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Welfare Reform on the Web (July 2000): Mental Health Services - UK

CLARITY BEGINS AT HOME

M. Muijen

Health Service Journal, vol. 110, May 4th 2000, p. 18-19

Modernisation of mental health services needs sustained commitment and extra funding. Unfortunately they appear recently to have lost their priority status and are not in line for any cash from the first tranche of £660m extra allocated to the NHS

DON'T LOOK NOW

M. Weaver

Health Service Journal, vol. 110, May 11th 2000, p. 16-17

The proposed reforms of the Mental Health Act 1983 look unlikely to stamp out institutional racism in the service. There are fears that the emphasis on compulsory treatment and protecting the public from risk may make things worse.

EFFECTIVE COMMUNITY MENTAL HEALTH SERVICES FOR PEOPLE WITH SERIOUS MENTAL ILLNESS: A CRITICAL REVIEW

P. Hall

Mental Health and Learning Disabilities Care, vol. 3, 2000, p. 2999-303

Government policy demands that most people with mental illness are cared for in the community, yet the implementation of this policy remains controversial and variable in outcome. Article reviews the literature on recent developments in community mental health care and the evidence for their relative effectiveness.

THE NATIONAL SERVICE FRAMEWORK: OVERVIEW AND SPECIFIC IMPLICATIONS FOR RESIDENTIAL SERVICES

K. Gournay

Mental Health Review, vol. 5, Mar. 2000, p. 6-11

Looks at the implications of the Mental Health National Service Framework for residential services in the areas of staff training, user involvement, meeting needs of carers, dealing with violence, IT applications and numbers of beds.

NO WAY OUT

L. Donnelly

Health Service Journal, vol. 110, Apr. 20th 2000, p. 14-15

Reports that government proposals to lock up dangerous people with severe personality disorders who have not committed a crime have met with almost blanket opposition from mental health professionals.

REACH OUT, THEY'LL BE THERE

F. Rickford

Community Care, no. 1317, 2000, p. 20-22

People with severe mental health problems often avoid conventional services and find it hard to trust social workers. Assertive outreach is a specialist community service which targets this group of people. The idea was pioneered in the US but is now being piloted in London.

SECURE PSYCHIATRIC SERVICES AND THE NATIONAL SERVICE FRAMEWORK FOR MENTAL HEALTH

P. Huckle

The Mental Health Review, vol. 5, Mar. 2000, p. 21-23

Llanarth Court is an independent hospital offering medium secure psychiatric provision. Article describes its approach to implementing the National Service Framework for Mental Health.

UPSETTING THE APPLE CART WHILST PULLING IT ALONG THE ROAD: IMPLEMENTING THE NATIONAL SERVICE FRAMEWORK FOR MENTAL HEALTH

E. Peck, B. Grove, and V,. Howell

Managing Community Care, vol. 8, Apr. 2000, p. 36-44

Paper argues that the traditional approach to translating national policy into local practice, based as it is on a metaphor of organisations as machines, will not lead to effective implementation of the National Service Framework for Mental Health. The recent innovations of performance management and evidence based practice will not rectify the failure inherent in that traditional approach. Paper contends that a broader range of metaphors of organisations needs to be deployed in the creation of a robust implementation process and suggests three, negotiated order, chaos theory and learning theory, that the authors have found of particular value.

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