Hostname: page-component-7c8c6479df-r7xzm Total loading time: 0 Render date: 2024-03-27T14:29:22.831Z Has data issue: false hasContentIssue false

Evolving service interventions in Nunhead and Norwood

PRiSM Psychosis Study 2

Published online by Cambridge University Press:  02 January 2018

Thomas Becker*
Affiliation:
Section of Community Psychiatry (PRiSM), Institute of Psychiatry, London
Frank Holloway
Affiliation:
Maudsley Hospital, London
Paul McCrone
Affiliation:
Section of Community Psychiatry (PRiSM), Institute of Psychiatry, London
Graham Thornicroft
Affiliation:
Section of Community Psychiatry (PRiSM), Institute of Psychiatry, London
*
Frank Holloway, Community Directorate, Bethlem & Maudsley NHS Trust, 101 Denmark Hill. London SE5 8AZ

Abstract

Background

Service evaluation requires a detailed understanding of the services studied.

Method

Community mental health services evaluated in the PRiSM Psychosis Study in south London are described. The intensive sector and standard sector services are contrasted.

Results

The intensive sector had two teams with extended opening hours: a psychiatric acute care and emergency (PACE) team, and a psychiatric assertive continuing care (PACT) team focusing on care for people with chronic illness. In the standard sector there was a generic community team providing office-hour assessments, case management of the severely mentally ill and close liaison with in-patient services. The team made use of the local psychiatric emergency clinic and of other local resources. The intensive sector was characterised by: more admissions to fewer beds, more non-hospital residential places, extended hours, on-call rota, wider range of interventions, more medical and nursing staff, a lower nursing grade mix and higher staff turnover. The standard sector had a less highly resourced generic community psychiatric service.

Conclusions

Change in services has been more marked in the intensive sector.

Type
PRiSM Psychosis Study
Copyright
Copyright © 1998 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Declaration of interest

Funding provided by the Bethlem & Maudsley NHS Trust.

References

Childs, R. (1995) Community Profile. BSc Community Health. University of London.Google Scholar
MIND (1993) Common Concern. London: MIND.Google Scholar
Royal College of Psychiatrists (1990) Caring for a Community (Council Report CR36). London: Royal College of Psychiatrists.Google Scholar
Strathdee, G. (1990) The delivery of psychiatric care. Journal of the Royal Society of Medicine, 83, 222225.CrossRefGoogle ScholarPubMed
Strathdee, G. (1992) The interface between psychiatry and primary care in the management of schizophrenic patients in the community. In The Prevention of Depression and Anxiety (eds Jenkins, R., Newton, J. & Young, R.), pp. 5968.Google Scholar
Strathdee, G. Watts, A. & Beaton, D. (1994a) The challenge of suicide prevention in a local service. In Suicide Prevention (eds Jenkins, R., Griffith, S. & Wylie, I.), pp. 8396. London: HMSO.Google Scholar
Strathdee, G. Perry, M. & Wood, H. (1994b) The PACT Team -Maudsley Hospital - South London. Service Manual. London: Maudsley Hospital.Google Scholar
Strathdee, G. Phelan, M. & Watts, A. (1995) Establishing a local emergency service. In Emergency Mental Health Services in the Community (eds Phelan, M., Strathdee, G. & Thornicroft, G.), pp. 177196. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Strathdee, G. & Perry, M. (1997) Setting up and running community beds. In Effectively Managing Mental Health Service Development, pp. 119123. London: Sainsbury Centre for Mental Health.Google Scholar
Thornicroft, G., Strathdee, G., Phelan, M., et al (1998) Rationale and design. PRiSM Psychosis Study I. British Journal of Psychiatry, 173, 363370.CrossRefGoogle ScholarPubMed
Wing, J. K. & Hailey, A. M., (eds) (1972) Evaluating a Community Psychiatric Service. The Camberwell Register 1964–71. London: Oxford University Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.