Needs for care from a demand led community psychiatric service: a study of patients with major mental illness
Abstract Objective: To measure needs for care of patients aged 18-65 years with major mental illness. Design: Identification of everyone in one area seen by a health professional within the previous five years because of a psychotic disorder. Interview of a one in three sample of patients and their...
Saved in:
Published in | BMJ Vol. 312; no. 7046; pp. 1582 - 1586 |
---|---|
Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
England
British Medical Journal Publishing Group
22.06.1996
British Medical Association BMJ Publishing Group LTD BMJ Publishing Group BMJ Group |
Edition | International edition |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Abstract Objective: To measure needs for care of patients aged 18-65 years with major mental illness. Design: Identification of everyone in one area seen by a health professional within the previous five years because of a psychotic disorder. Interview of a one in three sample of patients and their main carers with the cardinal needs schedule. Setting: Hamilton, a socially deprived district of Scotland. Subjects: 71 subjects were interviewed from the original sample of 263 patients. Main outcome measures: “Cardinal problems” in seven clinical and eight social areas of functioning; these are defined as problems requiring action. “Needs”—cardinal problems for which suitable interventions exist but have not been tried recently. Results: High levels of morbidity were found. 30 interviewed patients (42%; 95% confidence interval 31% to 54%) had one or more clinical needs. 35 (49%; 38% to 61%) had one or more social needs. Skills to deal with all but seven needs in the sample were available at the time of investigation. Patients not being seen by the community mental health team were similar in severity and levels of need to those who were on the community team's caseload. Care was unequivocally and severely inadequate for four patients. Shortcomings in service delivery usually arose from failure to monitor some patients at home. Problems were not due to shortage of acute psychiatric beds nor the absence of an elaborate assertive community care team. Conclusions: Systematic assessment of needs with research instruments can give valuable insights into the successes and failures of community care of people with major mental illness. Most needs could be dealt with in these patients but in our area (and probably most other parts of the United Kingdom) this would entail diversion of resources from people with less severe disorders. Key messages A representative group of people with previously identified major mental illnesses showed high levels of distress and disability and most had one or more clinical or social needs Patients receiving rudimentary or no care from the psychiatric services had, on average, similar levels of disability and need to those receiving regular input from a multidisciplinary community mental health team Routine individual assessment of needs could deal with many of the concerns about the welfare of people with major mental illness who live in the community No matter what monitoring mechanisms are in place it will never be possible to prevent a small number of seriously mentally ill people from avoiding all medical and social care |
---|---|
AbstractList | OBJECTIVE--To measure needs for care of patients aged 18-65 years with major mental illness. DESIGN. Identification of everyone in one area seen by a health professional within the previous five years because of a psychotic disorder. Interview of a one in three sample of patients and their main carers with the cardinal needs schedule. SETTING--Hamilton, a socially deprived district of Scotland. SUBJECTS--71 subjects were interviewed from the original sample of 263 patients. MAIN OUTCOME MEASURES--"Cardinal problems" in seven clinical and eight social areas of functioning; these are defined as problems requiring action. "Needs"-cardinal problems for which suitable interventions exist but have not been tried recently. RESULTS--High levels of morbidity were found. 