Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-31T20:00:37.727Z Has data issue: false hasContentIssue false
  • English
  • Français

From inter-agency to multidisciplinary work in a sector generic mental health team

Published online by Cambridge University Press:  02 January 2018

S. Marriott ,
A. Hassiotis ,
J. Ray  and
P. Tyrer
S. Marriott*
Affiliation:
College Research Unit, London SW1X
A. Hassiotis
Affiliation:
Learning Disabilities, St. Charles Hospital London W10 6DZ
J. Ray
Affiliation:
Abbey Road, Community Mental Health Team, London NW8 0EH
P. Tyrer
Affiliation:
St Charles Hospital London W10 6DZ and Consultant Psychiatrist, The North Paddington Community Mental Health Team, 209 Harrow Road, London W2 5EG
*
∗Correspondence
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The effects of establishing a full multidisciplinary community psychiatric team in central London are described. The nature of referrals, and referrers' satisfaction with the service were examined during two comparable six-month periods, before and after the changes. The number and severity of referrals increased, and referrers were more satisfied with the new service. In contrast to the inter-agency model, the new multidisciplinary team was associated with more appropriate referral of those patients with the greatest need for specialist services. Clinical skill mix in the team and referrer education are the two factors most likely to have promoted these important changes. The key role of the psychiatrist in a full multidisciplinary team who can empower multi-professional case managers in their day-to-day management of severely ill patients is highlighted.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 20 , Issue 6 , June 1996 , pp. 345 - 347
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 1996

References

Cooper, J. E. (1990) Professional obstacles to implementation and diffusion of innovative approaches to mental health care. In Mental Health Care Delivery: Innovations, Impediments and Implementation (eds Marks, I. M. & Scott, R. A.), pp. 233. Cambridge: Cambridge University Press.Google Scholar
Donovan, C. M. (1982) Problems of psychiatric practice in community mental health centres. American Journal of Psychiatry, 139, 456–69.Google Scholar
Effective Health Care (1994) Implementing Clinical Practice Guidelines: Can Guidelines be Used to Improve Clinical Practice? (Bulletin No. 8). Leeds: University of Leeds.Google Scholar
Endicott, J., Spitzer, R. L., Fleiss, J. L., et al (1976) The Global Assessment Scale. Archives of General Psychiatry, 33, 766–771.Google Scholar
Jarman, B. (1983) Identification of under-privileged areas. British Medical Journal 286, 1705–1709.Google Scholar
Marriott, S., Malone, S., Onyett, S., et al (1993) The consequences of an open referral system to a community mental health service. Acta Psychiatrica Scandinavica, 88, 93–97.Google Scholar
Merson, S., Tyrer, P., Onyett, S., et al (1992) Early intervention in psychiatric emergencies: a controlled clinical trial. Lancet, 339, 1311–1314.CrossRefGoogle ScholarPubMed
Ritchie, J., Dick, D. & Lingham, R. (1994) The Report of the Inquiry into the Care and Treatment of Christopher Clunis. London: HMSO.Google Scholar
Sims, A. (1992) The clinician and the clinical team in the community. In Management Training for Psychiatrists (eds Bhugra, D. & Burns, A.), pp. 103–109. London: Gaskell.Google Scholar
Tyrer, P. & Remington, M. (1979) Controlled comparison of day hospital and out-patient treatment for neurotic disorder. Lancet i, 1014–1016.Google Scholar
World Health Organization (1992) The Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD–10). Geneva: WHO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.