This text provides an overview of the diagnosis, treatment and management of the most common mental disorders encountered in primary care. Published to mark the retirement of Professor Sir David Goldberg, contributors bring together clinical and research work drawn from psychiatry, medicine, psychology, social work and sociology. Topics include: the biological basis of common mental disorders; disability and depression in primary care; the limits of mental health care in general medical clinics; improving the management of mental disorders in the elderly; and training the whole primary care...

There have been major changes to mental health services internationally in recent years revolving around the concept of care in the community. Although speed of change and precise service mechanisms differ among countries, there is nevertheless an increasingly widespread consensus on key components essential to adequate care provision. This in turn provides an opportunity to develop a widely acceptable model framework to direct future developments. This book proposes a simple model that can be used as a guide to increased clinical effectiveness through focused evidence-based reform. Using a...

This book provides a comprehensive overview of current understanding about the provision of emergency mental health services in an era of community orientated care. Major research findings and theoretical models which will shape future services are described and illustrated by detailed descriptions of successes both from Europe and North America. A multidisciplinary team of contributors detail the full range of community based schemes including acute respite care, home based care, day hospitals and family placements, as well as the use of accident and emergency departments and acute...

This book provides a comprehensive overview of current understanding about the provision of emergency mental health services in an era of community orientated care. It describes major research findings and theoretical models that will shape future services and illustrates successful services from both Europe and North America. A multidisciplinary team of contributors details the full range of community based services, including acute respite care, home based care, day hospitals, and family placement schemes, as well as the use of accident and emergency departments and acute in-patient wards....

With the emerging international consensus toward community care of the mentally ill, there comes a growing need for meaningful evaluation of services. Redressing the current lack of guidance this book describes how to do mental health service research. Contributors comprehensively review the most recent developments in research design, method and measurement at the level of both whole service systems and individual programs within mental health services. Practical descriptions of comprehensive evaluation projects illustrate each issue and many chapters examine important earlier advances in...

Across the world, cities are becoming larger, as populations drift from the country into urban areas. At the same time, the mentally ill are leaving the mental hospitals and new forms of care are being found in the community. The best ways in which services for the mentally ill can be organized in the community is still a matter for debate, and as cities become larger problems may become greater.

With the emerging international consensus toward community care of the mentally ill, there comes a growing need for meaningful evaluation of services. Redressing the current lack of guidance this book describes how to do mental health service research. Contributors comprehensively review the most recent developments in research design, method and measurement at the level of both whole service systems and individual programs within mental health services. Practical descriptions of comprehensive evaluation projects illustrate each issue and many chapters examine important earlier advances in...

There are wide inconsistencies between, and even within, countries in how community-orientated care is defined and interpreted. The analysis presented in this book take as a starting point an evidence-based balanced care model in which services are provided in community settings close to the populations served, with hospital stays being reduced as far as possible, usually located in acute wards in general hospitals. The surprising conclusion from the research is that the same problems arise in all countries, regardless of resource status, and thus the recommendations of this book apply to...

Mental Health Outcome Measures provides an authoritative review of measurement scales currently available to assess the outcomes of mental health service intervention. The excerpt of summaries by leading writers in the field assess the contributions of scale in areas including mental state examination, quality of life, patient satisfaction, needs assessments, measurement of service cost, global functioning scales, and social disability. These chapters provide a critical appraisal of how far such scales have been shown to be reliable and valid, and provide valuable insights in to their...