Mental health plans are not being fully implemented in England
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《英国医生杂志》
Over half of all patients on the care programme approach—the process used by mental health services to document care—still don't have a written care plan or a phone number to call in an emergency, six years after the national service framework for mental health recommended that they should.
These findings come from a survey by the Healthcare Commission of 26 500 users of secondary services in 81 trusts in England. The commission, which monitors the quality of health care, also reports that a quarter of users of mental health services were not involved in drawing up their care plan and that less than two thirds (58%) fully understood what was in their care plan.
More than three quarters of respondents were nevertheless happy with their overall care, and most had confidence in the doctors and other health professionals who treated them.
But almost half (46%) had had an appointment with a psychiatrist cancelled or changed in the past year and a quarter had seen at least two different psychiatrists in that time. Significantly, levels of satisfaction were much higher among those who had greater continuity of care.
Most users were taking drug treatment, but one in five felt they had no say in decisions about that treatment and more than a third had not been warned about side effects.
Although 80% of users of mental health services were unemployed, only half of those who wanted to go back to work were given support. A similar proportion reported getting no help in finding accommodation.
Among other findings from the survey were that:
Only 40% of respondents had access to talking therapies;
53% didn't have a care review in the past year;
A quarter of those sectioned said they did not have their rights explained to them.(Andrew Cole)
These findings come from a survey by the Healthcare Commission of 26 500 users of secondary services in 81 trusts in England. The commission, which monitors the quality of health care, also reports that a quarter of users of mental health services were not involved in drawing up their care plan and that less than two thirds (58%) fully understood what was in their care plan.
More than three quarters of respondents were nevertheless happy with their overall care, and most had confidence in the doctors and other health professionals who treated them.
But almost half (46%) had had an appointment with a psychiatrist cancelled or changed in the past year and a quarter had seen at least two different psychiatrists in that time. Significantly, levels of satisfaction were much higher among those who had greater continuity of care.
Most users were taking drug treatment, but one in five felt they had no say in decisions about that treatment and more than a third had not been warned about side effects.
Although 80% of users of mental health services were unemployed, only half of those who wanted to go back to work were given support. A similar proportion reported getting no help in finding accommodation.
Among other findings from the survey were that:
Only 40% of respondents had access to talking therapies;
53% didn't have a care review in the past year;
A quarter of those sectioned said they did not have their rights explained to them.(Andrew Cole)