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Gurpal

Online Essay Club: Essay No. 9 of 10  

6 posts in this topic

Q: &quot:lol:escribe how you would set up a community-based mental health team.'

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Hi Spidey

paragraph points

1. overview mental health needs of a british community; age/acuteness/economic impact both personal and social.

( figures relating to popl. proportions affected, some financial figures if poss.)

2. Introduce the debate on the balanced distribution of service provision for the primary, secondary and tertiary healthcare institutions.

3. Show knowledge of actual community based mental health teams. Crississ, Drug & Alchohol Services, ?Samaritans, GP's special role due to legal requirements for MHA sections, assertive outreach social workers.

4. Draw atn. to fractured and uncoordinated elements of above. Note the difficulty in sepparating metal health from general medical, social services and forensic service providers.

5. Answer question; community based mental health teams would be structered along above lines, the key is increasing awareness of metal health problems and their management in the providers of the above services and in the general population.

6. First of above groups. aim here is to remove psychiatrists from primary care environment and put an end to dv's. Demedicalize PD's in acute settings (wrt. MHA detention) and introduce acute psychiatric systems in formal forensic settings (police stations/prisons).

7. Note importance of education of general public re mental health w.r.t. social nature/burden of mental illness. Worth expanding on this as not only will increased understanding reduce the distress of the unaflicted but also help to mitigate isolating nature of mental illness on the one afflicted.

8. Briefly go into effects of these on psychiatrists, noting the general trend of the paramedical specialities (gen nursing/radiography/OT/physio/pharmacy etc.) to expand into formerly medical dommains. Imply above suggestions are a rational extension of this trend and therfore the likely future.

9. Possibly end with anecdote about how the conservative 'care in the community' was designed to take the weight off overburdened public services and get citizen, esp. women, to take care of their own problems, noting that 'New' Labour seems to be following a similar philosophy.

10. Depending on time I would go some sort of political rant here.

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8)sevice based on popln size,use Royal college recommendations eg..2 psychiatrists for 50,000 popln.

2)MDt teams

3) Generic worker vs Task specific

4)specialised teams eg..AOT,crisis intervention teams

5)Meetings who chairs ect..

6) primary care liason....no waiting lists, acute assesments by generic worker

7)location,close to transport, easy access ect

ref,prism studies,cochrane reports, royal college guideline

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Sorry if this question has been answered in some other thread.. people have suggested to me to read the abstracts of APT for the last 2 years.. what do forum people think ? also how do i find abstarcts online ? please help..

thanks

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i remember preparing for the written exam for a question like this before..

There's an article by Thornicroft and Tansella (i think!) about the stages one needs to go through while setting up a service.

Anybody aware of these??

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I could only add things like:

-look at the local community' needs; what is the population size and characteristics;

-how big the team should be and what sort of skills mix, experience,

-location, transport provisions,

-current services and resources which could be transferred across

-how would the team fit in with the other services, primary care, in-patients etc?

-factors of decision making and the steps for public consultation etc

Does anybody have any idea how this things are actually done in real practice?

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