A new mental health service: high quality and user-led.

نویسنده

  • L Appleby
چکیده

mental health services this is a time of For mental health services this is a time of change. We have seen the publication of change. We have seen the publication of, a blueprint for mental health care throughout England. for mental health care throughout England. By the time this paper appears, the By the time this paper appears, the National Plan will have been published ± National Plan will have been published ± a radical view of the whole National Health a radical view of the whole National Health Service (NHS) based on consultation with Service (NHS) based on consultation with the public and the professions. The the public and the professions. The National Institute for Clinical Excellence National Institute for Clinical Excellence is considering how schizophrenia and is considering how schizophrenia and depression should be treated, and more depression should be treated, and more mental health topics are on its list. The mental health topics are on its list. The Commission for Health Improvement ± an Commission for Health Improvement ± an external inspectorate of clinical governance external inspectorate of clinical governance in local services ± has begun its work. A in local services ± has begun its work. A new Mental Health Act is on the way. new Mental Health Act is on the way. And, against this background, there is my And, against this background, there is my own appointment as National Director for own appointment as National Director for Mental Health, one of threèhealth czars', Mental Health, one of threèhealth czars', to use the ludicrous shorthand that the to use the ludicrous shorthand that the press have planted in the public mind. press have planted in the public mind. All these initiatives are directed at a key All these initiatives are directed at a key target in the modern NHS: quality. It is a target in the modern NHS: quality. It is a word that features in numerous public word that features in numerous public documents on health. It has filtered down documents on health. It has filtered down into many people's job descriptions. There into many people's job descriptions. There is, we often hear, a `quality agenda' as if is, we often hear, a `quality agenda' as if it were a distinct process ± in fact, it runs it were a distinct process ± in fact, it runs through everything. So the question is: through …

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Systematic synthesis of barriers and facilitators to service user-led care planning

BACKGROUND Service user (patient) involvement in care planning is a principle enshrined by mental health policy yet often attracts criticism from patients and carers in practice. AIMS To examine how user-involved care planning is operationalised within mental health services and to establish where, how and why challenges to service user involvement occur. METHOD Systematic evidence synthesi...

متن کامل

Understanding experiences of and preferences for service user and carer involvement in physical health care discussions within mental health care planning

BACKGROUND People with severe mental illness suffer more physical comorbidity than the general population, which can require a tailored approach to physical health care discussions within mental health care planning. Although evidence pertaining to service user and carer involvement in mental health care planning is accumulating, current understanding of how physical health is prioritised withi...

متن کامل

Why and How Is Compassion Necessary to Provide Good Quality Healthcare?

Recent disclosures of failures of care in the National Health Service (NHS) in England have led to debates about compassion deficits disallowing health professionals to provide high quality responsive care. While the link between high quality care and compassion is often taken for granted, it is less obvious how compassion – often originating in the individual’s emotional response – can become ...

متن کامل

Understanding service user-defined continuity of care and its relationship to health and social measures: a cross-sectional study

BACKGROUND Despite the importance of continuity of care [COC] in contemporary mental health service provision, COC lacks a clearly agreed definition. Furthermore, whilst there is broad agreement that definitions should include service users' experiences, little is known about this. This paper aims to explore a new construct of service user-defined COC and its relationship to a range of health a...

متن کامل

Encouraging user involvement in mental health services

This article summarises the current research evidence base on user involvement in mental health services from both policy and practical perspectives. We begin by examining the many meanings of the term ‘mental health service user’ and the policy imperatives for user involvement, to provide a context for later examples of good practice. We then discuss what is meant by ‘involvement’ and the reas...

متن کامل

Service quality and clinical outcomes: an example from mental health rehabilitation services in England.

BACKGROUND Current health policy assumes better quality services lead to better outcomes. AIMS To investigate the relationship between quality of mental health rehabilitation services in England, local deprivation, service user characteristics and clinical outcomes. METHOD Standardised tools were used to assess the quality of mental health rehabilitation units and service users' autonomy, q...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The British journal of psychiatry : the journal of mental science

دوره 177  شماره 

صفحات  -

تاریخ انتشار 2000