Modernising mental health services

BMJ 1999;318:3-4 ( 2 January )

Editorials

Modernising mental health services

Time to define the boundaries of psychiatric care

The first 150 words of the full text of this article appear below.

In Modernising Mental Health Services, the new national mental health strategy for England announced in December, ¹ ² the government lays out detailed plans for reforming general psychiatricservices, and places them in the context of its wider NHS reforms.The document asserts that "community care has failed" and blamesunderfunding, inadequate services, overburdening of families,problems in recruiting and retaining staff, and an outdated legalframework. It then describes a strategy for providing a service"in which patients, carers and the public are safe and where securityand support is provided to all." This strategy has two key elements:increased investment and increased control (over patients andclinicians).

The increased investment consists of £700m spread over three years. These extra funds will provide more beds (in hostels andsecure units); outreach teams and 24 hour access; new treatments,including atypical neuroleptics; and staff training. Increasedcontrol of patients will be achieved . . . [Full text of this article]

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Relevant Article

Modernising mental health services: John Sharkey, Paul Johnstone, Chrissy Allot, Victoria Hawkins, Joanna Moncrieff, Philip Thomas, Mike Crawford, Claire Henderson, and Tim Johnston
BMJ 1999 318: 806. [Extract] [Full Text]

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Sharkey, J., Johnstone, P., Allot, C., Hawkins, V., Moncrieff, J., Thomas, P., Crawford, M., Henderson, C., Johnston, T. (1999). Modernising mental health services. BMJ 318: 806a-806 [Full text]

Rapid Responses:

Read all Rapid Responses

Neurosis in Primary Care: John Canning
bmj.com, 4 Jan 1999 [Full text]
defining the boundaries: Leslie Burton
bmj.com, 4 Jan 1999 [Full text]
A Fresh Start in Community Psychiatric Nursing Service: Peter Gilbert
bmj.com, 4 Jan 1999 [Full text]
Personality disorders: arbitrary and subjective medicalisation of human variation: John Sharkey
bmj.com, 5 Jan 1999 [Full text]
Consultant Psychiatrists - an endangered species: Alison Abraham
bmj.com, 5 Jan 1999 [Full text]
Community Care: the government has "failed": Tim Johnston
bmj.com, 6 Jan 1999 [Full text]
No evidence for modernising mental health services: P Johnstone
bmj.com, 12 Jan 1999 [Full text]
Have psychiatrists failed community care?: D B Double
bmj.com, 15 Jan 1999 [Full text]
Untitled: Victoria Hawkins
bmj.com, 20 Jan 1999 [Full text]
Psychiatrists should oppose community treatment orders: Joanna Moncrieff
bmj.com, 25 Jan 1999 [Full text]
In what sense has community care failed?: D B Double
bmj.com, 27 Jan 1999 [Full text]
Untitled: Janet A Butler
bmj.com, 17 Feb 1999 [Full text]
Re: Neurosis in Primary Care: Max Marshall
bmj.com, 21 Feb 1999 [Full text]