Community mental health team case-loads and diagnostic case-mix
Aims and method: Information concerning team staffing, keyworker case-loads, and keyworker diagnostic case-mix was collected from six community mental health teams caring for 1651 patients to establish the clinical burden across teams and professions. Results: Team case-loads varied from 427 to 121,...
| Main Authors: | , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
2000
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| _version_ | 1797098137176768512 |
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| author | Greenwood, N Chisholm, B Burns, T Harvey, K |
| author_facet | Greenwood, N Chisholm, B Burns, T Harvey, K |
| author_sort | Greenwood, N |
| collection | OXFORD |
| description | Aims and method: Information concerning team staffing, keyworker case-loads, and keyworker diagnostic case-mix was collected from six community mental health teams caring for 1651 patients to establish the clinical burden across teams and professions. Results: Team case-loads varied from 427 to 121, an average of 275 patients. Over half the patients were female, and psychotic disorder constituted 44% of the sample. The most common diagnoses were schizophrenia (28.6%) and depression (23.6%). Keyworker case-loads varied across both teams and professions, averaging 30 patients per full-time equivalent. Psychiatrists' case-loads were the largest. Diagnostic case-mix varied with profession. Community psychiatric nurses had the largest proportion of patients with psychosis (73.8%). Clinical implications: Multi-disciplinary community mental health teams have a shared view of appropriate work distribution. Consultant psychiatrists may underestimate the resources required by patients with non-psychotic disorders even in inner city areas. |
| first_indexed | 2024-03-07T05:05:21Z |
| format | Journal article |
| id | oxford-uuid:d9bbd52c-ffdb-469f-9605-a4cc4e206db9 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T05:05:21Z |
| publishDate | 2000 |
| record_format | dspace |
| spelling | oxford-uuid:d9bbd52c-ffdb-469f-9605-a4cc4e206db92022-03-27T08:58:01ZCommunity mental health team case-loads and diagnostic case-mixJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d9bbd52c-ffdb-469f-9605-a4cc4e206db9EnglishSymplectic Elements at Oxford2000Greenwood, NChisholm, BBurns, THarvey, KAims and method: Information concerning team staffing, keyworker case-loads, and keyworker diagnostic case-mix was collected from six community mental health teams caring for 1651 patients to establish the clinical burden across teams and professions. Results: Team case-loads varied from 427 to 121, an average of 275 patients. Over half the patients were female, and psychotic disorder constituted 44% of the sample. The most common diagnoses were schizophrenia (28.6%) and depression (23.6%). Keyworker case-loads varied across both teams and professions, averaging 30 patients per full-time equivalent. Psychiatrists' case-loads were the largest. Diagnostic case-mix varied with profession. Community psychiatric nurses had the largest proportion of patients with psychosis (73.8%). Clinical implications: Multi-disciplinary community mental health teams have a shared view of appropriate work distribution. Consultant psychiatrists may underestimate the resources required by patients with non-psychotic disorders even in inner city areas. |
| spellingShingle | Greenwood, N Chisholm, B Burns, T Harvey, K Community mental health team case-loads and diagnostic case-mix |
| title | Community mental health team case-loads and diagnostic case-mix |
| title_full | Community mental health team case-loads and diagnostic case-mix |
| title_fullStr | Community mental health team case-loads and diagnostic case-mix |
| title_full_unstemmed | Community mental health team case-loads and diagnostic case-mix |
| title_short | Community mental health team case-loads and diagnostic case-mix |
| title_sort | community mental health team case loads and diagnostic case mix |
| work_keys_str_mv | AT greenwoodn communitymentalhealthteamcaseloadsanddiagnosticcasemix AT chisholmb communitymentalhealthteamcaseloadsanddiagnosticcasemix AT burnst communitymentalhealthteamcaseloadsanddiagnosticcasemix AT harveyk communitymentalhealthteamcaseloadsanddiagnosticcasemix |