30 interviewed patients (42%; 95% confidence interval 31% to 54%) had one or more clinical needs. 35 (49%; 38% to 61%) had one or more social needs. Skills to deal with all but seven needs in the sample were available at the time of investigation. Patients not being seen by the community mental health team were similar in severity and levels of need to those who were on the community team's caseload. Care was unequivocally and severely inadequate for four patients. Shortcomings in service delivery usually arose from failure to monitor some patients at home. Problems were not due to shortage of acute psychiatric beds nor the absence of an elaborate assertive community care team. CONCLUSIONS--Systematic assessment of needs with research instruments can give valuable insights into the successes and failures of community care of people with major mental illness. Most needs could be dealt with in these patients but in our area (and probably most other parts of the United Kingdom) this would entail diversion of resources from people with less severe disorders. Objective: To measure needs for care of patients aged 18-65 years with major mental illness. Design: Identification of everyone in one area seen by a health professional within the previous five years because of a psychotic disorder. Interview of a one in three sample of patients and their main carers with the cardinal needs schedule. Setting: Hamilton, a socially deprived district of Scotland. Subjects: 71 subjects were interviewed from the original sample of 263 patients. Main outcome measures: “Cardinal problems” in seven clinical and eight social areas of functioning; these are defined as problems requiring action. “Needs”—cardinal problems for which suitable interventions exist but have not been tried recently. Results: High levels of morbidity were found. 30 interviewed patients (42%; 95% confidence interval 31% to 54%) had one or more clinical needs. 35 (49%; 38% to 61%) had one or more social needs. Skills to deal with all but seven needs in the sample were available at the time of investigation. Patients not being seen by the community mental health team were similar in severity and levels of need to those who were on the community team's caseload. Care was unequivocally and severely inadequate for four patients. Shortcomings in service delivery usually arose from failure to monitor some patients at home. Problems were not due to shortage of acute psychiatric beds nor the absence of an elaborate assertive community care team. Conclusions: Systematic assessment of needs with research instruments can give valuable insights into the successes and failures of community care of people with major mental illness. Most needs could be dealt with in these patients but in our area (and probably most other parts of the United Kingdom) this would entail diversion of resources from people with less severe disorders. Key messages A representative group of people with previously identified major mental illnesses showed high levels of distress and disability and most had one or more clinical or social needs Patients receiving rudimentary or no care from the psychiatric services had, on average, similar levels of disability and need to those receiving regular input from a multidisciplinary community mental health team Routine individual assessment of needs could deal with many of the concerns about the welfare of people with major mental illness who live in the community No matter what monitoring mechanisms are in place it will never be possible to prevent a small number of seriously mentally ill people from avoiding all medical and social care UNLABELLEDOBJECTIVE--To measure needs for care of patients aged 18-65 years with major mental illness.DESIGNIdentification of everyone in one area seen by a health professional within the previous five years because of a psychotic disorder. Interview of a one in three sample of patients and their main carers with the cardinal needs schedule. SETTING--Hamilton, a socially deprived district of Scotland. SUBJECTS--71 subjects were interviewed from the original sample of 263 patients. MAIN OUTCOME MEASURES--"Cardinal problems" in seven clinical and eight social areas of functioning; these are defined as problems requiring action. "Needs"-cardinal problems for which suitable interventions exist but have not been tried recently. RESULTS--High levels of morbidity were found. 