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Abstract

The author describes the multidisciplinary approach that is essential to the provision of high quality mental health services. The diversity of client needs means that more than one agency is involved. An overview of research in collaborative practice and an historical overview of service development supports the conclusion that co-ordinated services are better for mentally-ill people. Strategies for improving interprofessional and interagency work are discussed, especially in the context of primary health care teams.

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References

  • Audit Commission (1986), Making a reality of community care London: HMSO).

    Google Scholar 

  • Babigian, H. (1977), ‘The impact of CMHCs on the utilization of services’, Archives of General Psychiatry, 34 (4), pp. 385–94.

    Article  Google Scholar 

  • Beardshaw, V. and Morgan, E. (1990), Community Care Works (London: MIND).

    Google Scholar 

  • Brewin, C. R., Wing, J. K., Mangen, S. P., Brugha, T. S., MacCarthy, B. and Lesage, A. (1988), ‘Needs for care among the long-term mentally ill: a report from the Camberwell High Contact Survey’, Psychological Medicine, 18, pp. 457–68.

    Article  Google Scholar 

  • Broadhurst A. (1977), ‘What part does general practice play in community clinical psychology?’ Bull. Br. Psychol. Soc. 30, pp. 304–9.

    Google Scholar 

  • Brooker, C. and Simmons, S. (1985), ‘A study to compare two models of community psychiatric nursing care delivery’, J. Adv. Nursing, 10 pp. 217–23.

    Article  Google Scholar 

  • Brown, R., Strathdee, G., Christie-Brown, J. and Robinson, P. (1988), ‘A Comparison of Referrals to Primary Care and Hospital Outpatient Clinics’, British Journal of Psychiatry, 153, 168–73.

    Article  Google Scholar 

  • Bruce, N. (1980), Teamwork for Preventive Care (Chichester: Wiley).

    Google Scholar 

  • Brugha, T.S., Wing, J.K., Brewin, C.R., MacCarthy, B., Mangen, S. and Lesage, A. (1988), ‘The Problem of People in Long-Term Psychiatric Day Care’, Psychological Medicine, 18, pp. 443–56.

    Article  Google Scholar 

  • Butler, T. (1993), Changing mental health services (London: Chapman & Hall).

    Google Scholar 

  • Challis, D. and Davies, B. (1986), Case management in community care (Aldershot: Gower).

    Google Scholar 

  • Chisholm J. W. (1990), ‘The 1990 contract: its history and its content’, British Medical Journal, 300, pp. 853–6.

    Article  Google Scholar 

  • Clare, A. and Corney, R. (1982), Social work and primary health care (London: Academic Press).

    Google Scholar 

  • Clifford, P. and Craig, T. (1988), Case management systems for the long term mentally ill (London: Research and Development for Psychiatry).

    Google Scholar 

  • Cooper, B. Harwin, B., Depla, G. and Shepherd, M. (1975), ‘Mental health in the community, an evaluative study’, Psychological Medicine, 5, pp. 372–80.

    Article  Google Scholar 

  • Corney, R. (1980), ‘A comparative study of referrals to a local authority intake team with a general practice attachment scheme and the resulting social workers’ interventions’, Social Science & Medicine, 14, pp. 675–82.

    Google Scholar 

  • Corney, R. (1983), ‘The views of clients new to a general practice attachmen scheme and to a local authority social work intake team’, Social Science & Medicine, 17, 20, pp. 1549–58.

    Article  Google Scholar 

  • Corney, R. (1984), The effectiveness of social work in the management of depressed women in general practice (Psychological Medicine Monograph, Cambridge: Cambridge University Press).

    Google Scholar 

  • Corney, R. (1990), ‘A survey of professional help sought by patients for psychosocial problems’, British Journal of General Practice, 40, pp. 365–8.

    Google Scholar 

  • Davies, M. (1989), Doctors, carers and general practice (London: MSD Foundation, Tavistock House).

    Google Scholar 

  • DHSS (1975), Better services for the Mentally Ill, Cmnd 6233 (HMSO: London).

    Google Scholar 

  • Department of Health (1987), Promoting Better Health (London: HMSO).

    Google Scholar 

  • Department of Health (1989a), Caring for People (London: HMSO).

    Google Scholar 

  • Department of Health (1989b), Working for patients (London: HMSO).

    Google Scholar 

  • Department of Health (1990), The Care Programme Approach for people with a mental illness referred to specialist psychiatric services, HC(90) 23, (London: HMSO).

    Google Scholar 

  • Dingwall, R. (1982), ‘Problems of teamwork in Primary Care’, in Clare, A. and Corney, R. Social work and primary health care (London: Academic Press).

    Google Scholar 

  • Dowell, D. and Ciarlo, J. (1983), ‘Overview of the CMHC’, Community Mental Health Journal, 19, pp. 95–125.

