Satisfaction with care, use of services, and personal costs were also monitored. Results:The ulcers of patients in the clinic group tended to heal sooner than those in the control group over the whole 12 month follow up (log rank P = 0.03). At 12 weeks, 34% of patients in the clinic group were healed compared with 24% in the control. The crude initial healing rate of ulcers in intervention compared with control patients was 1.45 (95% confidence interval 1.04 to 2.03). No significant differences were found between the groups in health status. Mean total NHS costs were £878.06 per year for the clinic group and £859.34 for the control (P = 0.89). Conclusions: Community based leg ulcer clinics with trained nurses using four layer bandaging is more effective than traditional home based treatment. This benefit is achieved at a small additional cost and could be delivered at reduced cost if certain service configurations were used.

The study offers some evidence that CPNs can be taught to improve the outcome for families who care for a relative with schizophrenia.

Levels of mental illness amongst prisoners are high, but little is known about the situation of those serving community sentences. More information is needed at a time when the UK Department of Health is seeking to improve mental health service access for all offenders. To estimate the prevalence of both current and lifetime mental illness, an epidemiological survey was conducted on individuals under probation supervision in Lincolnshire, England. Assessment included the Mini International Neuropsychiatric Inventory and other measures of mental health. We estimate that around 39% of individuals in this probation population are suffering from current mental illnesses, anxiety disorders being the most common. Furthermore, around 60% have substance abuse problems and around 48% have personality disorders. Lifetime mental illness, co-morbidity and dual diagnosis were also found to be high. In common with other groups of offenders, the prevalence of mental health problems in those serving community sentences is high

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