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The Buckingham Project: A Comprehensive Mental Health Service Based Upon Behavioural Psychotherapy

Published online by Cambridge University Press:  06 October 2014

Ian R.H. Falloon*
Affiliation:
Buckingham Mental Health Service
Haroutyan Krekorian
Affiliation:
Buckingham Mental Health Service
William J. Shanahan
Affiliation:
Buckingham Mental Health Service
Marc Laporta
Affiliation:
Buckingham Mental Health Service
Sheila McLees
Affiliation:
Buckingham Mental Health Service
*
Buckingham Mental Health Service, 22 High Street, Buckingham MK 18 1NU, UNITED KINGDOM
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Abstract

Behavioural psychotherapy has been demonstrated as the treatment of choice in most forms of serious mental disorders. In some instances it interacts synergistically with drug therapies. The Buckingham Project is a field trial of a comprehensive mental health service that employs behavioural analysis and therapy in the management of all cases of adult disorders occurring in an epidemiologically defined population. A multi-disciplinary team provide in vivo treatment. Results suggest that the incidence and prevalence of major episodes of mental illness have been substantially reduced and that the need for traditional hospital-based care has been minimised. The significance of this project for planning health services and for the future of behavioural psychotherapy is discussed.

Type
Research Article
Copyright
Copyright © The Author(s) 1990

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References

REFERENCES

Beck, A.T., Rush, A.J., Shaw, B.F., & Emery, G., (1979). Cognitive therapy of depression. New York: Guilford Press.Google Scholar
Bellack, A.S., Hersen, M., & Himmelhoch, J.M. (1983). A comparison of social skills training, pharmacotherapy and psychotherapy for depression. Behaviour Research & Therapy, 21, 101107.Google Scholar
Carpenter, W.T., & Heinrichs, D.W. (1983). Early intervention, time-limited, targeted pharmacotherapy of schizophrenia. Schizophrenia Bulletin, 9, 3443.Google Scholar
Dick, D. (1982). Alternatives for the care of the mentally ill in Surrey. Keynote address, Brighton.Google Scholar
Dilling, H., & Weyerer, S. (1984). Prevalence of mental disorders in the small town rural region of Traunstein (Upper Bavaria). Acta Psychiatrica Scandinavica, 69, 6079.Google Scholar
Falloon, I.R.H. (1985). Family management of schizophrenia. Baltimore: Johns Hopkins University Press.Google Scholar
Falloon, I.R.H. (1988). Prevention of mental disorders. Paper presented at the World Congress of Behaviour Therapy, Edinburgh.Google Scholar
Falloon, I.R.H., Krekorian, H.A.W., Shanahan, W.J., & Laporta, M. (1989) Evaluating the benefits and costs of long-term community care. Bulletin Royal College of Psychiatrists, 12, 675676.Google Scholar
Falloon, I.R.H., Shanahan, W.J., Krekorian, H.A.W., & Laporta, M. (1989) Prevention of major depressive episodes. Paper presented at Annual Meeting. Royal College of Psychiatrists, Social and Community Section, London.Google Scholar
Goldberg, D., & Huxley, P. (1980) Mental illness in the community. London: Tavistock Press.Google Scholar
Glick, I.D., Hargreaves, W.A., Drues, J., & Showstack, J.A. (1976). Short versus long hospitalisation: a prospective controlled study. American Journal of Psychiatry, 133, 509514.Google Scholar
Herz, M.I., Endicott, J., & Spitzer, R.L. (1977). Brief hospitalization: a two-year follow up. American Journal of Psychiatry, 134, 502507.Google Scholar
Hirsch, S.R., Platt, S., Knights, A., & Weyman, A. (1979). Shortening hospital stay for psychiatric care. British Medical Journal, i, 442446.Google Scholar
Hogarty, G.E., Anderson, C.M., Reiss, D.J.Kornblith, S.J., Greenwald, D.P., Javna, C.D., & Madonia, M.J. (1986). Family psychoeducation, social skills training and maintenance chemotherapy in the aftercare treatment of schizophrenia. Archives of General Psychiatry, 43, 636642.Google Scholar
Hoult, J., Reynolds, I., Charbonneau-Powis, M., Weekes, P., & Briggs, J. (1983). Psychiatric hospital versus community treatment: Results of a randomised trial. Australian & New Zealand Journal of Psychiatry, 17, 160167.Google Scholar
Kane, J.M., Woerner, M., & Sarentakos, S. (1986). Depot neuroleptics: a comparative review of standard intermediate and low-dose regimens. Journal of Clinical Psychiatry, 47, 3033.Google Scholar
Leaf, P.J., Weissman, M.M., Myers, J.K., Tischler, G. L., & Holzer, C.E. (1984). Social factors related to psychiatric disorder. Social Psychiatry, 19, 5361.Google Scholar
Marks, I.M. (1987). Fears, phobias and rituals. New York: Wiley.Google Scholar
Prien, R. F. (1984). Long-term maintenance pharmacotherapy in recurrent and chronic affective disorders. In Mirabi, M. (Ed.), The chronically mentally ill: research and services. New York: Spectrum.Google Scholar
Shepherd, M., Cooper, B., Brown, A.C., & Kalton, G.W. (1966). Psychiatric illness in general practice. London: Oxford University Press.Google Scholar
Stein., L.I., & Test, M.A. (1980). An alternative to mental hospital treatment. Archives of General Psychiatry, 37, 392399.Google Scholar
Tarrier, N., Barrowclough, C., Vaughn, C., Bamrah, J.S., Porceddu, K., Watts, S., & Freeman, H. (1988). The community management of schizophrenia: A controlled trial of a behavioural intervention with families to reduce relapse. British Journal of Psychiatry, 153, 538.Google Scholar
Wallace, C.J., & Liberman, R.P. (1985). Social skills training for patients with schizophrenia: a controlled clinical trial. Psychiatry Research, 15, 239247.Google Scholar