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The future of services for the chronically mentally ill: a priority case?

  • Som D. Soni (a1), Rafeek F. Mahmood (a2) and Anant Shah (a3)
Extract

Research into delivery of psychiatric care has shown that the chronic mentally ill (CMI) patients continue to pose major difficulties not only in terms of economic cost to patients, their families and the state but also in the ability of authorities to provide adequate facilities in the community. The latter is especially important now because of rapid discharge of patients into the community from long-stay wards of mental hospitals, often with little rehabilitative preparation and even less consideration of the effects of the environment into which they are relocated. Although follow-up in some cases has been of exceptionally high quality, a majority have filtered through the network into inadequate residence; this surely is unacceptable. The high prevalence of mental illness among the homeless and the difficulties of providing care for them by an inflexible health service have been highlighted by a recent report of the Royal College of Psychiatrists (Bhugra et al, 1991). This paper attempts to define the possible adverse consequences of the recent reorganisation of National Health Service (NHS) on the care of the chronic mentally ill.

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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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Andrews, G. (1991) The cost of schizophrenia revisited. Schizophrenia Bulletin, 17, 389394.
Bhugra, D., Bullock, R., Marshall, J., Timms, P. & Kingdon, D. (1991) Homelessness and Mental Illness. Working party report on behalf of Executive Committee of the General Psychiatric Section of the Royal College of Psychiatrists, London.
Department of Health (1993) The Health of the Nation: Mental Illness Key Area Booklet. Heywood, Lancashire: BAPS Health Publications Unit.
Falloon, I. R. H. (1985) Family Management in Schizophrenia. Baltimore: John Hopkins University Press.
Wing, J. K. (1989) The concept of negative symptoms. British Journal of Psychiatry (Suppl. 7), 155, 1014.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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The future of services for the chronically mentally ill: a priority case?

  • Som D. Soni (a1), Rafeek F. Mahmood (a2) and Anant Shah (a3)
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