The 13 steps to community care

BMJ 1996; 312 doi: https://doi.org/10.1136/bmj.312.7035.913a (Published 06 April 1996) Cite this as: BMJ 1996;312:913
  1. Doris Hollander,
  2. Robin B Powell
  1. Consultant psychiatrist Camden and Islington Community Trust, Whittington Hospital, London N19 5NF
  2. Consultant psychiatrist North West London Mental Health Trust, London NW10 0JQ

    EDITOR,—Social services departments and community projects have erected bureaucratic procedures that impede the process of discharging mentally ill people from hospital. For example, in one district the following steps must be fulfilled (this process is typical of the problem throughout London).

    1. Refer patient for community living assessment (4 pages).

    2. Allocate worker to complete community living assessment.

    3. Complete community living assessment form (50 pages).

    4. Prepare summary …

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