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The Buckingham Project — the description of a home based mental health service

Published online by Cambridge University Press:  13 June 2014

William J. Shanahan ,
Ian RH Falloon ,
Marc Laporta  and
Haroutyon AW Krekorian
William J. Shanahan
Affiliation:
Charing Cross Hospital, Fulham Palace Road, London W6 8RF. Formerly Research Associate, Buckingham Mental Health Service, Buckingham MK18 1NU.
Ian RH Falloon
Affiliation:
Buckingham Mental Health Service.
Marc Laporta
Affiliation:
Buckingham Mental Health Service.
Haroutyon AW Krekorian
Affiliation:
Bristol Royal Infirmary. Formerly Research Director, Buckingham Mental Health Team.
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Abstract

A service based on the principle that the comprehensive mental health needs of a community can be more efficiently met by supporting the existing primary care services has been developed in the North Aylesbury Vale, Buckinghamshire, England. The Buckingham Project is a home-based mental health service and caters for a rapidly expanding rural community of approximately thirty five thousand people between the ages of 16 and 65 years. Professional support is provided to the services and care already provided by primary health care teams, social agencies and above all, by families. Specially trained nurses work as specialists within the primary care teams in the area. Initial consultation is provided on the day of referral, often in the patient's home. Cost effective management approaches are employed throughout. The emphasis is on early detection of major mental illness and immediate intensive treatment using cognitive/behavioural treatment methods, and targeted low dose medication where necessary. The approach differs from the traditional hospital-based specialist services.

Keywords

Community Mental HealthPrimary CareBehavioural Family Therapy.
Type
Perspectives
Information
Irish Journal of Psychological Medicine , Volume 7 , Issue 2 , September 1990 , pp. 151 - 153
Copyright
Copyright © Cambridge University Press 1990

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