TY - JOUR
KW - community mental health
KW - Psychiatry
KW - Recovery
KW - sectorisation
KW - service delivery
AU - R. Vaughan
AU - K. Antczak
AU - L. Kowalewski
AU - L. Feeney
A1 - 
AB - OBJECTIVES: Sectorised catchment areas have characterised Irish mental health service delivery since the devolution of institutional care. Unlike other catchment areas, the Cluain Mhuire Community Mental Health Service (CMCMHS) never sectorised. With the development of Community Health Networks (CHNs) and Primary Care Centres, the CMCMHS has come under renewed pressure for structural change. We aimed to consider the implications of these proposed changes on staff and service users. METHOD: We obtained demographic information comparing the CHNs with respect to attendee numbers, new referrals and admissions over a 1- year period. Secondly, we conducted an anonymous survey seeking opinions on the proposals to switch to a sector-based model and/or specialist inpatient care. RESULTS: Referral and admission rates differed across CHNs, broadly consistent with populations. About 36% of staff and 33% of service users supported changing to a sector-based system. In the event of a sector-based system of care being implemented, 66% of service users felt that existing service users should remain under the care of their current team. There was little support among any group for the development of specialist inpatient teams. CONCLUSIONS: We discuss the benefits and drawbacks of sectorisation of mental health service provision. Most patients did not want to change teams either as current service users or as re-referrals (indicating it will take a significant time to transition to a sector-based system). Without clear pathways towards integration with primary care teams, the advantages of sectorisation may not outweigh the challenges associated with its implementation.
AD - Cluain Mhuire Community Mental Health Service, Blackrock, Dublin, Ireland.; Cluain Mhuire Community Mental Health Service, Blackrock, Dublin, Ireland.; Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.; Royal College of Surgeons in Ireland, Dublin, Ireland.
BT - Irish journal of psychological medicine
C5 - Financing & Sustainability
CY - England
DO - 10.1017/ipm.2019.60
JF - Irish journal of psychological medicine
M1 - Journal Article
N2 - OBJECTIVES: Sectorised catchment areas have characterised Irish mental health service delivery since the devolution of institutional care. Unlike other catchment areas, the Cluain Mhuire Community Mental Health Service (CMCMHS) never sectorised. With the development of Community Health Networks (CHNs) and Primary Care Centres, the CMCMHS has come under renewed pressure for structural change. We aimed to consider the implications of these proposed changes on staff and service users. METHOD: We obtained demographic information comparing the CHNs with respect to attendee numbers, new referrals and admissions over a 1- year period. Secondly, we conducted an anonymous survey seeking opinions on the proposals to switch to a sector-based model and/or specialist inpatient care. RESULTS: Referral and admission rates differed across CHNs, broadly consistent with populations. About 36% of staff and 33% of service users supported changing to a sector-based system. In the event of a sector-based system of care being implemented, 66% of service users felt that existing service users should remain under the care of their current team. There was little support among any group for the development of specialist inpatient teams. CONCLUSIONS: We discuss the benefits and drawbacks of sectorisation of mental health service provision. Most patients did not want to change teams either as current service users or as re-referrals (indicating it will take a significant time to transition to a sector-based system). Without clear pathways towards integration with primary care teams, the advantages of sectorisation may not outweigh the challenges associated with its implementation.
PP - England
PY - 2020
SN - 2051-6967; 0790-9667
SP - 1
EP - 7
EP - 
T1 - Should all community mental health teams be sectorised?
T2 - Irish journal of psychological medicine
TI - Should all community mental health teams be sectorised?
U1 - Financing & Sustainability
U2 - 31971120
U3 - 10.1017/ipm.2019.60
VO - 2051-6967; 0790-9667
Y1 - 2020
Y2 - Jan 23
ER -