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

Published online by Cambridge University Press:  02 January 2018

Joseph Connolly ,
Isaac Marks ,
Robin Lawrence ,
Gary McNamee  and
Matt Muijen
Joseph Connolly*
Affiliation:
Bethlem Royal & Maudsley Hospital and Institute of Psychiatry, London SE5 8AF
Isaac Marks
Affiliation:
Bethlem Royal & Maudsley Hospital and Institute of Psychiatry, London SE5 8AF
Robin Lawrence
Affiliation:
Bethlem Royal & Maudsley Hospital and Institute of Psychiatry, London SE5 8AF
Gary McNamee
Affiliation:
Lambeth Mental Health Community Trust
Matt Muijen
Affiliation:
Bethlem Royal & Maudsley Hospital and Institute of Psychiatry, London SE5 8AF
*
∗Correspondence
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Abstract

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A controlled study of community care in serious mental illness (SMI) was carried out. Patients with SMI were randomised to have hospital care or be looked after by a community psychiatric care team in a Daily Living Programme (DIP). The day-to-day work of a clinical team with the difficulties encountered in delivering community psychiatric care in an inner city is described. There were seven deaths from self-harm during the 45-month study. One DIP patient committed homicide. An ordeal by media following this and the suicides are described. Lessons learnt include the need for the community care team to be responsible for discharge from any in-patient phases and for attention to team morale, especially during adversity, and to time spent working under pressure.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 20 , Issue 1 , January 1996 , pp. 3 - 7
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 1996

References

Audini, B., Marks, I. M., Lawrence, R. E., et al (1994) Home-based v. in/outpatient care for serious mental illness: phase II of a controlled study. British Journal of Psychiatry, 165, 204–210.Google Scholar
Burns, T., Beadsmoore, A., Bhat, A. V., et al (1993) A controlled trial of home-based acute psychiatric services. British Journal of Psychiatry, 163, 49–61.Google Scholar
Creed, F., Black, D., Anthony, P., et al (1990) Randomised controlled trial of day patient versus inpatient psychiatric treatments. British Medical Journal 630, 1033–1037.Google Scholar
Knapp, M., Beecham, V., Koutsogeorgopolou, V., et al (1994) Service use & costs of home-based v. hospital based care for people with serious mental illness. British Journal of Psychiatry, 165, 195–203.Google Scholar
Marks, I. M. (1995) Synopsis of the daily living program for the seriously mentally ill: a controlled comparison of home-vs hospital-based care. In Community Treatments for Acute Psychiatric illness. (eds. F. Creed and P. Tyrer). Cambridge: Cambridge University Press.Google Scholar
Marks, I. M. & Scott, R. (1990) Mental Health Care Delivery: Innovations, Impediments and Implementation. Cambridge: Cambridge University Press.Google Scholar
Marks, I. M., Connolly, J., Muijen, M., et al (1994) Home-based v. hospital based care for people with serious mental illness. British Journal of Psychiatry, 165, 179–194.Google Scholar
Merson, S., Tyrer, P., Onyett, S., et al (1992) Early intervention in psychiatric emergencies: a controlled clinical trial. Lancet 339, 1311–1314.Google Scholar
Muijen, M., Marks, I. M., Connolly, J., et al (1992a) The Daily living Program: Preliminary comparison of community v. hospital-based treatment for the seriously mentally ill lacing emergency admission. British Journal of Psychiatry, 160, 379–384.Google Scholar
Muijen, M., Marks, I. M., Connolly, J., et al (1992b) Home-based care vs standard hospital-based care for the severely mentally ill: short-term outcome. British Medical Journal 304, 749–754.Google Scholar
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