30 interviewed patients (42%; 95% confidence interval 31% to 54%) had one or more clinical needs. 35 (49%; 38% to 61%) had one or more social needs. Skills to deal with all but seven needs in the sample were available at the time of investigation. Patients not being seen by the community mental health team were similar in severity and levels of need to those who were on the community team's caseload. Care was unequivocally and severely inadequate for four patients. Shortcomings in service delivery usually arose from failure to monitor some patients at home. Problems were not due to shortage of acute psychiatric beds nor the absence of an elaborate assertive community care team. CONCLUSIONS--Systematic assessment of needs with research instruments can give valuable insights into the successes and failures of community care of people with major mental illness. Most needs could be dealt with in these patients but in our area (and probably most other parts of the United Kingdom) this would entail diversion of resources from people with less severe disorders. null 33 references OBJECTIVE--To measure needs for care of patients aged 18-65 years with major mental illness. Identification of everyone in one area seen by a health professional within the previous five years because of a psychotic disorder. Interview of a one in three sample of patients and their main carers with the cardinal needs schedule. SETTING--Hamilton, a socially deprived district of Scotland. SUBJECTS--71 subjects were interviewed from the original sample of 263 patients. MAIN OUTCOME MEASURES--"Cardinal problems" in seven clinical and eight social areas of functioning; these are defined as problems requiring action. "Needs"-cardinal problems for which suitable interventions exist but have not been tried recently. RESULTS--High levels of morbidity were found. 30 interviewed patients (42%; 95% confidence interval 31% to 54%) had one or more clinical needs. 35 (49%; 38% to 61%) had one or more social needs. Skills to deal with all but seven needs in the sample were available at the time of investigation. Patients not being seen by the community mental health team were similar in severity and levels of need to those who were on the community team's caseload. Care was unequivocally and severely inadequate for four patients. Shortcomings in service delivery usually arose from failure to monitor some patients at home. Problems were not due to shortage of acute psychiatric beds nor the absence of an elaborate assertive community care team. CONCLUSIONS--Systematic assessment of needs with research instruments can give valuable insights into the successes and failures of community care of people with major mental illness. Most needs could be dealt with in these patients but in our area (and probably most other parts of the United Kingdom) this would entail diversion of resources from people with less severe disorders. Abstract Objective: To measure needs for care of patients aged 18-65 years with major mental illness. Design: Identification of everyone in one area seen by a health professional within the previous five years because of a psychotic disorder. Interview of a one in three sample of patients and their main carers with the cardinal needs schedule. Setting: Hamilton, a socially deprived district of Scotland. Subjects: 71 subjects were interviewed from the original sample of 263 patients. Main outcome measures: “Cardinal problems” in seven clinical and eight social areas of functioning; these are defined as problems requiring action. “Needs”—cardinal problems for which suitable interventions exist but have not been tried recently. Results: High levels of morbidity were found. 30 interviewed patients (42%; 95% confidence interval 31% to 54%) had one or more clinical needs. 