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Singh, Swaran P. (2010) Author's reply :. British Journal of Psychiatry, Vol.197 (No.5). pp. 415-416. doi:10.1192/bjp.197.5.415a
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Official URL: http://dx.doi.org/10.1192/bjp.197.5.415a
Abstract
Professor Burns rightly reminds us that, unlike specialist teams, community mental health teams (CMHTs) have never had strong advocates and have not been actively researched. His point about the wide variation in CMHT outcomes as comparators in trials illustrates this: lacking a clear role, responsibilities and remit, CMHTs have struggled to delineate what they do well, shed what they do not, and ensure that their staff keep up with the changing evidence base for therapeutic interventions. Specialist teams do not do anything special which is out of CMHT reach. Specialist teams are simply better placed to engage patients and deliver high-quality interventions because of the specialist focus that allows clinicians to develop and hone specialist skills. This is the history of improvements in medicine, where specialisation is both an outcome of academic advance and a vehicle for service improvement. It is in the nature of generic teams to deliver generic care; there is no evidence that pouring extra resources into CMHTs would turn them into specialist equivalents.
| Item Type: | Journal Item | ||||
|---|---|---|---|---|---|
| Subjects: | R Medicine > R Medicine (General) | ||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | British Journal of Psychiatry | ||||
| Publisher: | Royal College of Psychiatrists | ||||
| ISSN: | 0007-1250 | ||||
| Official Date: | November 2010 | ||||
| Dates: |
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| Volume: | Vol.197 | ||||
| Number: | No.5 | ||||
| Page Range: | pp. 415-416 | ||||
| DOI: | 10.1192/bjp.197.5.415a | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
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