    Article  Google Scholar 

  • Gask, L. (1992), ‘Training general practitioners to detect and manage emotional disorders’, International Review of Psychiatry, 4, pp. 293–300.

    Article  Google Scholar 

  • Gilmore, M., Bruce, N. and Hunt, M. (1974), ‘The work of the nursing team in general practice’ (London: Council for the Education and Training of Health Visitors).

    Google Scholar 

  • Goldberg, D. and Blackwell, B. (1970), ‘Psychiatric illness in general practice’, British Medical Journal, 2, pp. 439–43.

    Article  Google Scholar 

  • Goldberg, D. and Huxley, P. (1980), Mental illness in the community, the pathway to psychiatric care (London: Tavistock).

    Google Scholar 

  • Griffiths, R. (1988), Community Care: Agenda for action, a report to the Secretary of State for Social Services (London: HMSO).

    Google Scholar 

  • Groves, T. (1990), ‘What does community care mean now?’, British Medical Journal, 300, pp. 1060–62.

    Article  Google Scholar 

  • Gudeman, J. and Shore, M. (1984), ‘Beyond deinstitutionalisation’, New England Journal of Medicine, 311, pp. 832–6.

    Article  Google Scholar 

  • Hall, J., Koch, H., Pilling, S., Winter, K. (1986), ‘Health services information and clinical psychology’, Bull Br. Psychol Soc., 39 pp. 126–30.

    Google Scholar 

  • Holden, J. M., Sagovsky, R. and Cox, J. L. (1989), ‘Counselling in a general practice setting: controlled study of health visitor intervention in treatment of postnatal depression’, British Medical Journal, 298, pp. 223–6.

    Article  Google Scholar 

  • Holloway, F. (1990), ‘Caring for people: a critical review of British Government policy for the community care of the mentally ill’, Psychiatric Bulletin, 14, pp. 641–5.

    Article  Google Scholar 

  • Holloway, F. (1991), ‘Day Care in an Inner City I and II’, British Journal of Psychiatry, 158, pp. 805–16.

    Article  Google Scholar 

  • Hood, S. and Whitehead, T. (1990), ‘One path to a comprehensive district psychiatric services’, Health Services Management, August, pp. 174–7.

    Google Scholar 

  • Hoult, J. (1986), ‘Community care of the acutely mentally ill’, British Journal of Psychiatry, 149, pp. 137–44.

    Article  Google Scholar 

  • Hunt, M. (1974), ‘An analysis of factors influencing teamwork in general medical practice’, M.Phil Thesis, Faculty of Social Sciences, University of Edinburgh.

    Google Scholar 

  • Huntington, J. (1981), Social work and general medical practice (London: George Allen & Unwin).

    Google Scholar 

  • Huxley, P., Hagan, T., Henelly, R. and Hunt, J. (1990), Effective community mental health services (Aldershot: Avebury).

    Google Scholar 

  • Jones, K. (1988), The experience in mental health-community care and social policy (London: Sage).

    Google Scholar 

  • Jones, R. (1992), ‘Teamwork in primary care: how much do we know about it?’, Journal of Interprofessiona Care, 6, pp. 24–9.

    Article  Google Scholar 

  • Johnstone, E., Owens, D., Gold, A., Crow, T., MacMilln, T. (1984), ’schizophrenia Patients Discharged from Hospital’ British Journal of Psychiatry, 145, pp. 586–90.

    Google Scholar 

  • Langsley, D. (1975), ‘Community mental health: a review of the literature’, in W. Barton and C., Sanborn An assessment of the CMHC movement (Lexington, Mass:).

    Google Scholar 

  • Leff, J. (1993), ‘The TAPS Project: Evaluating Community Placement of Long Stay Psychiatric Patients’, The British Journal of Psychiatry, Vol. 162, supplement 19.

    Google Scholar 

  • Lee, S. and Murray, R. ‘The long-term outcome of Maudsley depressives’, British Journal of Psychiatry, 153, pp. 741–51.

    Google Scholar 

  • Lindholm, H. (1983), ‘Sectorized psychiatry’, Acta Psychiat. Scand., (suppl 304), 67, pp. 1–127.

    Google Scholar 

  • Mental Health Foundation (1990), Mental illness: the fundamental facts (London: MHF).

    Google Scholar 

  • Office of Health Economics (1989), Mental health in the 1990s (London: OHE).

    Google Scholar 

  • Pantellis, C., Taylor, J., Campbell, P. (1988), ‘The South Camden Schizophrenia Survey’, Bull. R. Coll. Psychiatrists, 12, pp. 98–101.

    Article  Google Scholar 

  • Parsloe, P. and Stevenson, O. (1990), Social Services Teams: the Practitioners’ view (London: HMSO).

