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Psychiatric patients at greatest risk and in greatest need: impact of the supervision register policy

Bindman, Jonathan, Beck, Andrew, Thornicroft, Graham, Knapp, Martin ORCID: 0000-0003-1427-0215 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

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Identification Number: 10.1192/bjp.177.1.33


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
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Additional Information: © 2000 Royal College of Psychiatrists
Divisions: Social Policy
Personal Social Services Research Unit
LSE Health
Subjects: 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
Last Modified: 20 Mar 2021 02:36

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