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Care programming and service change in a psychiatric sector

Published online by Cambridge University Press:  02 January 2018

Sean Feeney ,
Steve Onyett  and
Kevin Lindsay
Sean Feeney*
Affiliation:
North Kent Healthcare NHS Trust and Honorary Senior Lecturer (UMDS) Swale Day Unit, Sittingbourne Memorial Hospital Bell Lane, Sittingbourne, Kent ME10 4DT
Steve Onyett
Affiliation:
South Kent Community Healthcare NHS Trust Folkestone, Kent
Kevin Lindsay
Affiliation:
Adult Mental Health Services, Invicta Community Care, Priority House, Maidstone, Kent
*
∗Correspondence
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Abstract

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The effects of service expansion and change (including Joint working with social services) following the provision of a community mental health centre and the introduction of care management were examined by auditing service activity. Data were collected on service provision to 20 randomly selected patients who met the local criteria for care management, and also on the general level of service activity as judged by service contacts for all disciplines. Compared to the baseline period, face to face contact with care-managed patients increased six-fold. There were more home contacts, a wider range of professional contacts occurred, and a greater variety of types of treatment provided. A substantial (though not statistically significant) reduction in day hospital attendance was seen over the period studied. The number of service contacts for non-care-managed patients also rose. The introduction of care management was simplified by changes in service organisation. Increased resources were needed to both implement care management and provide an adequate service to the remainder of patients. Both aspects of the service functioned efficiently in parallel.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 22 , Issue 9 , September 1998 , pp. 537 - 542
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1998 The Royal College of Psychiatrists

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