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THE
HEALTH
OFTEN ATION.
Key Area Handbook
MENTAL ILLNESS
6
DEPARTMENT OF HEALTH SSI)
22500341831
Med
K37774
apINea e ee oly IEI NGEES§S
A 3% computer disk, prepared in WordPerfect 5.1., is included at the
back of this handbook.
WELLCOME INSTITUTE!
LIBRARY
IN JIA IN JIA LN
CONTENTS
CHAPTER 1: > 4 telUh ahd = SUMMARY
CONTENTS He ee tia onaecre ai mann mac aan En nea ]
CHAPTER 2: MENTAL HEALTH PROMOTION |
CONTENTS eee ere ta age fe CA Naa ae ip he}
CHAPTER 3: SKETCHING THE LOCAL PICTURE
CONTENTS Ai a eae te 3,
CHAPTER 4: SEEKING LOCAL VIEWS i
CONtents eee a ke ees ON ig Se eee ae 47
CHAPTER 5: DEVELOPING LOCAL ALLIANCES
CONTENTS sie SN oe eC na ee eee DO:
CHAPTER 6: IDENTIFYING AND ASSESSING
AVAILABLE INTERVENTIONS
Gontent$3i sisson 67
CHAPTER 7: IDENTIFYING RESEARCH AND
DEVELOPMENT NEEDS
Gontents sic ie A saci. hee Ol ee een ee ee wl,
CHAPTER 8: Na taal ic LOCAL TARGETS
Contents se ee a eee ee Fe
CHAPTER 9: AGREEING STRATEGIES FOR
ACHIEVING LOCAL TARGETS
Contents ecclakn tee Oe ee ee 79
Continued...
CHAPTER 10: DEVELOPING HUMAN SKILLS AND
RESOURCES
(COSPS E LW ES LP BIR arte en Naas en tis Breen ae Eyre Ste OR a a
CHAPTER 11: DEVELOPING INFORMATION AND
RESOURCES
SCL anP REVA ORL Se SES ae Ra cat a ee ed Me Tee eM
CHAPTER 12: ESTABLISHING PURCHASING AND
MONITORING ARRANGEMENTS
Ee Bea tes ¢ St GL IS ESA RoE Oa am eer
CHAPTER 13: EVALUATING OUTCOMES AND
DISSEMINATING INFORMATION
SY Swag ELSE eSATA Cookg ee a ELL AS
ANNEX
INDEX
ee ee ry
PREFACE
his handbook forms’ part of a series of Health of the Nation Key Area
cE handbooks. In The Health of the Nation White Paper published in July
1992, the Government said that the National Health Service Management
Executive would commission handbooks on possible local approaches to each
of the five Key Areas identified in the White Paper: Coronary Heart Disease
and Stroke, Cancers, Mental Illness, Accidents, and HIV/AIDS and Sexual
Health.
The aim of the handbooks is primarily to assist managers and directors in
purchasing authorities (DHAs, FHSAs, purchasing consortia and, for mental
illness, Local Authority Social Services Departments) to develop local strategies
for reducing mortality and morbidity in each Key Area. The handbooks also
aim to disseminate widely information about local initiatives to managers and
directors in provider organisations and to group together other relevant
information. The handbooks may also be of interest to organisations such as in
the voluntary sector, which join together with the NHS and SSDs in alliances
for health.
The information in the handbooks is illustrative rather than prescriptive and it
is intended that they should be used as practical guides. NHS managers and
others will wish to use the guides selectively and adapt them to suit local
circumstances in the light of local priorities and available resources. The
handbooks vary in length, structure and content as a result of the differences in
subject matter, secondary audiences and the amount of prominence each Area
has had in the past.
The handbook series is complemented by a range of other documents which
the Department of Health has issued in order to help implement the Health of
the Nation strategy. A supplement to the Public Health Common Data Set,
which contains baseline data on the primary targets, was issued in October
1992. First Steps for the NHS, which sets out suggestions for management
action for each Key Area grouped by type of contract or plan, was issued in
5
MENTAL ILLNESS
Key Area Handbook
November 1992. A workshop on Alliances for Health was held in November
1992 and a report will be published in Spring 1993. In addition, a sub-group
of the Minister’s Wider Health Group has been established to produce a
handbook with guidance on how to form healthy alliancesT.h e Department of
Health also plans to publish a discussion document to advance the process of
setting local targets.
The production of the Key Area Handbooks has been the result of a joint
working venture between the Department of Health, the NHS and other
organisationsT.h e handbooks could not have been published without the help
and advice of colleagues from outside the Department and we are grateful to
them for their valuable contribution.
The ultimate purpose of the Health of the Nation initiative is to bring about
the further continuing improvement in health. The intention of the Key Area
Handbooks is to contribute to that process.
Comments on this handbook are very welcome and should be sent to Dr
Rachel Jenkins or Dr David Kingdon at the Department of Health, Wellington
House, 133-155 Waterloo Road, London SE1 8UG.
The intention is to carry out an evaluation exercise later in the year based on
feedback from users.
Further copies are available from:
BAPS,
Health Publications Unit,
Heywood Stores,
No. 2 Site, Manchester Road,
Heywood, Lancashire OL10 2PZ.
6
MENTAL ILLNESS
Key Area Handbook
GLOSSARY
ASW Approved Social Worker
CHC Community Health Council
CMHT Community Mental Health Team
CPA Care Programme Approach
GPIN Community Psychiatric Nurse
DGH District General Hospital
DH Department of Health
DHA District Health Authority
ECCI Electro-convulsive therapy
FHSA Family Health Services Authority
GPFH General Practitioner Fundholder
npM aeva Health Education Authority
HAS Health Advisory Service
jae Information Technology
EA Local Authority
ASS Local Authority Social Services
EEA Local Education Authority
MDT Multi-disciplinary team
MRC Medical Research Council
NHS National Health Service
NHSME National Health Service Management Executive
NSF National Schizophrenia Fellowship
OPES Office of Population Censuses and Surveys
PACT Placement, Assessment and Counselling
PHT Primary Health Care Team
R&D Research and Development
RDP Research and Development for Psychiatry
RCGP Royal College of General Practitioners
RDRD Regional Director of Research and Development
RMO Responsible Medical Officer
RSU Regional Secure Unit
SHA Special Health Authority
SSD Social Services Department
ssl Social Services Inspectorate
APS Team for the Assessment of Psychiatric Services
i
MENTAL ILLNESS
Key Area Handbook
