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The psychotherapy department and the community mental health team: bridges and boundaries

Published online by Cambridge University Press:  02 January 2018

Jeremy Holmes
Jeremy Holmes*
Affiliation:
Department of Psychiatry, North Devon District Hospital, Barnstaple, Devon EX31 4JB
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Abstract

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Aims and method

The aim of the study was to clarify the role of psychotherapy departments in relation to a general psychiatric service, and in particular community mental health teams (CMHTs). Literature reviews of therapeutic activities in CMHTs and of psychotherapy delivery methods were undertaken. The implications of the National Health Service Executive document on Psychotherapy Services in England was considered, based on experience of the psychotherapy-general psychiatry interfaces in North Devon and Bristol.

Results

Psychological therapies are an integral part of psychiatric treatment provided in CMHTs, but are often delivered without careful assessment training or supervision. Psychotherapy departments contain expertise in the range of psychological therapies, but are sometimes perceived as remote from everyday psychiatric practice. Ways in which the divide between general psychiatry and psychotherapy might be bridged are suggested. A multi-disciplinary psychological treatment unit can offer specialist resources for the assessment and treatment of complex cases, especially those with personality disorders; psychological interventions in psychosis; and brief focused therapies for neurotic disorders unresponsive to drugs.

Clinical Implications

Consultation and liaison with the CMHT should become a key element in the work of a psychological treatment unit, and structured therapies under supervision similarly central to the work of CMHTs.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 22 , Issue 12 , December 1998 , pp. 729 - 732
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 © 1998 The Royal College of Psychiatrists

References

Albeniz, A. & Holmes, J. (1995) Integration in psychotherapy: implications for psychiatry. British Journal of Psychiatry, 169, 563–570.CrossRefGoogle Scholar
Bateman, A. (1997) Borderline personality disorder and psychotherapeutic psychiatry. British Journal of Psychotherapy, 13, 489–498.CrossRefGoogle Scholar
Gabbard, C., Lazar, S., Horberger, P., et al (1997) The economic impact of psychotherapy: a review. American Journal of Psychiatry, 154, 147–155.Google ScholarPubMed
Holmes, J. & Mitchison, S. (1995) A model for an integrated psychotherapy service. Psychiatric Bulletin, 19, 210–213.CrossRefGoogle Scholar
Holmes, J., Mitchison, S. & Lindley, R. (1998) The Values of Psychotherapy (2nd edn). London: Karnac.Google Scholar
National Health Service Executive (1994) Guidance on the Discharge of Mentally Disordered People and their Continuing Care in the Community. London: HMSO.Google Scholar
National Health Service Executive (1996) Psychotherapy Services in England. London: HMSO.Google Scholar
Roth, A. & Fonagy, P. (1996) What Works for Whom. New York: Guilford Press.Google Scholar
Royal College of Psychiatrists (1991) The future of psychotherapy services. Psychiatric Bulletin, 15, 174–179.CrossRefGoogle Scholar
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