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Who's assessing needs-led assessment?

Published online by Cambridge University Press:  02 January 2018

Peter H. Dick*
Affiliation:
Dundee Healthcare, NHS Trust, Royal Dundee Liff Hospital, Dundee DD2 5NF
David Reid
Affiliation:
University Department of Psychiatry, Ninewells Hospital, Dundee
Audrey Simpkins
Affiliation:
Royal Dundee Liff Hospital
Tessa Durham
Affiliation:
Royal Dundee Liff Hospital
*
Correspondence
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Abstract

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Pre- and post-change audits of the effect of the changes in community care assessments and funding intro-duced in April 1993 were carried out on a psychiatric in-patient rehabilitation unit in Dundee. There was a substantial reduction in throughput in the rehabilitation unit (from 43 to 22) and in placements to funded staffed accommodation (from 11 to three) despite an increase in void community tenancies. By three months, 17 of 22 referrals for needs assessment were still incomplete, and at one year only three patients had had their needs assessed and appropriately met. Recommendations arising from these findings are discussed.

Type
Audit
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 © 1997 The Royal College of Psychiatrists

References

Department of Health (1989) Caring for People: Community Care in the Next Decade and Beyond London: HMSO.Google Scholar
Dick, P. H. (1990) Psychiatric in-patient rehabilitation: is there a future? International Journal of Rehabilitation Research, 13, 119126.Google Scholar
Dick, P. H., Crombie, I. K., Durham, T., et al (1992) Unnecessary hospitalisation in a psychiatric rehabilitation unit. British Medical Journal, 304, 1544.CrossRefGoogle Scholar
Lancet (1995) Care Management: a disastrous mistake. Lancet, 345, 399401.Google Scholar
Marshall, M. (1996) Care management: a dubious practice. British Medical Journal, 312, 523524.CrossRefGoogle Scholar
Ryan, P. (1993) Social Services Care Management. In Dimensions of Community Mental Health Care (eds Weller, M. & Muijen, M.), pp. 82102. London: Baillière Tindall.Google Scholar
Scottish Office (1991) Development of Community Care: Care Programmes for People with a Mental Illness (including Dementia). Consultation Paper No. 6. Edinburgh: Scottish Office.Google Scholar
Thornicroft, G., Ward, P. & James, S. (1993) Care management and mental health. British Medical Journal, 306, 768771.Google Scholar
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