Singh, Swaran P. (2010) Author's reply :. British Journal of Psychiatry, Vol.197 (No.5). pp. 415-416. ISSN 0007-1250

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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 Medicine > Warwick Medical School > Mental Health and Wellbeing Faculty of Medicine > Warwick Medical School
Journal or Publication Title:	British Journal of Psychiatry
Publisher:	Royal College of Psychiatrists
ISSN:	0007-1250
Date:	November 2010
Volume:	Vol.197
Number:	No.5
Page Range:	pp. 415-416
Identification Number:	10.1192/bjp.197.5.415a
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
URI:	http://wrap.warwick.ac.uk/id/eprint/45482

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