Community-Based Mental Health Care in Britain

Community mental health care in the UK was established by two influential mental health acts (MHAs). The 1930 MHA legislated for voluntary admissions and outpatient clinics. The 1959 MHA required hospitals to provide local follow- up after discharge, required them to work closely with local social s...

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Autor principal:	Tom Burns
Formato:	article
Lenguaje:	EN RU
Publicado:	Eco-Vector 2020
Materias:	community mental health teams sectorization functional teams general practice Psychiatry RC435-571 Psychology BF1-990
Acceso en línea:	https://doaj.org/article/dea8266d4f32402281bf8a3c17189dae
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spelling	oai:doaj.org-article:dea8266d4f32402281bf8a3c17189dae2021-12-02T18:52:34ZCommunity-Based Mental Health Care in Britain2712-76722713-291910.17650/2712-7672-2020-1-2-14-20https://doaj.org/article/dea8266d4f32402281bf8a3c17189dae2020-12-01T00:00:00Zhttps://www.consortium-psy.com/jour/article/viewFile/48/22https://doaj.org/toc/2712-7672https://doaj.org/toc/2713-2919Community mental health care in the UK was established by two influential mental health acts (MHAs). The 1930 MHA legislated for voluntary admissions and outpatient clinics. The 1959 MHA required hospitals to provide local follow- up after discharge, required them to work closely with local social services and obliged social services to help with accommodation and support. An effect of this was to establish highly sectorized services for populations of about 50,000. These were served by multidisciplinary teams (generic CMHTs), which accepted all local referrals from family doctors. Sector CMHTs evolved a pragmatic approach with an emphasis on skill-sharing and outreach, depending heavily on community psychiatric nurses. The NHS is funded by central taxation, with no distortion of clinical practice by per-item service fees. It is highly centrally regulated, with a strong emphasis on evidence-based treatments. Since 2000, generic sector teams have gradually been replaced or enhanced by Crisis Resolution Home Treatment teams, Assertive Outreach Teams and Early Intervention Teams. Assertive Outreach Teams were resorbed into CMHTs, based on outcome evidence. The last decade has seen a major expansion in outpatient psychotherapy (Improving Access to Psychological Treatments (IAPT) services) and in specialist teams for personality disorders and perinatal psychiatry. The traditional continuity of care across the inpatient-outpatient divide has recently been broken. During the last decade of austerity, day care services have been decimated, and (along with the reduction in availability of beds) compulsory admission rates have risen sharply. Mental health care is still disadvantaged, receiving 11% of the NHS spend while accounting for 23% of the burden of disease.Tom BurnsEco-Vectorarticlecommunity mental health teamssectorizationfunctional teamsgeneral practicePsychiatryRC435-571PsychologyBF1-990ENRUConsortium Psychiatricum, Vol 1, Iss 2, Pp 14-20 (2020)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	community mental health teams sectorization functional teams general practice Psychiatry RC435-571 Psychology BF1-990
spellingShingle	community mental health teams sectorization functional teams general practice Psychiatry RC435-571 Psychology BF1-990 Tom Burns Community-Based Mental Health Care in Britain
description	Community mental health care in the UK was established by two influential mental health acts (MHAs). The 1930 MHA legislated for voluntary admissions and outpatient clinics. The 1959 MHA required hospitals to provide local follow- up after discharge, required them to work closely with local social services and obliged social services to help with accommodation and support. An effect of this was to establish highly sectorized services for populations of about 50,000. These were served by multidisciplinary teams (generic CMHTs), which accepted all local referrals from family doctors. Sector CMHTs evolved a pragmatic approach with an emphasis on skill-sharing and outreach, depending heavily on community psychiatric nurses. The NHS is funded by central taxation, with no distortion of clinical practice by per-item service fees. It is highly centrally regulated, with a strong emphasis on evidence-based treatments. Since 2000, generic sector teams have gradually been replaced or enhanced by Crisis Resolution Home Treatment teams, Assertive Outreach Teams and Early Intervention Teams. Assertive Outreach Teams were resorbed into CMHTs, based on outcome evidence. The last decade has seen a major expansion in outpatient psychotherapy (Improving Access to Psychological Treatments (IAPT) services) and in specialist teams for personality disorders and perinatal psychiatry. The traditional continuity of care across the inpatient-outpatient divide has recently been broken. During the last decade of austerity, day care services have been decimated, and (along with the reduction in availability of beds) compulsory admission rates have risen sharply. Mental health care is still disadvantaged, receiving 11% of the NHS spend while accounting for 23% of the burden of disease.
format	article
author	Tom Burns
author_facet	Tom Burns
author_sort	Tom Burns
title	Community-Based Mental Health Care in Britain
title_short	Community-Based Mental Health Care in Britain
title_full	Community-Based Mental Health Care in Britain
title_fullStr	Community-Based Mental Health Care in Britain
title_full_unstemmed	Community-Based Mental Health Care in Britain
title_sort	community-based mental health care in britain
publisher	Eco-Vector
publishDate	2020
url	https://doaj.org/article/dea8266d4f32402281bf8a3c17189dae
work_keys_str_mv	AT tomburns communitybasedmentalhealthcareinbritain
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Community-Based Mental Health Care in Britain

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