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Ten years in the life of a community mental health team: the impact of the care programme approach in the UK.

Background: The aim of the study was to evaluate the changes in the operation of a community mental health service five years after the implementation of the Care Programme Approach. Method: We undertook cross-sectional surveys in 1992, before the introductions of the CPA, and in 1998, to describe t...

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Published in:Journal of Mental Health Vol. 10; no. 4; pp. 441 - 448
Main Authors: Cornwall PL, Gorman B, Carlisle J, Pope M
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Aug2001
Online Access:View this record in EBSCOhost
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      dt: Aug2001
      vid: 10
      iid: 4
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/09638230120041209
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        atl: Ten years in the life of a community mental health team: the impact of the care programme approach in the UK.
      aug:
        au:
          Cornwall PL
          Gorman B
          Carlisle J
          Pope M
        affil: University Department of Psychiatry, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne, NE1 4LP, UK: p.l.cornwall@ncl.ac.uk
      sug:
        subj:
          Community Mental Health Services Evaluation
          Mental Disorders, Chronic Therapy
          Hospitalization
          Multidisciplinary Care Team
          Case Management Utilization
          Health Services Research
          Cross Sectional Studies
          Surveys
          Questionnaires
          Prospective Studies
          International Classification of Diseases
          Descriptive Statistics
          Chi Square Test
          P-Value
          Analysis of Variance
          Organizational Change
          Case Mix
          Psychiatric Patients
          Community Living
          Inpatients
          Outpatients
          Psychological Tests
          Human
      ab: Background: The aim of the study was to evaluate the changes in the operation of a community mental health service five years after the implementation of the Care Programme Approach. Method: We undertook cross-sectional surveys in 1992, before the introductions of the CPA, and in 1998, to describe the case mix and service provided. The service is entirely community-based and attempts to reduce the use of in-patient facilities by early intervention, assertive outreach and partial hospitalisation. Results: The number of patients in contact with the service increased from 293 to 334 with an increased proportion with severe mental disorder (psychotic and mood disorders) but hospitalisation did not increase. Full multidisciplinary CPA was used for patients with severe disorders and low levels of functioning. Conclusion: Introduction of clinical case management through the care programme approach was associated with an increasing focus on patients with the most severe disorders.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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