Download e-book for iPad: Community Mental Health Teams (Oxford Medical Publications) by Tom Burns

By Tom Burns

Neighborhood psychological wellbeing and fitness groups (CMHTs) have developed over the past 30-40 years to serve sufferers with psychological health problems who might formerly were taken care of in huge psychological hospitals. They play a pivotal position within the provision of psychological healthiness care within the constructed international. such as nurses, medical professionals, social staff, and psychologists, the folks inside those groups interact to take care of people with critical psychological health problems open air the health facility. simply because CMHTs have developed, rather than been constructed, little has been written approximately how they need to paintings - how the multidisciplinary contributors of the groups can paintings successfully jointly, who should still do what in the group. this is often the 1st ebook to supply functional suggestion for these operating inside of those groups. It addresses the wishes of the person experts in the CMHT, and gives medical recommendation according to what has been visible to paintings. The publication additionally seems to be on the fresh improvement of 'functional' CMHTs - Assertive Outreach, problem solution, and early intervention providers, describing how those groups paintings, their similarities, and their differences.Written through a number one authority during this box, the ebook becomes the traditional textual content for all these experts operating inside of and shut to group psychological future health groups.

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The challenge for CMHTs of all kinds is to attend continually to this balance in their work. It will vary between individual patients and within individual patients over time. There is no fixed answer to it – it is this constant interplay that makes community mental health so dynamic and, ultimately, so rewarding. CHAPTER 2 Modern multidisciplinary mental health working Despite doubts about the essential ingredients of community mental health work, multidisciplinary team working is not in question.

Both positions reflect complex clinical judgements and 29 30 C O M M U N I T Y M E N TA L H E A LT H T E A M S neither can be ‘proved right’. The team will have to recognize a legitimate professional difference of opinion. It must come to a balanced pragmatic decision which benefits the patient and, hopefully, does not leave either professional feeling criticized or humiliated. Personality differences Mental health work is stressful and we cannot be saints all the time. A range of personalities strengthens a team – using one’s own personality is a recognized aspect of practice.

Left to senior managers or committees the forms invariably become longer and longer (12 pages in one London Trust). Paperwork is meant to support good clinical practice and not impede it and a strong stand has to be taken to keep CPA documents useable. The form shown in Fig. 3 is that used in the adult directorate of the SW London and St George’s MH Trust. We set an absolute limit that it should be kept to one A4 side. This required rigor as everyone involved in its development had some pet issue that (often for very understandable reasons) they wanted recorded.

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