35 (49%; 38% to 61%) had one or more social needs. Skills to deal with all but seven needs in the sample were available at the time of investigation. Patients not being seen by the community mental health team were similar in severity and levels of need to those who were on the community team's caseload. Care was unequivocally and severely inadequate for four patients. Shortcomings in service delivery usually arose from failure to monitor some patients at home. Problems were not due to shortage of acute psychiatric beds nor the absence of an elaborate assertive community care team. Conclusions: Systematic assessment of needs with research instruments can give valuable insights into the successes and failures of community care of people with major mental illness. Most needs could be dealt with in these patients but in our area (and probably most other parts of the United Kingdom) this would entail diversion of resources from people with less severe disorders. Key messages A representative group of people with previously identified major mental illnesses showed high levels of distress and disability and most had one or more clinical or social needs Patients receiving rudimentary or no care from the psychiatric services had, on average, similar levels of disability and need to those receiving regular input from a multidisciplinary community mental health team Routine individual assessment of needs could deal with many of the concerns about the welfare of people with major mental illness who live in the community No matter what monitoring mechanisms are in place it will never be possible to prevent a small number of seriously mentally ill people from avoiding all medical and social care |
Author | Murray, Valerie Walker, Helen W Mitchell, Caroline Pelosi, Anthony J |
AuthorAffiliation | Lanarkshire Healthcare NHS Trust, Hairmyres Hospital, East Kilbride |
AuthorAffiliation_xml | – name: Lanarkshire Healthcare NHS Trust, Hairmyres Hospital, East Kilbride |
Author_xml | – sequence: 1 givenname: Valerie surname: Murray fullname: Murray, Valerie organization: a Lanarkshire Healthcare NHS Trust, Hairmyres Hospital, East Kilbride G RG – sequence: 2 givenname: Helen W surname: Walker fullname: Walker, Helen W organization: a Lanarkshire Healthcare NHS Trust, Hairmyres Hospital, East Kilbride G RG – sequence: 3 givenname: Caroline surname: Mitchell fullname: Mitchell, Caroline organization: a Lanarkshire Healthcare NHS Trust, Hairmyres Hospital, East Kilbride G RG – sequence: 4 givenname: Anthony J surname: Pelosi fullname: Pelosi, Anthony J organization: a Lanarkshire Healthcare NHS Trust, Hairmyres Hospital, East Kilbride G RG |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/8664670$$D View this record in MEDLINE/PubMed |
BookMark | eNqFkl2LEzEUhoOsrLXuD_BCCAp649R8Z-KFIEW7Qllv1NuQZjI2dTKpycxq_70ZWuoHqFeBvM95c87Jex9c9LF3ADzEaIExFS82YbegmCwkYmKBeU3ugBlmoq54TekFmCHFVVVjWt8DVznvEEKEyloJfgkuayGYkGgGwo1zTYZtTNCa5GCbYoAGNi6YvoGda6CNIYy9Hw5wnw92682QvIXZpVtv3cvC5mFsDjC2cG8G7_ohw29-2MJgdsU0lAvTQd91vcv5Abjbmi67q9M5Bx_fvvmwvK7W71fvlq_X1YbLeqicdchslDGGM2kUp9y2TYsFcdRuKGpq1Zqmscop1iLGasexUqhBxChlkLB0Dl4dfffjJrjGliaS6fQ--WDSQUfj9e9K77f6c7zVhHJMkSgGT08GKX4dXR508Nm6rjO9i2PWssaECqUK-OzfoKBKcUZ4IR__Qe7imPqyBk1QgRQr_zYHT_4GYSklF1IRWSh8pGyKOSfXnifDSE_Z0CUbumRDT9nQUzZKzaNfV3KuOCXhp77LQ0xnmShJCWLTm9VR93lw38-6SV-0kFRyffNpqRm_XtHVeq1Z4Z8f-amV_7f3A-VW3ks |
CODEN | BMJOAE |
CitedBy_id | crossref_primary_10_1192_pb_24_6_207 crossref_primary_10_1046_j_1365_2648_1999_01217_x crossref_primary_10_1017_S0033291723000247 crossref_primary_10_1192_bjp_185_2_163 crossref_primary_10_3109_09540261003667525 crossref_primary_10_1046_j_1440_0979_2001_00197_x crossref_primary_10_1097_00001504_199903000_00009 crossref_primary_10_1108_17570981111189579 crossref_primary_10_1192_bjp_190_1_18 crossref_primary_10_1192_bjp_182_3_241 crossref_primary_10_1111_hsc_14013 crossref_primary_10_1046_j_1365_2850_2000_00295_x crossref_primary_10_1017_S1121189X00008411 crossref_primary_10_1007_s10488_006_0103_x crossref_primary_10_1046_j_1365_2648_1999_01002_x crossref_primary_10_1046_j_1365_2753_2000_00269_x crossref_primary_10_1017_S1121189X00007879 crossref_primary_10_1054_cein_2000_0124 |
