Knowing the unknown: a comparison of the clinical and demographic characteristics of patients requiring hospital admission both known and unknown to community mental health services
Purpose The purpose of this study is to understand the clinical and demographic factors of these patients to understand if treatment could be provided earlier and prevent the need for hospital admission. Design/methodology/approach A retrospective cohort analysis was conducted using secondary data in a large multi site National Health Service Trust in the Northwest of England. The sample comprised of 905 patients over a 12-month period. Findings A high proportion of patients (n = 362, 40%) admitted to inpatient wards were not under community services at the time of admission. Nearly half (n =170, 47%) of these had been discharged from community services previously. This cohort of 362 patients were significantly more likely to be male (n = 202, p <0003), younger (p > 0001), have shorter length of stay (n =17, p < 0.001) and be discharged directly to community services (n = 116, p < 0.001). Practical implications The findings call into question critical elements of the current design of secondary mental health services and support the need for further exploration of access to services. A focus on case load management and continuity of care principles is recommended. Originality/value The authors are not aware of other published work examining previous community involvement for patients admitted to hospital.
- Research Article
315
- 10.1002/j.2051-5545.2011.tb00059.x
- Oct 1, 2011
- World Psychiatry
This paper summarizes the history of the development of Chinese mental health system; the current situation in the mental health field that China has to face in its effort to reform the system, including mental health burden, workforce and resources, as well as structural issues; the process of national mental health service reform, including how it was included into the national public health program, how it began as a training program and then became a treatment and intervention program, its unique training and capacity building model, and its outcomes and impacts; the barriers and challenges of the reform process; future suggestions for policy; and Chinese experiences as response to the international advocacy for the development of mental health.
- Research Article
3
- 10.1176/ps.2008.59.8.860
- Aug 1, 2008
- Psychiatric Services
In April 2003 the Alberta government integrated specialized mental health services, formerly organized independently, with the health regions, which are responsible for general health services. The objective of this article is to determine whether the transfer was associated with an increase or decrease in the share of resources in the region allocated to mental health care relative to total spending for health care. The measure of the share for mental health care is the total costs for mental health care resources as a percentage of total health care spending. Resources and spending examined were those that were actually or potentially under the regions' control. Annual costs for mental health services in the province were obtained for a seven-year period (fiscal year [FY] 2000 through FY 2006) from provincial utilization records for all residents in the province. Unit costs were assigned to each visit. The trend in the share measure was plotted for each year. The share for mental health care increased overall from FY 2000 (7.6%) to FY 2003 (8.2%), but returned to pre-FY 2003 levels in the three years after the transfer (7.6%). Despite concerns expressed before the transfer by federal and provincial reports over the level of expenditures devoted to mental health care, the integration of mental health services with other health services did not result in an increase of the share for mental health care.
- Research Article
20
- 10.1016/j.wpsyc.2012.05.010
- Jun 1, 2012
- World Psychiatry
Lessons learned in developing community mental health care in Australasia and the South Pacific
- Research Article
6
- 10.1002/wps.20184
- Feb 1, 2015
- World psychiatry : official journal of the World Psychiatric Association (WPA)
Mental health services and public mental health: challenges and opportunities.
- Research Article
12
- 10.1176/appi.ps.57.9.1253
- Sep 1, 2006
- Psychiatric Services
Project Liberty: New York's Crisis Counseling Program Created in the Aftermath of September 11, 2001
- Abstract
2
- 10.1016/s0140-6736(19)32861-2
- Nov 1, 2019
- The Lancet
Health service use by community-dwelling patients with heart failure in northwest London, 2015–18: a retrospective cohort analysis
- Research Article
3
- 10.1377/hlthaff.12.3.240
- Jan 1, 1993
- Health Affairs
Opportunities in mental health services research.
- Research Article
7
- 10.1176/appi.ps.61.5.469
- May 1, 2010
- Psychiatric Services
Toward Successful Postbooking Diversion: What Are the Next Steps?
- Research Article
94
- 10.1002/j.2051-5545.2011.tb00060.x
- Oct 1, 2011
- World Psychiatry
This paper summarizes the findings for the European Region of the WPA Task Force on Steps, Obstacles and Mistakes to Avoid in the Implementation of Community Mental Health Care. The article presents a description of the region, an overview of mental health policies and legislation, a summary of relevant research in the region, a precis of community mental health services, a discussion of the key lessons learned, and some recommendations for the future.
- Front Matter
2
- 10.1016/s0140-6736(13)62533-7
- Nov 1, 2013
- The Lancet
Helping smokers quit in secondary-care services
- Research Article
9
- 10.1176/appi.ps.58.12.1555
- Dec 1, 2007
- Psychiatric Services
Initiation and Use of Public Mental Health Services by Persons With Severe Mental Illness and Limited English Proficiency
- Research Article
46
- 10.1016/j.eurpsy.2010.01.014
- Jun 9, 2010
- European Psychiatry
Physical coercion, perceived pressures and procedural justice in the involuntary admission and future engagement with mental health services
- Research Article
- 10.1016/j.ptdy.2021.06.027
- Jul 1, 2021
- Pharmacy Today
Mental health care among marginalized populations in the United States
- Abstract
- 10.1136/bmjoq-2025-ihi.5
- Apr 1, 2025
- BMJ Open Quality
BackgroundRelapse of illness frequently happens in people with Severe Mental Illness (SMI).1 The consequences include increased healthcare costs and further strains on social support systems.2 The newly established Clinical Nurse...
- Research Article
7
- 10.1176/appi.ps.57.12.1713
- Dec 1, 2006
- Psychiatric Services
Issues in Medicaid Policy and System Transformation: Recommendations From the President's Commission