-mix varied with profession. Community psychiatric nurses had the largest proportion of patients with psychosis (73.8%).

Clinical Implications

Multi-disciplinary community mental health teams have a shared view of appropriate work distribution. Consultant psychiatrists may underestimate the resources required by patients with non-psychotic disorders even in inner city areas.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Department of Health (1990) The Care Programme Approach for People with a Mental Illness. Referred tor the Special Psychiatric Services. London: Department of Health.
Holmes, N., Shah, A. Swing, L. (1992) The disability assessment schedule (DAS). Psychological Medicine, 12, 879890.
Lucas, B. (1997) Members of a community mental health team. Psychiatric Bulletin, 21, 547549.
White, E. (1990) Community Psychiatric Nursing. The National Survey. Bristol: CPNA Publications.
World Health Organization (1979) Schizophrenia: An Initial Follow-Up. Chichester: Wiley.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Community mental health team case-loads and diagnostic case-mix

  • Nan Greenwood (a1), Brock Chisholm (a1), Tom Burns (a1) and Kate Harvey (a1)
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