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Deploying a community mental health team for the effective care of individuals with schizophrenia

Published online by Cambridge University Press:  02 January 2018

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Community mental health teams (CMHTs) have their origin in the American Community Mental Health Centre programme of the 1960s. The teams were mandated to provide services with an emphasis on the needs of the severely mentally ill (SMI). However, over time the focus of work became ‘the worried well’, to the neglect of those with severe mental illness. CMHTs are now a firm feature of British psychiatry. A Sainsbury Centre study recently identified over three hundred CMHTs across England, defining themselves as comprising at least four members, from two or more disciplines, with a caseload of individuals with mental health disorders, largely residing in the community.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 1995 

References

Birchwood, M., Smith, J., MacMillan, F. et al (1989) Predicting relapse in schizophrenia: the development and implementation of an early signs monitoring system using patients and families as observers. Psychological Medicine, 19, 649656.Google Scholar
Brugha, T, Wing, J. & Smith, B. (1989) Physical ill-health of the long-term mentally ill in the community. Is there an unmet need? British Journal of Psychiatry, 155, 777782.Google Scholar
Burns, T., Deadsmore, A., Bhat, A. et al (1993) A controlled trial of home based acute psychiatric services. British Journal of Psychiatry, 163, 4961.Google Scholar
Conway, M., Melzer, D., Shepherd, G. et al (1994) A Companion to Purchasing Adult Mental Health Services. London: Sainsbury Centre for Mental Health.Google Scholar
Department of Health (1993) The Health of the Nation: Key Area Handbook. Mental Illness. London: HMSO.Google Scholar
Department of Health (1994) Mental Health in London: Priorities for Action. Mental Health Task Force London.Google Scholar
Falloon, I., LaPorta, M., Fadden, G. et al (1993) Managing Stress in Families. Cognitive and Behavioural Strategies for Enhancing Coping Skills. London: Routledge.Google Scholar
Holloway, F. (1988) Day care and community support. In Community Care in Practice (eds Lavender, A. & Holloway, F.) Chichester: Wiley.Google Scholar
Hoult, J., Rosen, A. & Reynolds, I. (1984) Community orientated treatment compared to psychiatric hospital orientated treatment. Social Sciences and Medicine, 18, 10051010.Google Scholar
Kingdon, D. (1994). Making care programming work. Advances in Psychiatric Treatment, 1, 4146.Google Scholar
Kuipers, L. & Bebbington, P. (1991) Working in Partnership: Clinicians and Carers in the Management of Long Term Illness. London: Heinemann.Google Scholar
Lelliott, P. & Wing, J. (1994). A national audit of new long-stay psychiatric patients II. Impact on services. British Journal of Psychiatry, 165, 170178.Google Scholar
MIND (1983) Common Concerns. London: MIND Publications.Google Scholar
Muijen, M., Marks, I., Connolly, J. et al (1992) Home-based care and standard hospital care for patients with severe mental illness: a randomised controlled trial. British Medical Journal, 304, 749754.CrossRefGoogle ScholarPubMed
Slade, M., McCrone, P. & Thornicroft, G. (1995) Uptake of welfare benefits by psychiatric patients. Psychiatric Bulletin, 19, 411413.CrossRefGoogle Scholar
Stein, L. & Test, M. (1980) Alternative to mental hospital treatment. I. Conceptual model, treatment programme and clinical evaluation. Archives of General Psychiatry, 37, 392397.Google Scholar
Strathdee, G. & Jenkins, R. (1995) Contracting for primary care mental health services. In Purchasing Mental Health Services (eds Thornicroft, G. & Strathdee, G.) London: HMSO.Google Scholar
Strathdee, G. & Sutherby, K. (1995) Liaison psychiatry and primary health care settings. In Multi-Professional Cooperation in Community Care (eds Ritter, S., Watkins, N., Hervey, N. et al). London: Edward Arnold.Google Scholar
Tansella, M. (1991) Community care without mental hospitals – ten years experience. Psychological Medicine, Suppl. 19, 4748.Google Scholar
Tes, T. M. & Scott, R. (1990) Theoretical and research bases of community care programmes. In Mental Health Care Delivery: Innovations, Impediments & Implementation (eds Marks, I. & Scott, R.) Cambridge: Cambridge University Press.Google Scholar
Thompson, C. (1994) Consensus statement. The use of high-dose anti-psychotic medication. British Journal of Psychiatry, 164, 448458.CrossRefGoogle Scholar
Thornicroft, G. (1990) Case management for the severely mentally ill. Social Psychiatry and Psychiatric Epidemiology, 25, 141143.Google Scholar
Tyrer, P. (1984) Psychiatric clinics in general practice: an extension of community care. British Journal of Psychiatry, 145, 571575.Google Scholar
Wood, H. (1994) Planning day services. In Planning and Developing Community Mental Health Services (eds Thomson, K. & Strathdee, G.) London: PACT, Maudsley NHS Trust.Google Scholar
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