Search

Describes the transformation of care management on mental health services in Southwark in England, London. Recognition of the roots of case management; Definition of case management on practice; Implementation of care management.

Reports on a study that compared the risk of compulsory psychiatric admission in mental health facilities among ethnic groups in London, England. Methodology of the study; Setting; Research design; Subjects; Outcome measures; Indications that the risk of compulsory admission is increased in black patients.

Focuses on the elective of students related to contemporary psychiatry in China. Discussions on the historical background; Emphasis on the epidemiology of mental illness; Descriptions on the psychiatric services provided.

Focuses on the legal landmark for community care of former psychiatric patients in England. Accounts on the case of Penny and Richard Lloyds; Apprehension of local residents; Modification of the restrictive covenant to permit the use of the Lloyd's home into a residential care home.

Discusses the importance of job sharing in medicine. Definition of job sharing; Effects of jobsharing to employers; Terms and conditions of employment.

Investigates the risk factors of readmission to hospital for long term psychiatric patients after discharge to the community in London, England. Rate of readmitted patients in the hospitals; Role of staffed group homes in reducing the number of admission beds required; Influence of variations in provision of mental health services on readmission rates.

Focuses on the psychiatric treatment and care services provided to the adults in Great Britain. Presentation of national targets and indicators for mental health; Influence of employment on the psychiatric morbidity; Details on the mental ill health costs.

Focuses on the policy enacted by the World Health Organization's (WHO) "Mental Health Declaration for Europe" and "Mental Health Action Plan for Europe," which were endorsed by 52 member states in the European region of the WHO. Consultation of organizations of service users, non-governmental organizations and professionals to prepare the statements; Degree of institutionalization that still exists in West and East European countries; Declaration of WHO that mental health services in Europe should be provided in a range of community based settings, not large, isolated institutions.

The authors reflect on the improvement of mental health systems to meet the needs of people with mental illness. They promote a peaceful and inclusive societies for sustainable development to enhanced the quality of care in mental health. The authors note that the national governments and international donors prioritized the provision of mental and physical health and social care services for people with mental disorders.

Presents a debate on the number of psychiatric beds need to be commissioned in Great Britain. Inadequacy of places for mentally disordered offenders; Policy of admission of patients; Importance of collaboration among agencies for mentally ill.

Examines the emergency psychiatric services in England and Wales. Use of questionnaires to determine public health; Comparison of psychiatric emergency services during and after office hours.

The author reflects on the increasing number of premature deaths of mentally ill people compared to those without any mental illness. He states that the excess mortality is a result of socioeconomic, healthcare and clinical risk factors. The article discusses the need to revise the public health priority list, implement evidence-based interventions to reduce excess mortality and recognize the excess mortality as a human rights disgrace.

The author reflects on the Center for Social Justice (CSJ) report "Completing the Revolution: Transforming Mental Health and Tackling Poverty." The author is critical on the content of the report due to its implication on the unfinished revolution in mental health care that affects families and economic life in Great Britain. Moreover, the author discusses several topics omitted in the report including its failure to discus the relevant health care received by British people.

The author reflects on the mental health strategy published by the coalition government for England. They provide an overview of the mental health strategy, including its main goals and commitment investments. They emphasize the limitations of the strategy, including its failure to offer a plan to address the diagnostic problems in mental health. They argue that the strategy provides no details on how its goals can be achieved.

Evaluates the private inpatient psychiatric care for profit systems in Great Britain. Increase in number of acute private psychiatric hospitals; Introduction of the Priority Hospital Group; Provision of the Private Patient Plan.

Investigates risk factors for failure to resettle long stay patients in community facilities as part of closure of psychiatric hospitals in London, England. Characteristics of patients with psychosis; Reason for readmission and remaining in hospitals; Functions of psychiatric hospital.

Objective To investigate the cost effectiveness of joint crisis plans, a form of advance agreement for people with severe mental illness. Design Single blind randomised controlled trial. Setting Eight community mental health teams in southern England. Participants 160 people with a diagnosis of psychotic illness or non-psychotic bipolar disorder who had been admitted to hospital at least once within the previous two years. Intervention Joint crisis plan formulated by the patient, care coordinator, psychiatrist, and project worker containing contact information, details of illnesses, treatments, relapse indicators, and advance statements of preferences for care for future relapses. Control group was standardised service information. Main outcome measures Admission to hospital; service use over 15 months. Results Use of a joint crisis plan was associated with less service use and lower costs on average than in the standardised service information group, but differences were not significant. Total costs during follow-up were £7264 (€10 616, $13 560) for each participant with a joint crisis plan and £8359 (€12 217, $15 609) for each participant with standardised service information (mean difference &pound1095; 95% confidence interval -- 2814 to 5004). Cost effectiveness acceptability curves, used to explore uncertainty in estimates of costs and effects, suggest there is a greater than 78% probability that joint crisis plans are more cost effective than standardised service information in reducing the proportion of patients admitted to hospital. Conclusion Joint crisis plans produced a non-significant decrease in admissions and total costs. Though the cost estimates had wide confidence intervals, the associated uncertainty suggests there is a relatively high probability of the plans being more cost effective than standardised service information for people with psychotic disorders. [ABSTRACT FROM AUTHOR]

Presents several correspondence on health issues in Great Britain. Evaluation of motorcycle injuries related to courier service; Issues on gender reassignment; Correlation between child abuse and osteogenesis imperfecta; Presentation of a case of adult epiglottitis; Viability of compulsory treatment of mental illness.

Objective To investigate whether a form of advance agreement for people with severe mental illness can reduce the use of inpatient services and compulsory admission or treatment. Design Single blind randomised controlled trial,with randomisation of individual patients.The investigator was blind to allocation. Setting Eight community mental health teams in southern England. Participants 160 people with an operational diagnosis of psychotic illness or non-psychotic bipolar disorder who had experienced a hospital admission within the previous two years. Intervention The joint crisis plan was formulated by the patient,care coordinator,psychiatrist,and project worker and contained contact information,details of mental and physical illnesses,treatments,indicators for relapse,and advance statements of preferences for care in the event of future relapse. Main outcome measures Admission to hospital,bed days,and use of the Mental Health Act over 15 month follow up. Results Use of the Mental Health Act was significantly reduced for the intervention group,13%(10/80)of whom experienced compulsory admission or treatment compared with 27%(21/80)of the control group (risk ratio 0.48,95%confidence interval 0.24 to 0.95,P =0.028).As a consequence,the mean number of days of detention (days spent as an inpatient while under a section of the Mental Health Act)for the whole intervention group was 14 compared with 31 for the control group (difference 16,0 to 36,P =0.04).For those admitted under a section of the Mental Health Act,the number of days of detention was similar in the two groups (means 114 and 117,difference 3,-61 to 67,P =0.98).The intervention group had fewer admissions (risk ratio 0.69,0.45 to 1.04,P =0.07).There was no evidence for differences in bed days (total number of days spent as an inpatient)(means 32 and 36,difference 4,-18 to 26,P =0.15 for the whole sample;means 107 and 83,difference -24,-72 to 24, P =0.39... [ABSTRACT FROM AUTHOR]