Bindman, Jonathan, Beck, Andrew, Thornicroft, Graham, Knapp, Martin and Szmukler, George (2000) Psychiatric patients at greatest risk and in greatest need: impact of the supervision register policy. British Journal of Psychiatry, 177 (1). pp. 33-37. ISSN 0007-1250
Abstract
Background: Mental health provider trusts in England were required in 1994 to establish local Supervision Registers of patients at risk. Aims: To identify the factors associated with registration, and obtain clinicians' views on its effectiveness. Method: At a random sample of 14 trusts data were collected from case notes, keyworkers and responsible medical officers. Results: A sample of 133 registered patients were more disabled and had more extensive histories of violence and self-harm than 126 comparison patients on the upper tier of the Care Programme Approach (CPA). Those registered were a heterogeneous group. For some there was little evidence of risk. In most cases clinicians did not believe registration had improved care. Conclusions: The Supervision Register policy has not resulted in the identification of a well-defined group. Its effectiveness is limited by the lack of operationalised measures of risk.
| Item Type: | Article |
|---|---|
| Official URL: | http://bjp.rcpsych.org |
| Additional Information: | © 2000 Royal College of Psychiatrists |
| Library of Congress subject classification: | H Social Sciences > HV Social pathology. Social and public welfare. Criminology R Medicine > RA Public aspects of medicine |
| Sets: | Departments > Social Policy Research centres and groups > Personal Social Services Research Unit (PSSRU) Research centres and groups > LSE Health Research centres and groups > NIHR School for Social Care Research |
| Date Deposited: | 05 Sep 2008 10:52 |
| URL: | http://eprints.lse.ac.uk/19201/ |
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