Abstract
There has been much debate about effective treatments, service configurations and costs within Britain's mental health care system, but it has largely taken place in academic and management circles. We were interested in the views of those providing care. We organised a meeting of community psychiatric nurses, general practitioners and consultant psychiatrists (funded with an educational grant from Zeneca Pharmaceuticals). Participants worked in various parts of Great Britain, including rural and inner city areas. The authors facilitated the discussion, the emphasis of which was on participants' clinical experience.
Highlights
There has been much debate about effective treatments, service configurations and costs within Britain's mental health care system, but it has largely taken place in academic and management circles
Much of the discussion related to the full range of serious mental illnesses, the primary focus was schizophrenia, the associated costs of which are wideranging and high (Knapp, 1997)
Schizophrenia is associated with considerable intangible costs in terms of suffering and impaired quality of life
Summary
Health professionals' views of services for schizophrenia -- fragmentation and inequality opinion & debate. There has been much debate about effective treatments, service configurations and costs within Britain's mental health care system, but it has largely taken place in academic and management circles. There are still comparatively few completed economic evaluations of schizophrenia treatment, they offer numerous pointers to cost-effectiveness improvements (Knapp et al, 1999). There are major inequalities in services and in the needs of populations Both factors were seen as contributing to variations in standards of care and clinical problems, hampering the pursuit of greater effectiveness and cost-effectiveness, and reminding us that these two criteria are by no means the only objectives of a publicly-funded care system
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