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Community treatment teams in New Zealand – are they suitable for Britain?

  • Gavin Cape (a1)
Extract

The run-down of the psychiatric institutions has led to innovative and novel methods of treatment of the mentally ill in the community. In New Zealand, as in other countries, deinstitutionalisation of the more traditional psychiatric services is proceeding rapidly and the statutory and non-statutory community services are straining under the burden. Amid the turmoil of change and the crying out for alternative provisions, a pilot scheme was proposed to serve the mentally ill in the population of West Auckland. In early 1988 the Extended Hours Team (EHT) was born. It is based on the model used in North Sydney, Australia (Hoult, 1986) and Madison, Wisconsin (Stein & Test, 1980). At the time of conception of the EHT, cost cutting was the rule which led to a difficult gestation but a surprisingly easy delivery and subsequent development over the first year.

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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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Dean, C. (1989) An inner city home treatment service for acute psychiatric patients. Psychiatric Bulletin, 13, 667669.
Fadden, G., Bebbington, P. & Kuipers, L. (1987) The burden of care: the impact of functional psychiatric illness on the patient's family. British Journal of Psychiatry, 147, 383388.
Hoult, J. (1986) Community care of the acutely mentally ill. British Journal of Psychiatry, 149, 137144.
Mosher, L. R. (1983) Alternatives to psychiatric hospitalisation: Why has research failed to be translated into practice? New England Journal of Medicine, 309, 15791580.
Stein, L. I. & Test, M. A. (1980) Alternative to mental hospital treatment: I. Conceptual model, treatment programme and clinical evaluation. Archives of General Psychiatry, 37, 392397.
Tantam, D. (1985) Alternatives to psychiatric hospitalisation. British Journal of Psychiatry, 146, 15.
Turner, T. (1988) Community care. British Journal of Psychiatry, 152, 13.
Weller, M. P. I. (1985) Friern Hospital: where have all the patients gone? The Lancet, i, 569571.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Community treatment teams in New Zealand – are they suitable for Britain?

  • Gavin Cape (a1)
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