Some localities in England are already discharging service users with severe mental illness into primary care. We know that alternative provision needs to be evidence based and clearly thought through or risk unintended consequences.
We worked with a Community Mental Health Team (CMHT) in each of our three localities (Birmingham, Lancashire and Devon) and, from secondary care and primary care notes, observed the care pathways of people with a diagnosis of schizophrenia or bipolar over the previous 24 months. By care pathway, we mean the basic pre-defined structure, process and outcomes of care from routinely recorded data on each of the 100 individual service users in their notes, in each of the three CMHTs. This will describe the outline of care received.
A survey with clinical leads and team managers has been carried out to help us to describe the process of current care for this cohort of in the three geographical study sites. This will help us to better target those who could benefit from collaborative care and assess potential risk and safety issues.
If you are interested in any of the work described here, please contact us