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The Buckingham Project — the description of a home based mental health service

Published online by Cambridge University Press:  13 June 2014

William J. Shanahan ,
Ian RH Falloon ,
Marc Laporta  and
Haroutyon AW Krekorian
William J. Shanahan
Affiliation:
Charing Cross Hospital, Fulham Palace Road, London W6 8RF. Formerly Research Associate, Buckingham Mental Health Service, Buckingham MK18 1NU.
Ian RH Falloon
Affiliation:
Buckingham Mental Health Service.
Marc Laporta
Affiliation:
Buckingham Mental Health Service.
Haroutyon AW Krekorian
Affiliation:
Bristol Royal Infirmary. Formerly Research Director, Buckingham Mental Health Team.
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Abstract

A service based on the principle that the comprehensive mental health needs of a community can be more efficiently met by supporting the existing primary care services has been developed in the North Aylesbury Vale, Buckinghamshire, England. The Buckingham Project is a home-based mental health service and caters for a rapidly expanding rural community of approximately thirty five thousand people between the ages of 16 and 65 years. Professional support is provided to the services and care already provided by primary health care teams, social agencies and above all, by families. Specially trained nurses work as specialists within the primary care teams in the area. Initial consultation is provided on the day of referral, often in the patient's home. Cost effective management approaches are employed throughout. The emphasis is on early detection of major mental illness and immediate intensive treatment using cognitive/behavioural treatment methods, and targeted low dose medication where necessary. The approach differs from the traditional hospital-based specialist services.

Keywords

Community Mental HealthPrimary CareBehavioural Family Therapy.
Type
Perspectives
Information
Irish Journal of Psychological Medicine , Volume 7 , Issue 2 , September 1990 , pp. 151 - 153
Copyright
Copyright © Cambridge University Press 1990

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References

1.Leaf, PJ, Weissman, MN, Myers, JK. Social factors related to psychiatric disorder: the yale epidemiological catchment area study. Soc Psychiatry 1984; 19: 53–61.CrossRefGoogle Scholar
2.Dilling, H, Weyrerer, S. Prevalence of mental disorders in the small town rural region of Traunstein (Upper Bavaria). Acta Psychiatr Scand 1984; 69: 60–79.CrossRefGoogle ScholarPubMed
3.Regier, DA, Myers, JK, Kramer, M. The NIMH Epidemiological Catchment Area Program: Historical context, major objectives and study population characteristics. Arch Gen Psychiatry 1984; 41: 934–941.CrossRefGoogle ScholarPubMed
4.Regier, DA, Burke, JD, Manderscheiss, RW. The chronically mentally ill in primary care. Psychol Med 1985; 15: 265–273.CrossRefGoogle ScholarPubMed
5.Falloon, IRH, Shanahan, WJ, Krekorian, HAW, Laporta, M. Prevention of major depressive episodes: early intervention with family stress management. Paper presented to The Royal College of Psychiatrists, Behavioural Psychotherapy Division, 03 1989.Google Scholar
6.Stein, LI, Test, MA. An alternative to mental hospital treatment: 1. Conceptual model, treatment programme and clinical evaluation. Arch Gen Psychiatry 1980; 37: 329–392.CrossRefGoogle Scholar
7.Falloon, IRH, Boyd, JL, McGill, CW. Family care of schizophrenia. London: Guildford Press, 1984.Google Scholar
8.Falloon, IRH. Developing and maintaining adherence to long term drug-taking regimens: a behavioural analysis. Schizophr Bull 1984; 10: 412–417.CrossRefGoogle Scholar
9.Falloon, IRH, McGill, C, Boyd, JL. Family management in the prevention of morbidity of schizophrenia: social outcome of a two-year longitudinal study. Psychol Med 1987; 17: 59–69.CrossRefGoogle ScholarPubMed
10.Falloon, IRH. Family management of schizophrenia: a controlled study of clinical, social, family and economic benefits. Baltimore: John Hopkins University Press, 1985.Google Scholar
11.McGill, CW, Falloon, IRH, Boyd, JL, Wood-Siverio, C. Family educational intervention in the treatment of schizophrenia. Hosp Community Psychiatry 1983; 34: 934–938.Google ScholarPubMed
12.Szmuckler, GI, Eisler, I, Russell, GFM, Dare, C. Anorexia Nervosa. Parental “expressed emotion” and dropping out of treatment. Br J Psychiatry 1985; 149: 265–271.CrossRefGoogle Scholar
13.Paul, GL, Lentz, RJ. Psychological treatment of the chronic mental patient. Cambridge, Mass: Harvard University Press, 1977.Google Scholar
14.Fenton, FR, Tessier, L, Struening, EL, Smith, FA, Benoit, C. Home and hospital psychiatric treatment. London: Croom Helm 1982.Google ScholarPubMed
15.Cardin, VA, McGill, CW, Falloon, IRH. An economic analysis: costs, benefits and effectiveness in family management of schizophrenia. Baltimore: John Hopkins University Press, 1985.Google Scholar
16.Weisbrod, BA, Test, MA, Stein, LI. An alternative to mental hospital treatment. II. Economic benefit, cost analysis. Arch Gen Psychiatry 1980; 37: 400–405.CrossRefGoogle ScholarPubMed
17.Krekorian, HAW, Hole, V, Shanahan, WJ, Laporta, M, Falloon, IRH. Evaluation for the quality of mental health services: a practical approach. Bulletin of the Royal College of Psychiatrists 1989 (under review).Google Scholar
18.Falloon, IRH, Hole, V, Shanahan, WJ, Laporta, M, Krekorian, HAW. Developing family care for schizophrenia: a training project. Bulletin of the Royal College of Psychiatrics 1989; 13: 675–676.Google Scholar