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Welfare Reform on the Web - January 2001: Mental health services - UK

L. Revans

Community Care, no. 1340, 2000, p. 12

Argues that the implementation of the Human Rights Act 1998 means councils and health authorities can no longer afford to fail to comply with conditional discharge orders for people detained for mental health reasons.

GIVE THE CUSTOMER A CHOICE

M. Muijen

Health Service Journal, vol. 110, Oct. 12th 2000, p. 20-21

Effective user involvement in mental health service planning will require adequate funding and will flow from user empowerment.

THE MENTAL HEALTH NSF: THE CHALLENGE OF IMPLEMENTATION

M. Muijen

Health Care UK, Autumn 2000, p. 34-39

The Mental Health NSF has the potential to greatly improve services, but implementation requires long-term commitment from the government, including adequate funding levels, changes to the workforce, and shifts in attitude, such as a reduction in the stigma attached to mental health problems.

PAYMENTS REFORM STALLS

L. Revans

Community Care, no. 1341, 2000, p. 12

Take-up of direct payments among mental health service users and people with learning difficulties remains low in comparison with increased use by people with physical disabilities.

PROVIDER ARRANGEMENTS FOR MENTAL HEALTH SERVICES IN "THE NEW NHS"

E. Peck and B. Hills

Health and Social Care in the Community, vol. 8, 2000, p. 325-335

Paper sets out the policy context and evidence base for the reorganisation of provider arrangements for mental health services. Results of a documentary analysis of provider arrangements in ten localities are presented. The review showed that the reconfiguration of NHS Trusts is based around Specialist Mental Health Trusts and Community and Mental Health Trusts; that the integration of health and social services is starting to appear; and that the delegation of responsibilities to localities based on Primary Care Group/Social Services boundaries is being discussed.

WRONG SIDE OF BEDS

R. Lee and D. Bradley

Health Service Journal, vol. 110, Oct. 12th 2000, p. 30-31

Study found that pressure on mental health inpatient beds was related to 1) poor coverage of the care programme approach; 2) poor access to a range of community mental health services; 3) high costs per community case; 4) low number of nurses per inpatient; 5) inappropriate bed use.

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