ContentType | Journal Article |
Copyright | 1996 BMJ Publishing Group Ltd. Copyright 1996 British Medical Journal Copyright: 1996 (c) 1996 BMJ Publishing Group Ltd. Copyright BMJ Publishing Group Jun 22, 1996 |
Copyright_xml | – notice: 1996 BMJ Publishing Group Ltd. – notice: Copyright 1996 British Medical Journal – notice: Copyright: 1996 (c) 1996 BMJ Publishing Group Ltd. – notice: Copyright BMJ Publishing Group Jun 22, 1996 |
DBID | BSCLL CGR CUY CVF ECM EIF NPM AAYXX CITATION 3V. 7X7 7XB 88I 8AF 8FE 8FH 8FI 8FJ 8FK 8G5 ABUWG AFKRA ASE AZQEC BBNVY BENPR BHPHI BTHHO CCPQU DWQXO FPQ FYUFA GHDGH GNUQQ GUQSH HCIFZ K6X K9. LK8 M2O M2P M7P MBDVC PQEST PQQKQ PQUKI PRINS Q9U 7QJ 7X8 5PM |
DOI | 10.1136/bmj.312.7046.1582 |
DatabaseName | Istex Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef ProQuest Central (Corporate) Health & Medical Collection ProQuest Central (purchase pre-March 2016) Science Database (Alumni Edition) STEM Database ProQuest SciTech Collection ProQuest Natural Science Collection Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) Research Library (Alumni Edition) ProQuest Central (Alumni) ProQuest Central British Nursing Index ProQuest Central Essentials Biological Science Collection ProQuest Central Natural Science Collection BMJ Journals ProQuest One Community College ProQuest Central British Nursing Index (BNI) (1985 to Present) Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student Research Library Prep SciTech Premium Collection British Nursing Index ProQuest Health & Medical Complete (Alumni) Biological Sciences Research Library Science Database Biological Science Database Research Library (Corporate) ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China ProQuest Central Basic Applied Social Sciences Index & Abstracts (ASSIA) MEDLINE - Academic PubMed Central (Full Participant titles) |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef Research Library Prep ProQuest Central Student ProQuest Central Essentials ProQuest Health & Medical Complete (Alumni) ProQuest AP Science ProQuest Central (Alumni Edition) SciTech Premium Collection ProQuest One Community College Research Library (Alumni Edition) ProQuest Natural Science Collection ProQuest Central China ProQuest Central Health Research Premium Collection Natural Science Collection ProQuest Central Korea Biological Science Collection ProQuest Research Library ProQuest Science Journals (Alumni Edition) ProQuest Biological Science Collection ProQuest Central Basic ProQuest Science Journals ProQuest One Academic Eastern Edition British Nursing Index ProQuest Hospital Collection Health Research Premium Collection (Alumni) Biological Science Database ProQuest SciTech Collection ProQuest Hospital Collection (Alumni) ProQuest Health & Medical Complete ProQuest One Academic UKI Edition BMJ Journals ProQuest One Academic ProQuest Central (Alumni) Applied Social Sciences Index and Abstracts (ASSIA) MEDLINE - Academic |
DatabaseTitleList | MEDLINE - Academic British Nursing Index MEDLINE Research Library Prep |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database – sequence: 3 dbid: BENPR name: ProQuest Central url: https://www.proquest.com/central sourceTypes: Aggregation Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1468-5833 1756-1833 |
Edition | International edition |
EndPage | 1586 |
ExternalDocumentID | 9827109 4006276471 10_1136_bmj_312_7046_1582 8664670 29732047 ark_67375_NVC_45HG3GLL_4 ttp://bmj.com/content/312/7046/1582.full |
Genre | Research Support, Non-U.S. Gov't Journal Article |
GeographicLocations | Scotland |
GeographicLocations_xml | – name: Scotland |
