Community Psychiatry in Action :Analysis and Prospects

Publication subTitle :Analysis and Prospects

Author: Peter Tyrer; Francis Creed  

Publisher: Cambridge University Press‎

Publication year: 1995

E-ISBN: 9780511890918

P-ISBN(Paperback): 9780521474276

Subject: R749.05 phrenotherapy

Keyword: 神经病学与精神病学

Language: ENG

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Community Psychiatry in Action

Description

Rapid changes are taking place in the practice of psychiatry and nowhere is this more pronounced than in its community aspects. Although much that has changed sometimes appears to have done so without adequate forethought or research there is already a considerable body of knowledge that underscores recent developments. In this book, first published in 1995, prominent researchers in this expanding subject debate the implications of knowledge derived from a variety of sources, and look ahead to impending developments that will need further research enquiry. The chapters are wide in scope and topical in content and the discussions after each are frank and informative. This book will be of help to all those involved in the organisation of psychiatric care.

Chapter

References

2 Evaluation of community treatments foracute psychiatric illness

Overview of UK studies

Possibility of a meta-analysis

Selection of patients

Types of services

Patients included in each study

Demographic and diagnostic variables

Severity of illness

Outcome of experimental and control treatments

Can such treatments be sustained?

Conclusion

References

3 Synopsis of the Daily Living Programme forthe seriously mentally ill: a controlledcomparison of home and hospital based care

Introduction

Funding and staffing of the study

Clinical work

The sample

Outcome of the first phase (months 0—20)

Preliminary results of the second (partial withdrawal) phase

What DLP care did not achieve

Training in home based care

References

4 Evaluation of a complete community service

Introduction

Background

Conclusion

References

5 Early intervention study ofpsychiatric emergencies

Introduction

History of the Early Intervention Service

Study design

Results

Implications of the findings in conjunction with those of other studies

Conclusion

References

6 Evaluation of psychiatric services:the merits of regular review

Introduction

Present services

Evaluation of psychiatric services

Process data

Other methods of service assessment

Summary

References

7 A home based assessment study

Introduction

The services studied

Team structure and resources

Patient characteristics

How this study differs

The most provocative findings

Is the service sustainable and generalisable?

Conclusions

References

8 Home treatment as an alternative to acutepsychiatric inpatient admission: a discussion

Introduction

Why the interest in home based treatment?

Possible advantages of home based care

Assessing studies of alternatives to admission

UK studies of community alternatives to inpatient care

Observations on the home care literature

References

9 The toxicity of community care

Introduction

What makes up a community mental health service?

What should a community psychiatric service do for patients?

Measuring the toxicity of services

Conclusions

References

10 Community mental health services: towardsan understanding of cost-effectiveness

Policy context

Principles of cost evaluation

Comprehensive costs

Exploring variations

Like with like comparisons

Merging costs and outcomes

Towards an understanding of cost-effectiveness

Acknowledgements

Notes

References

11 Future research strategies

Introduction

The randomised controlled trial

Alternatives to randomised controlled trials

Identification of subgroups for study

Training of staff for community care

Future directions

References

Index

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