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Towards integrated community mental health teams for older people in England
 — progress and new insights
Author(s)Mark Wilberforce, Val Harrington, Christian Brand
Journal titleInternational Journal of Geriatric Psychiatry, vol 26, no 3, March 2011
Pagespp 221-228
Sourcehttp://www.interscience.wiley.com/journal/gps
KeywordsMental health [elderly] ; Services ; Coordination ; England.
AnnotationThe study aimed to investigate progress in joint working within community mental health teams for older people (CMHTsOP) against a range of national standards, and to consider team characteristics that may hinder or facilitate integrated practice. A postal questionnaire was sent to the managers of all CMHTsOP in England. A total of 376 teams responded representing a response rate of nearly 88%. Hypothesis testing and regression analysis, using a composite score based on nine indicators of integration, were conducted to address the study's aims. The study found that progress was being made against a number of key standards of joint working, however most teams could not access local authority service user records, nor were health staff within most teams able to commission social care services. After controlling for other characteristics, teams with the lowest levels of integration tended to work across multiple local authorities, were managed by a nurse, had high referral rates and were located in formally integrated Care Trusts. The paper highlights team and locality features that appear to cause obstacles to joint working. The authors suggest that there is a clear gap in the evidence relating team structures and characteristics to the quality of patient care. (JL).
Accession NumberCPA-110815006 A
ClassmarkD: I: QAJ: 82

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