GroupedDBID | .GJ 0R~ 23N 2WC 39C 3O- 4.4 40O 53G 5GY 7RV 7X7 88I 8AF 8F7 8FE 8FH 8FI 8FJ 8G5 AACGO AAKAS AANCE AAWJN ABBHK ABIVO ABJNI ABPLY ABTLG ABUWG ABVAJ ABXSQ ACGFS ACGOD ACMFJ ACPRK ADACV ADBBV ADCEG ADULT ADZCM AEUPB AEXZC AFKRA AGFXO AHMBA AHNKE AHQMW AJYBZ ALIPV ALMA_UNASSIGNED_HOLDINGS AQVQM ASPBG AZFZN AZQEC BAWUL BBNVY BENPR BHPHI BPHCQ BTHHO C45 CAG CCPQU COF CS3 DCCCD DIK DOOOF DWQXO EBS EJD EX3 F5P FEDTE FYUFA GNUQQ GUQSH H13 HAJ HCIFZ HMCUK HQ3 HTVGU HVGLF HZ~ IPSME JAAYA JBMMH JENOY JHFFW JKQEH JLS JLXEF JPM JSG JSODD JST L7B LK8 M2O M2P M7P NAPCQ NTWIH NXWIF O9- OVD PQQKQ PROAC R53 RHF RHI RMJ RV8 SA0 TEORI UHU UKHRP VVN WHG WOQ WOW YFH YQY ADZLD AEQTP BSCLL DNJUQ DWIUU AHPSJ ADQXQ CGR CUY CVF ECM EIF NPM AAYXX CITATION 3V. 7XB 8FK ASE FPQ K6X K9. MBDVC PQEST PQUKI PRINS Q9U --- -~X .55 18M 36B 6PF 7QJ 8R4 8R5 AAWTL ABOCM AFFNX DU5 E3Z J5H NEJ OHT P-S PCD Q2X RPM RWL RXW SJN TAE U5U UYXKK WH7 X6Y X7M YKV YOC ZXP ZY1 ~KM 7X8 5PM |
ID | FETCH-LOGICAL-b578t-ece0ab9aaa547a9535cfdf162e3cb30d89faddc9e94f0448e51990d02a99a06c3 |
IEDL.DBID | BENPR |
ISSN | 0959-8138 0959-8146 |
IngestDate | Tue Sep 17 21:23:12 EDT 2024 Sat Aug 17 00:43:22 EDT 2024 Sat Aug 17 02:50:10 EDT 2024 Fri Sep 13 06:11:01 EDT 2024 Fri Sep 13 02:16:55 EDT 2024 Thu Sep 12 16:37:15 EDT 2024 Thu May 23 23:48:01 EDT 2024 Fri Feb 02 07:03:40 EST 2024 Wed Jan 17 04:59:24 EST 2024 Wed Aug 21 03:38:08 EDT 2024 |
IsDoiOpenAccess | false |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 7046 |
Language | English |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-b578t-ece0ab9aaa547a9535cfdf162e3cb30d89faddc9e94f0448e51990d02a99a06c3 |
Notes | Correspondence to: Dr Pelosi. istex:2F5569DDA21BBF23B0CCBC43D87629C57F54BAC0 local:bmj;312/7046/1582 PMID:8664670 ark:/67375/NVC-45HG3GLL-4 href:bmj-312-1582.pdf ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 ObjectType-Article-1 ObjectType-Feature-2 |
OpenAccessLink | https://europepmc.org/articles/pmc2351306?pdf=render |
PMID | 8664670 |
PQID | 1777567927 |
PQPubID | 2040978 |
PageCount | 5 |
ParticipantIDs | pubmedcentral_primary_oai_pubmedcentral_nih_gov_2351306 proquest_miscellaneous_78123699 proquest_miscellaneous_763995425 proquest_journals_203999458 proquest_journals_1777567927 crossref_primary_10_1136_bmj_312_7046_1582 pubmed_primary_8664670 jstor_primary_29732047 istex_primary_ark_67375_NVC_45HG3GLL_4 bmj_primary_10_1136_bmj_312_7046_1582 |
PublicationCentury | 1900 |
PublicationDate | 1996-06-22 |
PublicationDateYYYYMMDD | 1996-06-22 |
PublicationDate_xml | – month: 06 year: 1996 text: 1996-06-22 day: 22 |
PublicationDecade | 1990 |
PublicationPlace | England |
PublicationPlace_xml | – name: England – name: London |
PublicationSubtitle | BMJ |
PublicationTitle | BMJ |
PublicationTitleAlternate | BMJ |
PublicationYear | 1996 |
Publisher | British Medical Journal Publishing Group British Medical Association BMJ Publishing Group LTD BMJ Publishing Group BMJ Group |
Publisher_xml | – name: British Medical Journal Publishing Group – name: British Medical Association – name: BMJ Publishing Group LTD – name: BMJ Publishing Group – name: BMJ Group |
References | Thornicroft, Strathdee 1994; 309 Woof, Goldberg, Fryers 1988; 152 Richman, Barry 1985; 146 Stevens, Gabbay 1991; 23 Powell, Hollander 1994; 3 Krawiecka, Goldberg, Vaughan 1977; 55 McGuffin, Farmer, Harvey 1991; 48 Eastman 1995; 310 MacDonald, McConnell, Stephen, Dunnigan 1989; 299 Marshall 1994; 1 Grinstead 1993; 32 1995; 345 Marks, Connolly, Muijen, Audini, McNamee, Lawrence 1994; 165 Pelosi 1993; 2 Lelliott, Audini, Darroch 1995; 19 Marshall, Hogg, Lockwood, Gath 1995; 25 Peck 1994; 3 Baker, Hall 1988; 14 8870603 - BMJ. 1996 Oct 5;313(7061):884-5 |
References_xml | – volume: 309 start-page: 970 year: 1994 article-title: How many psychiatric beds? publication-title: BMJ contributor: fullname: Strathdee – volume: 3 start-page: 430 year: 1994 article-title: Heading for a breakdown: crisis in admission beds. publication-title: Journal of Mental Health contributor: fullname: Hollander – volume: 345 start-page: 399 year: 1995 article-title: Care-management: a disastrous mistake. publication-title: Lancet – volume: 25 start-page: 605 year: 1995 article-title: The cardinal needs schedule: a modified version of the MRC needs for care schedule. publication-title: Psychol Med contributor: fullname: Gath – volume: 310 start-page: 1081 year: 1995 article-title: Anti-therapeutic community mental health law. publication-title: BMJ contributor: fullname: Eastman – volume: 23 start-page: 20 year: 1991 article-title: Needs assessment needs