Abstract

Changing patterns of care for the mentally handicapped are having a profound effect on the roles of all professions concerned—not the least mental handicap nurses. Many will continue their caring role in the community. Others will work as community mental handicap nurses providing domiciliary support to families and local authority services. Those remaining in the hospital service will be increasingly concerned with the care of the psychiatrically ill and behaviourally disturbed, the profoundly and multiply handicapped and the elderly. This has important implications for training nursing staff both at present and in the future.

Highlights

  • The place of community mental health centres; the place of other agencies in primary health care consultation, for example social workers, voluntary agencies and housing departments; the most effective use of resources, with doubts whether the needs of thechronically ¡Hantdhe severely acutely ill were best served by such liaisons; the problem of relating to the single-handed GPs possibly by seeing patients from a number of individual GPs in one central location; the need to evaluate existing schemes, and to determine the dif ferent profiles of patients seen in GP settings, in psychiatric out patient departments, and in community mental health centres; Dr John Horder in his closing remarks asked three questions:

  • (iii) Do psychiatrists appreciate how much they can be valued both as teachers and as supporters when working in GP settings?

  • Changing patterns of care for the mentally handicapped are having a profound effect on the roles of all professions con cerned—not the least mental handicap nurses

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Summary

Introduction

The place of community mental health centres (in the UK. as opposed to the perjoralive experience of this terminology in the USA); the place of other agencies in primary health care consultation, for example social workers, voluntary agencies and housing departments; the most effective use of resources, with doubts whether the needs of thechronically ¡Hantdhe severely acutely ill were best served by such liaisons; the problem of relating to the single-handed GPs possibly by seeing patients from a number of individual GPs in one central location; the need to evaluate existing schemes, and to determine the dif ferent profiles of patients seen in GP settings, in psychiatric out patient departments, and in community mental health centres; Dr John Horder in his closing remarks asked three questions:. Mental Handicap Nurses—Training in Psychiatric Aspects of Care Sectionfor the Psychiatry of Mental Handicap Others will work as community mental handicap nurses providing domiciliary support to families and local authority services.

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