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Evolving service interventions in Nunhead and Norwood

PRiSM Psychosis Study 2

Published online by Cambridge University Press:  02 January 2018

Thomas Becker ,
Frank Holloway ,
Paul McCrone  and
Graham Thornicroft
Thomas Becker*
Affiliation:
Section of Community Psychiatry (PRiSM), Institute of Psychiatry, London
Frank Holloway
Affiliation:
Maudsley Hospital, London
Paul McCrone
Affiliation:
Section of Community Psychiatry (PRiSM), Institute of Psychiatry, London
Graham Thornicroft
Affiliation:
Section of Community Psychiatry (PRiSM), Institute of Psychiatry, London
*
Frank Holloway, Community Directorate, Bethlem & Maudsley NHS Trust, 101 Denmark Hill. London SE5 8AZ
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Abstract

Background

Service evaluation requires a detailed understanding of the services studied.

Method

Community mental health services evaluated in the PRiSM Psychosis Study in south London are described. The intensive sector and standard sector services are contrasted.

Results

The intensive sector had two teams with extended opening hours: a psychiatric acute care and emergency (PACE) team, and a psychiatric assertive continuing care (PACT) team focusing on care for people with chronic illness. In the standard sector there was a generic community team providing office-hour assessments, case management of the severely mentally ill and close liaison with in-patient services. The team made use of the local psychiatric emergency clinic and of other local resources. The intensive sector was characterised by: more admissions to fewer beds, more non-hospital residential places, extended hours, on-call rota, wider range of interventions, more medical and nursing staff, a lower nursing grade mix and higher staff turnover. The standard sector had a less highly resourced generic community psychiatric service.

Conclusions

Change in services has been more marked in the intensive sector.

Type
PRiSM Psychosis Study
Information
The British Journal of Psychiatry , Volume 173 , Issue 5 , November 1998 , pp. 371 - 375
Copyright
Copyright © 1998 The Royal College of Psychiatrists 

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Footnotes

Declaration of interest

Funding provided by the Bethlem & Maudsley NHS Trust.

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