assessment. publication-title: Health Trends contributor: fullname: Gabbay – volume: 19 start-page: 273 year: 1995 article-title: Resolving London's bed crisis: there might be a way, is there the will? publication-title: Psychiatric Bulletin contributor: fullname: Darroch – volume: 48 start-page: 645 year: 1991 article-title: A polydiagnostic application of operational criteria in studies of psychotic illness: development and reliability of the OPCRIT system. publication-title: Arch Gen Psychiatry contributor: fullname: Harvey – volume: 1 start-page: 27 year: 1994 article-title: How should we measure need? Concept and practice in the development of a standardised schedule. publication-title: Philosophy, Psychology, and Psychiatry contributor: fullname: Marshall – volume: 146 start-page: 164 year: 1985 article-title: More and more is less and less. The myth of massive psychiatric need. publication-title: Br J Psychiatry contributor: fullname: Barry – volume: 55 start-page: 299 year: 1977 article-title: A standardised psychiatric assessment for rating chronic psychotic patients. publication-title: Acta Psychiatr Scand contributor: fullname: Vaughan – volume: 32 year: 1993 article-title: Doctors forge pact for a commitment to care. publication-title: Hospital Doctor contributor: fullname: Grinstead – volume: 165 start-page: 179 year: 1994 article-title: Home-based versus hospital-based care for people with serious mental illness. publication-title: Br J Psychiatry contributor: fullname: Lawrence – volume: 299 start-page: 1426 year: 1989 article-title: Hypernatraemic dehydration in patients in a large hospital for the mentally handicapped. publication-title: BMJ contributor: fullname: Dunnigan – volume: 3 start-page: 151 year: 1994 article-title: Community mental health centres: challenges to the new orthodoxy. publication-title: Journal of Mental Health contributor: fullname: Peck – volume: 2 start-page: 1 year: 1993 article-title: Psychiatric scandals at home and abroad. publication-title: Journal of Mental Health contributor: fullname: Pelosi – volume: 14 start-page: 97 year: 1988 article-title: REHAB: a new assessment instrument for chronic psychiatric patients. publication-title: Schizophr Bull contributor: fullname: Hall – volume: 152 start-page: 783 year: 1988 article-title: The practice of community psychiatric nursing and mental health social work in Salford: some implications for community care. publication-title: Br J Psychiatry contributor: fullname: Fryers |
SSID | ssj0002378965 ssj0002378964 ssj0000585 |
Score | 1.6483917 |
Snippet | Abstract Objective: To measure needs for care of patients aged 18-65 years with major mental illness. Design: Identification of everyone in one area seen by a... Objective: To measure needs for care of patients aged 18-65 years with major mental illness. Design: Identification of everyone in one area seen by a health... Objective—To measure needs for care of patients aged 18-65 years with major mental illness. Design—Identification of everyone in one area seen by a health... OBJECTIVE--To measure needs for care of patients aged 18-65 years with major mental illness. Identification of everyone in one area seen by a health... Abstract Objective : To measure needs for care of patients aged 18-65 years with major mental illness. Design : Identification of everyone in one area seen by... null 33 references UNLABELLEDOBJECTIVE--To measure needs for care of patients aged 18-65 years with major mental illness.DESIGNIdentification of everyone in one area seen by a... OBJECTIVE--To measure needs for care of patients aged 18-65 years with major mental illness. DESIGN. Identification of everyone in one area seen by a health... |
SourceID | pubmedcentral proquest crossref pubmed jstor istex bmj |
SourceType | Open Access Repository Aggregation Database Index Database Publisher |
StartPage | 1582 |
SubjectTerms | Adult Aged Bipolar disorder Communities Community mental health services Community Mental Health Services - supply & distribution Decision Making Female General Practice Health Services Needs and Demand - statistics & numerical data Hospital beds Humans Male Mental health Mental illness Middle Aged Patient Care Team Psychiatric hospitals Psychoses Psychotic Disorders - therapy Scotland - epidemiology Socioeconomic Factors Symptoms Therapeutic communities |
