Home based care and standard hospital care for patients with severe mental illness: a randomised controlled trial.

Muijen, Matt; Marks, Isaac; Connolly, J.; Audini, Bernard

doi:10.1136/bmj.304.6829.749

Cited by 189 publications

(91 citation statements)

References 13 publications

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“…Furthermore CPN input to these individuals was intensive and assertive extending far beyond the administration of depot medication. This finding contrasts with a recent review (Marks, 1992) suggesting that CPNs treat more patients with neurotic disorders.…”

Section: Commentcontrasting

confidence: 99%

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A cross-sectional evaluation of a community-orientated mental health service

Spear

Cole²,

Scott³

1995

Psychiatr. bull.

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Community mental health services have been criticised for seeing those with minor psychiatric disorders at the expense of those with severe and long-term illness. We report a cross-sectional evaluation of a UK service based entirely within the community. Most patients in contact with the service (60%) hod a psychotic disorder or an affective disorder. Patients with greater impairment were likely to receive more intensive treatment. Only 20% of the community psychiatric nurse (CPN) case load focused on acute distress and neurotic disorders. Within this service careful operational planning and maintaining CPNs within the secondary care system appear to be critical factors in achieving the goal of giving priority to the severely mentally ill.

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Section: Commentcontrasting

confidence: 99%

“…Unlike the trend reported elsewhere in the UK (Marks, 1992), the CPNs in this service do not take direct referrals from primary care. All referrals are sent to the multidisciplinary team and keyworker input is provided by the most appropriate professional.…”

Section: Commentmentioning

confidence: 74%

A cross-sectional evaluation of a community-orientated mental health service

Spear

Cole²,

Scott³

1995

Psychiatr. bull.

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“…The approach pioneered by involved a psychiatric team taking over responsibility for all parts of life, and so it was no exaggeration that those involved in training and treatment were primarily concerned with training for 'daily living'. Since the original report there have been many other randomised controlled studies carried out between 1980 and 1991 which have confirmed that assertive community treatment is more effective than 'standard care' in the treatment of severe mental illness (Hoult & Reynolds, 1985;Merson et al, 1992;Muijen et al, 1992;Burns et al, 1993a;Creed, 1995 Merson et al, 1992), almost all have shown superiority in terms of cost (mainly because admissions to hospitals are reduced) (Weisbrod et al, 1980;Muijen et al, 1992;Burns et al, 1993b;Merson et al, 1996). Patients also are much happier with this type of care than conventional hospital-orientated care and this too is a universal finding.…”

Section: Peter Tyrermentioning

confidence: 99%

What is the future of assertive community treatment?

Tyrer¹

1999

Epidemiol Psichiatr Soc

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“…Four samples of each type of medical text produced at the three different institutional sites (Greer et al, 1992) and Text D (Muijen et al, 1992). Four transcriptions of medical interviews (Texts E-H) were drawn from the database of an ESCR funded study into the ways in which epilepsy was diagnosed in children.…”

Section: Investigationmentioning

confidence: 99%

Pedagogy, pathology and ideology: the production, transmission and reproduction of medical discourse

MacDonald

2002

Discourse & Society

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SizeWord length (not including title page, abstract, biography keywords, references): 7,301Word length (including title page, abstract, biography keywords, references): 8,734Number of bytes: 657KB Biographical noteMalcolm MacDonald (BA, Durham; MEd, Bristol; PhD, Warwick) AbstractThe discourse of any institutional field is composed of a variety of different genres. In medical discourse, three prevalent genres are the research paper, the doctor-patient interview and the textbook. This paper describes how the textual, interpersonal and ideational metafunctions of each genre operate in relation to their institutional context of situation (Halliday, 1978;. As a medical text is delocated and relocated from one institutional context to another (Bernstein, 1990(Bernstein, , 1996, transformations take place with regard to: the ideational options of tense, transitivity and process, the interpersonal options of modality and speaker's comment, and its rhetorical organisation (Halliday, 1978;. These transformations constitute the codes of the pedagogic device. These operate as a symbol system having two ideological effects (Giddens, 1979). First, certain medical texts are privileged over others as 'doxic' texts (Bourdieu, 1991); and secondly, subjects are variably positioned in the professional field depending on their command of the codes of the genres relating to different institutional sites.

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Home based care and standard hospital care for patients with severe mental illness: a randomised controlled trial.

Cited by 189 publications

References 13 publications

A cross-sectional evaluation of a community-orientated mental health service

A cross-sectional evaluation of a community-orientated mental health service

What is the future of assertive community treatment?

Pedagogy, pathology and ideology: the production, transmission and reproduction of medical discourse

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