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Joint working in community mental health

Prospects and challenges

Bibliographic Data

ID12290293
AuthorsBob Hannigan (0000-0002-2512-6721, University of Wales, corresponding author), Ben Hannigan (Lecturer in Nursing Studies, University of Wales, College of Medicine, Heath Park, Cardiff, UK)
Year1999
Volume7
Issue1
Pages25-31
Publication date1999-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth & Social Care in the Community (JOURNAL)
Journal identifiersISSN: 0966-0410 • E-ISSN: 1365-2524
PublisherWiley (PUBLISHER • GB)
DOI10.1046/j.1365-2524.1999.00160.x
PMID11560619
OpenAlexW2164506196
LanguageEN
Citations received8
References cited15

This paper reviews the opportunities for, and the challenges facing, joint working in the provision of community mental health care. At a strategic level the organization of contemporary mental health services is marked by fragmentation, competing priorities, arbitrary divisions of responsibility, inconsistent policy, unpooled resources and unshared boundaries. At the level of localities and teams, these barriers to effective and efficient joint working reverberate within multi-disciplinary and multi-agency community mental health teams (CMHTs). To meet this challenge, CMHT operational policies need to include multiagency agreement on: professional roles and responsibilities; target client groups; eligibility criteria for access to services; client pathways to and from care; unified systems of case management; documentation and use of information technology; and management and accountability arrangements. At the level of practitioners, community mental health care is provided by professional groups who may have limited mutual understanding of differing values, education, roles and responsibilities. The prospect of overcoming these barriers in multidisciplinary CMHTs is afforded by increased opportunities for interprofessional 'seepage' and a sharing of complementary perspectives, and for joint education and training. This review suggests that policy-driven solutions to the challenges facing integrated community mental health care may be needed and concludes with an overview of the prospects for change contained in the previous UK government's Green Paper, 'Developing Partnerships in Mental Health

Accountability · Agency (philosophy · Business · Documentation · Government (linguistics · Mental health · Multidisciplinary approach · Political science · Professional association · Psychiatry · Public relations · Sociology · Interprofessional Education and Collaboration · Medicine · Mental Health and Patient Involvement · Nursing · Psychiatric care and mental health services

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  • The Pursuit of Integration in the Assessment of Older People with Health and Social Care Needs

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Unique citing works8
Citations per year0,35
Citation span2003 - 2018 (16)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 8

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