Title | Needs for care from a demand led community psychiatric service: a study of patients with major mental illness |
URI | http://dx.doi.org/10.1136/bmj.312.7046.1582 https://api.istex.fr/ark:/67375/NVC-45HG3GLL-4/fulltext.pdf https://www.jstor.org/stable/29732047 https://www.ncbi.nlm.nih.gov/pubmed/8664670 https://www.proquest.com/docview/1777567927/abstract/ https://www.proquest.com/docview/203999458/abstract/ https://search.proquest.com/docview/763995425 https://search.proquest.com/docview/78123699 https://pubmed.ncbi.nlm.nih.gov/PMC2351306 |
Volume | 312 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwjV3db9MwELfWVUK8IL4mwkbxA_CAlDXxZ8wLgrGtwFYhxFDfLMdxREebjrWT4L_nLkkD5Us8xr5Ejs8-_-7Dd4Q8AoTgVVnIOADejYXUZeyCSmLGncl9lgsn8b7z6ViNzsSbiZxskdH6LgyGVa5lYi2oi4VHG_kw1VpLpQ2o6i5HK4BfDZ9ffImxfhT6WdtiGj3SZ6lAh23_5eH43fvO3sK4zkxdWbK1fPGsdXKmXA3z-Tlor2xfg7q4n0pMy9eDto3Dqo_z_nUdt_gnRPprYOVPJ9XRTXKjhZj0RbMmbpGtUN0m105bJ_odMh_DibWkgFYpxn1RvGFCHS3C3FUFnYWC-ubWyOob7YKhp54uG7HyDGjrpLR0UdI2LeuSoj2Xzt05fLQpF0CnsxmK0bvk7Ojww8EobqsuxDns3lUcfEhcbpxzUmhnJJe-LMpUscB9zpMiMyXIRG-CEWUCyl0ADGiSImHOGJcoz3fIdrWowj1CXWac56mDV4VwrHBFxjkoYHkOerc0SUQewyTbiyavhq31Ea4stgEzLDLDIjMi8nTNhv8hflIzqqN0l58xek1LO_54YIUcHfPjkxMrIrJTc7IjxDJeLBE6Intr1tp2Ry_tj_UXkd3fu1kCSM8ImUWEdr2wU9H94qqwuFpajWBQgoyMyMO_kWSYDMcYGFqzkLqxZUrBkQYzpjdWWNePWcI3e6rppzpbOOMScIq6_--f2iXXm3h0FTO2R7ZXl1fhAcCtVT4gPT3Rg3Y_wdOr128HtVXsO5HxKyU |
link.rule.ids | 230,315,786,790,891,12083,21416,27957,27958,31754,31755,33779,33780,43345,43840,74102,74659 |
linkProvider | ProQuest |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwjV3db9MwELfYJgEviK-JsMH8ADwgZXP9GfOC0MRWoO3ThvpmObYjOtp0LJ0E_z3nxA2UL_Gau0SOz3f-3fl8h9AzQAhOVl7kAfBuzoWqchskySmzunRFya2I953HEzk85--nYpoCbk1Kq1zbxNZQ-6WLMfKjgVJKSKWpen35JY9do-LpamqhsYV2OGM8pvSpqepjLJSpQrfdJFO0ixXpYHPA5FG5uACPlR4qcBEPByKW4tuCZxsb1E6c66_rXMU_odBfkyl_2p1O7qI7CVbiN906uIduhPo-ujlOB-cP0GICu1SDAaHimOuF460SbLEPC1t7PA8eu-6myOob7hOgZw43nSl5BbxtIVq8rHAqxdrgGMPFC3sBH-1aBODZfB5N50N0fvL27HiYp04LeQkau8qDC8SW2loruLJaMOEqXw0kDcyVjPhCV2AHnQ6aVwQcugC4TxNPqNXaEunYLtqul3V4hLAttHVsYOFVzi311heMgdNVluBrC00y9Bwm2Vx2tTRM64MwaeIzEIaJwjBRGBl6uRbD_zC_aAXVc9qrzzFjTQkz-XhsuBiestPRyPAM7baS7Blj6y5KuMrQ_lq0JmlxY36suQzt_U6mBNCd5qLIEO6poJ3xyMXWYXndGBUBoAC7mKGDv7EUsQCO1jC0biH1YyukhG0MZkxtrLCeHiuDb1Lq2ae2QjhlArCJfPzvnzpAt4Zn45EZvZt82EO3u3x0mVO6j7ZXV9fhCcCtVfm01anvqU0mAg |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwjV3db9MwELfYJk28oPExETaYH4AHpGyOP2NeEBp0BbqKB4b6ZjmOo3W06Vg6afz3nBM3UL7Ea3ypUp_v7nf2z3cIPQWE4GRVitQD3k25UFVqvSQpZVYXLi-4FeG-8-lYDs_4-4mYRP5TE2mVK5_YOupy4cIe-VGmlBJSaUjVq0iL-Phm8Oryaxo6SIWT1thOYwNtQZQkoZuBmqh-v4Uyleu2s2Tc-WJ5POTMmDwq5heQvdJDBeniYSZCWb4NeLYWrLbCvN-seIt_QqS_Eit_ilSDHXQnQkz8ulsTd9EtX99D26fxEP0-mo8hYjUY0CoOvC8cbphgi0s_t3WJZ77Errs1svyGezL01OGmcysvQbYtSosXFY5lWRsc9nPx3F7Aj3btAvB0Ngtu9AE6G7z9dDxMY9eFtADrXabeeWILba0VXFktmHBVWWWSeuYKRspcV-ATnfaaVwSSOw8YUJOSUKu1JdKxXbRZL2r_EGGba-tYZuFVzi0tbZkzBglYUUDeLTRJ0DOYZHPZ1dUwbT7CpAnPQBkmKMMEZSToxUoN_yP8vFVUL2mvvgT2mhJm_PnYcDE8YSejkeEJ2m012QuGNl6UcJWg_ZVqTbToxvxYfwna-32YEkB6mos8QbgfBUsNxy-29ovrxqgABgX4yAQd_E0kD8VwtIZP6xZS_225lBDSYMbU2grrx0OV8PWRenreVgunTABOkY_-_acO0DaYkxm9G3_YQ7c7arpMKd1Hm8ura_8YkNeyeNKa1HeQ8Sou |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Needs+for+care+from+a+demand+led+community+psychiatric+service%3A+a+study+of+patients+with+major+mental+illness&rft.jtitle=BMJ+%3A+British+Medical+Journal&rft.au=Murray%2C+V.&rft.au=Walker%2C+H.+W.&rft.au=Mitchell%2C+C.&rft.au=Pelosi%2C+A.+J.&rft.date=1996-06-22&rft.pub=BMJ+Group&rft.issn=0959-8138&rft.eissn=1468-5833&rft.volume=312&rft.issue=7046&rft.spage=1582&rft.epage=1586&rft_id=info:doi/10.1136%2Fbmj.312.7046.1582&rft_id=info%3Apmid%2F8664670&rft.externalDBID=PMC2351306 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0959-8138&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0959-8138&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0959-8138&client=summon |