Observations from community care for serious mental illness during a controlled study

Connolly, J.; Marks, Isaac; Lawrence, R E; Muijen, Matt; McNamee, Gary

doi:10.1192/pb.20.1.3

Cited by 10 publications

(3 citation statements)

References 9 publications

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“…Several studies in the 1990s reported high levels of ‘burn-out’ among community mental health team (CMHT) staff, although paradoxically associated with relatively good job satisfaction (Fagin et al , 1995; Prosser et al , 1996; Onyett et al , 1997; Wykes et al , 1997). Some authors have argued that staff delivering intensive community care to severely ill client groups are very susceptible to burn-out, threatening the sustainability of this model (Dedman, 1993; Connolly et al , 1996). However, assertive outreach team staff may also find the work particularly rewarding.…”

mentioning

confidence: 99%

Assertive outreach teams in London: Staff experiences and perceptions

Billings

Bebbington²,

Greaves

et al. 2003

Br J Psychiatry

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mentioning

confidence: 99%

Assertive outreach teams in London: Staff experiences and perceptions

Billings

Bebbington²,

Greaves

et al. 2003

Br J Psychiatry

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“…Outflow control, i.e., control of discharge, is important for MCHT to do its job of decreasing bed usage. In the Connolly, Marks, Lawrence, McNamee, and Muijen, (1996) Southwark, London, study in Chapter 1, it was shown that when the MCHT service lost control of the discharge decision making, the length of stay increased by 300%.…”

Section: Factors That Control the Flow Of Patients Out Of The Hospitamentioning

confidence: 99%

Home Treatment for Acute Mental Disorders

Heath¹

2005

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I want to begin by thanking three people who got me started in mobile crisis home treatment. First is Canadian psychiatrist Dr. Fred Fenton, whose book on his landmark Montreal Study first gave me the idea. Second is ex-Director of Psychiatric Services at Grand River Hospital, Kitchener, Ontario, psychiatrist Dr. David Barnes, who certainly created "an environment that tolerates risk taking." Third is social worker James Holland, the first manager of the Hazelglen Program, the first mobile crisis home treatment service in Canada, who ably translated our ideas into practice and provided strong leadership. This book would never have gotten past the first two chapters if Brunner-Routledge editors Toby Wahl and Bernadette Cappelle had not recognized the need for a book on an uncommon subject. They were able to take my original idea and mould it into a much more interesting form. Paula Hendsbee edited my first two chapters for the proposal. Much of what I know about treating patients in Mobil Crisis Home Treatment I have learned from the Hazelglen staff. For many evenings we met in a book group summarizing their experience, skills, and knowledge into a format suitable for a book. For that I thank

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“…Tuttavia, la prosecuzione dello studio per un periodo di 4 anni ha evidenziato che i vantaggi in termini di costo-efficacia del DLP, rispetto al trattamento standard ospedaliero, tendevano a ridursi progressivamente fino a scomparire al termine del quarto anno (Knapp et al, 1998). Alcune osservazioni sulle problematiche emerse nella prosecuzione di lungo termine del programma al Maudsley Hospital sono state recentemente presentate (Connolly et al, 1996).…”

Section: Epidemiologia E Psichiatria Sociale 7 3 1998unclassified

The economic perspective in the care and treatment of patients with diagnosis of schizophrenia

Percudani

Knapp

1998

Epidemiol Psichiatr Soc

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RIASSUNTOScopo - Considerare le principali problematiche connesse all'assistenza ed al trattamento dei pazienti con diagnosi di schizofrenia alia luce della piu recente letteratura sugli aspetti economici di questa patologia. Metodo - È stata effettuata una analisi della letteratura relativa ai costi sociali della schizofrenia, all'analisi economica di diversi modelli di assistenza, alia valutazione dei costi dei trattamenti antipsicotici. Risultati - La schizofrenia è una patologia che genera ingenti costi sociali. I costi sanitari legati all'assistenza alia schizofrenia assorbono una percentuale significativa delle risorse dei sistemi sanitari dei principali paesi industrializzati. I costi indiretti, dovuti principalmente al mancato inserimento al lavoro dei pazienti, risultano superiori ai costi diretti di trattamento. Nei paesi ove l'assistenza centrata sul territorio è stata supportata da un reale sforzo organizzativo per la creazione di servizi territoriali e residenziali, è emerso che essa è meno costosa dell'assistenza centrata sull'ospedale psichiatrico e genera un miglior esito per pazienti e familiari. L'introduzione di nuovi farmaci antipsicotici e lo sviluppo di interventi di tipo psicosociale possono rappresentare strumenti che favoriscono nuove strategie di assistenza. Conclusion! - Utilizzare una prospettiva economica implica pensare a quale organizzazione, quali strumenti tecnologici, quali strategie permettono di investire con razionalita le risorse disponibili. Una riflessione su questi temi appare oggi ineludibile non solo per gli amministratori ed i decisori politici, ma anche per gli operatori dei servizi di salute mentale.

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Observations from community care for serious mental illness during a controlled study

Cited by 10 publications

References 9 publications

Assertive outreach teams in London: Staff experiences and perceptions

Assertive outreach teams in London: Staff experiences and perceptions

Home Treatment for Acute Mental Disorders

The economic perspective in the care and treatment of patients with diagnosis of schizophrenia

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