Community Care: Exploring the Priorities of Clients, Mental Health Professionals and Community Providers

Abstract

Co-ordinated joint service planning by all stakeholders is widely accepted as a valuable principle in the development of community support services for persons with severe mental illness. Even so, relatively little is known of the views and priorities of the different parties with regard to the elements that should make up the care and support system. This paper reports on a Dutch study in which clients, mental health care workers and community service professionals offered their opinions on what constitutes a support system that enables individuals with long-term mental illness to participate in the community. The results show that the respondents regarded a stable base as an essential prerequisite for the realisation of this objective. Within this general consensus, the clients stressed the importance of advocacy and sheltered meeting places; the mental health professionals emphasised the rehabilitative elements and the representatives of the generic community services felt that the key components in any such system were crisis intervention services and co-ordination at client and system level.

A Regional Assessment of the Quality of Care for People With Schizophrenia in the Netherlands

“…Patients, their families, and clinicians, each have their own views on how systems should identify needs (2) and prioritize services (3). Patients, their families, and clinicians, each have their own views on how systems should identify needs (2) and prioritize services (3).…”

Community Based Mental Health Services in the eye of community mental health professionals

“…Van Hoof, Van Weeghel ve Kroon'un çalışması da toplum temelli hizmetlerden yararlanan kişilere, profesyonellere ve hizmet sağlayıcılara odaklanmıştır. [28] Hizmetten yararlananlar savunuculuğun ve korumalı buluşma yerlerinin önemini, profesyoneller rehabilitasyonun önemini, hizmet sağlayıcılar ise toplum temelli sistemlerde krize müdahale, sistem ve bireylerin koordine olmasının önemini vurgulamışlardır. Türkiye'de de her üç tarafın görüşlerini içeren derinlikli çalışmalara ihtiyaç bulunmaktadır.…”

Arbetsledares inom social omsorg uppfattning av ett valfungerande stod for personer med psykiskt funktionshinder

“…Utifrån personals och klienters utsagor ges tidig krisintervention högsta prioritet tillsammans med daglig sysselsättning. Därefter kommer vikten av klientens delaktighet i beslut och intervention samt boende och stöd i det dagliga livet, följt av anhörigas engagemang i omsorgen (11). Socialt stöd i kommuner efter utskrivning från psykiatrisk slutenvård tillsammans med antipsykotisk medicinering och psykopedagogisk intervention förefaller kunna minska psykosskoven betydligt (12).…”

“…Detta stöds av Arns & Linneys studie (29) och av studien genomförd av Van Hoof, van Weeghel & Kroon (11). I denna studie framkommer en tydlig uppfattning av att sysselsättning bör innefatta en sammanhållen kedja från en aktivare fritid till en arbetsinriktad verksamhet vilken i någon grad bör avlönas.…”