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

DEVELOPING 24-HOUR SERVICES

T. Ryan, K. Newbigging and F. Pidd

Mental Health Review, vol.6, Mar. 2001, p. 6-10

During the past decade a wide range of crisis service models have been developed in the UK. Many of these are discrete services as crisis work is the main, or only, form of intervention they provide, whether as stand-alone services or ring-fenced elements of other services. Paper reviews the models of crisis services that have emerged and argues that discrete crisis services should be regarded as specific elements of a system-wide approach to crisis rather than the sole, specialised response.

MODERNISING CRISIS SERVICES : WHAT DO USERS WANT FROM 24-HOUR SERVICES?

C. Bamber

Mental Health Review, vol. 6, Mar. 2001, p.11-13

Discusses what mental health service users require from out-of-hours crisis services. Out-of-hours services should be offered in a primary care setting via a single point of contact with a "real time" personal response. Services can be low cost, low maintenance, but high value and might include skilling up users' own informal care networks through training and information provision and supporting the development of self-help networks.

NHS DIRECT : A NEW GATEWAY TO HEALTHCARE

C. Steele

Mental Health Review, vol. 6 Mar. 2001, p. 14-17

Article begins by outlining the role of NHS Direct in supporting the aims of the National Service Framework for Mental Health. A mental health project was established in April 2000 to enable NHS Direct to fulfil this role. Reports progress by the project in mapping local mental health services, developing referral protocols, and training NHS Direct staff.

TWENTY-FOUR HOUR MENTAL HEALTH CARE : THE CHANGING ROLE OF THE GP

J. Clarke

Mental Health Review, vol. 6, Mar. 2001, p. 18-21

Article explores the changing nature of out-of-hours GP cover and its implications for people experiencing acute mental distress. Discusses the challenges involved in the integration of GP out-of-hours services and other out-of-hours services such as community mental health teams and how good pre-emptive care and appropriate information-sharing may reduce the incidence of crisis.