Integrated mental health services in England: a policy paradox
<b>Purpose:</b> The purpose of this paper is to examine the effects of health care policy on the development of integrated mental health services in England.<br><br> <b>Data sources:</b> Drawing largely from a narrative review of the literature on adult mental hea...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Ubiquity Press
2005-10-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | http://www.ijic.org/index.php/ijic/article/view/140 |
| _version_ | 1818035431659274240 |
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| author | Elizabeth England Helen Lester |
| author_facet | Elizabeth England Helen Lester |
| author_sort | Elizabeth England |
| collection | DOAJ |
| description | <b>Purpose:</b> The purpose of this paper is to examine the effects of health care policy on the development of integrated mental health services in England.<br><br> <b>Data sources:</b> Drawing largely from a narrative review of the literature on adult mental health services published between January 1997 and February 2003 undertaken by the authors, we discuss three case studies of integrated care within primary care, secondary care and across the primary/secondary interface for people with serious mental illness.<br><br> <b>Conclusion:</b> We suggest that while the central thrust of a raft of recent Government policies in England has been towards integration of different parts of the health care system, policy waterfalls and implementation failures, the adoption of ideas before they have been thoroughly tried and tested, a lack of clarity over roles and responsibilities and poor communication have led to an integration rhetoric/reality gap in practice. This has particular implications for people with serious mental health problems.<br><br> <b>Discussion:</b> We conclude with suggestions for strategies that may facilitate more integrated working. |
| first_indexed | 2024-12-10T06:54:57Z |
| format | Article |
| id | doaj.art-2bfbb409ce884e07a1f94dbe069dfc52 |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-12-10T06:54:57Z |
| publishDate | 2005-10-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-2bfbb409ce884e07a1f94dbe069dfc522022-12-22T01:58:28ZengUbiquity PressInternational Journal of Integrated Care1568-41562005-10-0154140Integrated mental health services in England: a policy paradoxElizabeth EnglandHelen Lester<b>Purpose:</b> The purpose of this paper is to examine the effects of health care policy on the development of integrated mental health services in England.<br><br> <b>Data sources:</b> Drawing largely from a narrative review of the literature on adult mental health services published between January 1997 and February 2003 undertaken by the authors, we discuss three case studies of integrated care within primary care, secondary care and across the primary/secondary interface for people with serious mental illness.<br><br> <b>Conclusion:</b> We suggest that while the central thrust of a raft of recent Government policies in England has been towards integration of different parts of the health care system, policy waterfalls and implementation failures, the adoption of ideas before they have been thoroughly tried and tested, a lack of clarity over roles and responsibilities and poor communication have led to an integration rhetoric/reality gap in practice. This has particular implications for people with serious mental health problems.<br><br> <b>Discussion:</b> We conclude with suggestions for strategies that may facilitate more integrated working.http://www.ijic.org/index.php/ijic/article/view/140mental healthintegrationhealth policy |
| spellingShingle | Elizabeth England Helen Lester Integrated mental health services in England: a policy paradox International Journal of Integrated Care mental health integration health policy |
| title | Integrated mental health services in England: a policy paradox |
| title_full | Integrated mental health services in England: a policy paradox |
| title_fullStr | Integrated mental health services in England: a policy paradox |
| title_full_unstemmed | Integrated mental health services in England: a policy paradox |
| title_short | Integrated mental health services in England: a policy paradox |
| title_sort | integrated mental health services in england a policy paradox |
| topic | mental health integration health policy |
| url | http://www.ijic.org/index.php/ijic/article/view/140 |
| work_keys_str_mv | AT elizabethengland integratedmentalhealthservicesinenglandapolicyparadox AT helenlester integratedmentalhealthservicesinenglandapolicyparadox |