Click here to skip to content

Welfare Reform on the Web (April 2001): Mental Health Services - UK

DOING THE HURDLES

E. Peck and S. Wigg

Health Service Journal, vol. 111, Feb. 15th 2001, p. 28-29

A survey of senior mental health managers in London found that less than half thought they would stay in their job more than a year. The resulting turnover could create significant instability. Respondents considered the development of community mental health teams, plus the care programme approach and assertive outreach, as priorities for implementation, and the size of the change agenda and financial restrictions as the main obstacles to service development.

MANAGING MENTAL HEALTH IN PRIMARY CARE

D. Nixon, T. P. Saunders and D. M. Tanner

Journal of Clinical Excellence, vol. 2, 2000, p. 175-181

Describes a collaborative venture involving Chester and Halton Community (NHS) Trust, two GP practices, Wirral and West Cheshire Community (NHS) Trust, South Cheshire Health Authority and the local council which resulted in the development of a model for the delivery of integrated mental health services in primary care. A practice based mental health team capable of delivering appropriate services to patients in a primary care setting was developed, linking with secondary care services and social services as required. Services offered included rapid mental health assessment by the multi-disciplinary team in the practices, an anxiety management group, individual care packages for patients suffering from anxiety and depression, and training of practice staff in management of people with mental health problems.

REFORM OF ROLE LEADS TO INDEPENDENCE WORRIES

S. Wellard

Community Care, no. 1356, 2001, p. 10-111

Proposals for the reform of the Mental Health Act 1983 would deprive approved social workers of their exclusive role in authorising compulsory treatment. Approved social workers are worried that the change may compromise the independence and different perspective they bring to assessments.

TURNED UPSIDE DOWN

K. Smith & L. Leon

London: Mental Health Foundation, 2001

Report points out that in some areas young people are falling into gaps between children's mental health services, which can stop at 16 and adult services, which start at 18. It estimates that 500-600 young people a year are inappropriately placed on adult wards. The 45 young people interviewed for the study identified intimidating psychiatrists, rigid appointment systems and lack of someone to talk to on their own level as particular problems.