Table Of Content

eso e ae Seed! eae We 2 v> ®se s Priaeed , a CeGo reeea e Mer ee Laai a >; ep es ¥ fs Araks a aa s me kee a \3y ' ae ‘ > ~ 5 “a a rae, * Bes tee » ‘es chine ww 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