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Two weeks in the life of a community mental health team: a survey of case-mix and clinical activity in the north-west of Sheffield

  • Michael D. Hunter (a1), Danitza Jadresic (a2), Anne Blaine (a3), Louise Clancy (a3), Noelle Leyshon (a3), Eileen McDonald (a3), Ian Sanderson (a3), Moira Whiffin (a3) and Graham Spearing (a3)...
Extract
Aims and Method

The aim of the study was to determine whether diagnostic case-mix influenced the distribution of clinical activity within the community mental health team (CMHT). Information concerning every patient involved with the CMHT and every episode of clinical activity was collected over a 2-week period.

Results

Data were obtained concerning 417 patients and 1744 corresponding episodes of clinical activity. Diagnostic case-mix significantly differed between the professions. The duration of episodes of clinical activity varied significantly according to the type of patients involved and whether or not direct face to face contact occurred.

Clinical Implications

Diagnostic case-mix, in addition to absolute numbers, should be considered when estimating the actual work generated by the different professions' case-loads. Patients with psychosis may place an increased time burden upon CMHT members.

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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 (1999) A National Service Framework for Mental Health. London: Department of Health.
Greenwood, N., Chisholm, B., Burns, T., et al (2000) Community mental health team case-loads and diagnostic case-mix. Psychiatric Bulletin, 24, 290293.
Jarman, B. (1983) Identification of Underprivileged areas. BMJ, 286, 17051709.
Ruggeri, M., Leese, M., Thornicroft, G., et al (2000) Definition and prevalence of severe and persistent mental illness. British Journal of Psychiatry, 177, 149155.
Sheffield Health Information and Research Department (1998) Ward Information Pack. Sheffield: Sheffield Health.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Two weeks in the life of a community mental health team: a survey of case-mix and clinical activity in the north-west of Sheffield

  • Michael D. Hunter (a1), Danitza Jadresic (a2), Anne Blaine (a3), Louise Clancy (a3), Noelle Leyshon (a3), Eileen McDonald (a3), Ian Sanderson (a3), Moira Whiffin (a3) and Graham Spearing (a3)...
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