Advancing community mental health services in Ireland guidance papers

摘要

Service users’ needs will vary depending on whether they are in an acute, stabilisation, or recovery phase of their mentaludhealth presentation. To respond to these changing needs, and as highlighted in A Vision for Change, all stakeholders needudto clearly understand both the function of the stand-alone elements of acute community-based secondary mental healthudcare and how these interface with each other to provide a seamless continuum of care.udChapter one of this resource document highlights the need for the culture of service planning and delivery to beudunderpinned by a variety of key principles including recovery; meaningful service user and carer involvement at all levels,udcommunity partnership and development, social inclusion and inter-disciplinary working.udChapter two describes how Community Mental Health Teams (CMHTs) is the basic unit of service delivery and howudthis, and other elements of the continuum of care, need to work together to ensure that service users’ needs are met inudaccordance with their phase of recovery.udChapter three sets out the pivotal role of the service user and carer in the planning and development of services andudsome of the challenges that must be addressed in seeking to establish this role.udThe respective chapters on assertive outreach and crisis resolution / homecare teams address two elements of serviceudoften confused and interchanged and seeks to clarify the distinction between them, and to indicate the role of both inudthe provision of comprehensive acute secondary community-based mental health care. This distinction is often furtherudcomplicated by reference to the term ‘home-based treatment’, that we interpret as pertaining to the intervention of theudmental health service that takes place in the home of the service user.udChapter six outlines what a day hospital is and references outpatient clinics as a component of community-based service.udChapter seven delineates the parameters of a crisis house and considers the related matter of respite care. Chapter eightudaddresses how the purpose and function of the day centre might be reframed on a larger, more socially inclusive andudrecovery-oriented canvas.