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Who's assessing needs-led assessment?

  • Peter H. Dick (a1), David Reid (a2), Audrey Simpkins (a3) and Tessa Durham (a3)
Abstract

Pre- and post-change audits of the effect of the changes in community care assessments and funding intro-duced in April 1993 were carried out on a psychiatric in-patient rehabilitation unit in Dundee. There was a substantial reduction in throughput in the rehabilitation unit (from 43 to 22) and in placements to funded staffed accommodation (from 11 to three) despite an increase in void community tenancies. By three months, 17 of 22 referrals for needs assessment were still incomplete, and at one year only three patients had had their needs assessed and appropriately met. Recommendations arising from these findings are discussed.

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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.
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References
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Department of Health (1989) Caring for People: Community Care in the Next Decade and Beyond London: HMSO.
Dick, P. H. (1990) Psychiatric in-patient rehabilitation: is there a future? International Journal of Rehabilitation Research, 13, 119126.
Dick, P. H., Crombie, I. K., Durham, T., et al (1992) Unnecessary hospitalisation in a psychiatric rehabilitation unit. British Medical Journal, 304, 1544.
Lancet (1995) Care Management: a disastrous mistake. Lancet, 345, 399401.
Marshall, M. (1996) Care management: a dubious practice. British Medical Journal, 312, 523524.
Ryan, P. (1993) Social Services Care Management. In Dimensions of Community Mental Health Care (eds Weller, M. & Muijen, M.), pp. 82102. London: Baillière Tindall.
Scottish Office (1991) Development of Community Care: Care Programmes for People with a Mental Illness (including Dementia). Consultation Paper No. 6. Edinburgh: Scottish Office.
Thornicroft, G., Ward, P. & James, S. (1993) Care management and mental health. British Medical Journal, 306, 768771.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Who's assessing needs-led assessment?

  • Peter H. Dick (a1), David Reid (a2), Audrey Simpkins (a3) and Tessa Durham (a3)
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