    Google Scholar 

  • Patmore, C. and Weaver, T. (1990a), ‘Community mental health teams: lessons for planners and managers’, Good Practices in Mental Health, London.

    Google Scholar 

  • Paykel, E. S., Mangen, S. P., Griffith, J. H. and Burns, T.P. (1982), ‘Community psychiatric nursing for neurotic patients: a controlled study’, Br. J. Psychiatry, 140, pp. 573–81.

    Article  Google Scholar 

  • Powell, E. (1961), Speech by the Minister of Health, Report of the Annual Conference of the National Association of Mental Health, London.

    Google Scholar 

  • Pullen, I. and Yellowlees, A. (1988), ‘Scottish psychiatrists in primary health care settings: a silent majority’, Br. J. Psychiatry, 153 pp. 663–6.

    Article  Google Scholar 

  • Regier, D., Burke, J., Manderscheid, R. and Burns, B. (1985), ‘The chronically mentally ill in primary care’, Psychological Medicine, 15, pp. 265–73.

    Article  Google Scholar 

  • Robson, M. H., France, R. and Bland, M., (1984), ‘Clinical psychologist in primary care: controlled clinical and economic evaluation’, British Medical Journal, 288, pp. 1805–8.

    Article  Google Scholar 

  • Ross, M. and Scott, M. (1985), ‘An evaluation of the effectiveness of individual and group cognitive therapy in the treatment of depressed patients in an inner city health centre’, Journal of the Royal College of General Practitioners, 35, pp. 239–80.

    Google Scholar 

  • Ryan, P., Ford, R. and Clifford, P. (1991), ‘Case management and community care’, Research and Development for Psychiatry, London.

    Google Scholar 

  • Sayce, L. (1987), CMHCs Conference Report, National Unit for Psychiatric Research and Development, London.

    Google Scholar 

  • Scott, A. and Freeman, C. (1992), ‘Edinburgh primary care depression study: treatment outcome, patient satisfaction and cost after 16 weeks’, British Medical Journal 304, pp. 883–7.

    Article  Google Scholar 

  • Shepherd, M., Cooper, B., Brown, A. and Kalton, G. (1966), Psychiatric illness in general practice, (Oxford: Oxford University Press).

    Google Scholar 

  • Skuse, D. and Williams, P. (1984), ‘Screening for psychiatric disorders in general practice’, Psychological Medicine, 14, pp. 365–77.

    Article  Google Scholar 

  • Strathdee, G., Brown, R. and Doig, R. (1990), ‘A standardised assessment of patients referred to primary care and hospital psychiatric clinics’, Psychological Medicine, 20, pp. 219–24.

    Google Scholar 

  • Strathdee, G. and Williams, P. (1984), ‘A survey of psychiatrists in primary care: the silent growth of a new service,’ J.R. Coll. Gen. Prac. 34 pp. 615–18.

    Google Scholar 

  • Taylor D. (1991), Developing Primary Care (London: King’s Fund Institute Research Report 10).

    Google Scholar 

  • Teasdale, J. D., Fennell, M. J. V., Hibbert, G. A. (1984), ‘Cognitive therapy for major depressive disorder in primary care’, British Journal of Psychiatry, 144, pp. 400–6.

    Article  Google Scholar 

  • Tischler, G., Henisz, J., Myers, J. and Garrison, V. (1972), ‘Catchmenting and the use of mental health services’, Archives of General Psychiatry, 27, pp. 389–92.

    Article  Google Scholar 

  • Thomas, R. and Corney, R. (1992), ‘A survey of links between mental health professionals and general practice in six district health authorities’, British Journal of General Practice, 42, pp. 358–61.

    Google Scholar 

  • Thomas, R. and Corney, R. (1993), ‘General practitioners’ attitudes to mental health professionals: a survey, British Journal of General Practice. British Journal of Psychiatry, 145, pp. 9–14.

    Google Scholar 

  • Weller, B., Weller, M., Coker, E., Mahomed, S (1987), ‘Crisis at Christmas, 1986’ Lancet, 553–4.

    Google Scholar 

  • World Health Organisation (1973), Psychiatry and primary medical care (Copenhagen: WHO Regional Office for Europe).

    Google Scholar 

  • Yamanoto, J. (1984), ‘Orienting therapists and patients needs to increase patient satisfaction’, American Journal of Psychiatry in Medicine, 9, pp. 339–50.

    Google Scholar 

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© 1995 Roslyn Corney

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Corney, R. (1995). Mental health services. In: Owens, P., Carrier, J., Horder, J. (eds) Interprofessional issues in community and primary health care. Palgrave, London. https://doi.org/10.1007/978-1-349-13236-2_8

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  • DOI: https://doi.org/10.1007/978-1-349-13236-2_8

  • Publisher Name: Palgrave, London

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