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Service innovation: development of a primary care-based assessment service

  • John Brady (a1) and Catherine McDonnell (a1)
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The care of those with mental illness has moved away from asylums and in-patient care facilities. Community mental health teams (CMHTs) now deliver care but these vary widely in terms of personnel and function (Simmonds et al, 2001). Evidence suggests that CMHT management is not inferior to non-team standard care in any important respect, and that it may even be superior in promoting greater acceptance of treatment, reducing hospital admission and avoiding death by suicide (Tyrer et al, 2000). Despite this apparent improvement, there are problems for the CMHTs and the general practitioners (GPs) who refer individuals. CMHTs are often overstretched, with large workloads, increasing amounts of administration and lack of resources, leading to concerns that individuals with more severe illness may be neglected (Harrison, 2000). Various initiatives have been undertaken to combat these problems, including forging stronger links between the CMHT and GPs, by having an on-site mental health worker (Hamilton et al, 2002; Bower & Sibbald, 2003).

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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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Bower, P. & Sibbald, B. (2003) On-site mental health workers in primary care: effects on professional practice (Cochrane Review). In The Cochrane Library, issue 4. Chichester: Wiley.
Hamilton, R., Gordon, P. & Naji, S. (2002) Serviceinnovation: the first year of a brief psychiatric screening clinic in primary care. Psychiatric Bulletin, 26, 218221.
Harrison, J. (2000) Prioritising referrals to a community mental health team. British Journal of General Practice, 50, 194198.
Simmonds, S., Coid, J., Joseph, P., et al (2001) Community mental health team management in severe mental illness: a systematic review. British Journal of Psychiatry, 178, 497502.
Tyrer, P., Coid, J., Simmonds, S., et al (2000) Community mental health teams (CMHTs) for people with severe mental illnesses and disordered personality (Cochrane Review). In The Cochrane Library, issue 4. Chichester: Wiley.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Service innovation: development of a primary care-based assessment service

  • John Brady (a1) and Catherine McDonnell (a1)
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