The objective of this study was to examine the development and activity of a Community Mental Health Team, originally targeted to meet the needs of African Caribbean, Asian and homeless populations in an inner city area.
The study was based on all (n=1046) client referrals to the Bristol Inner City Community Mental Health Team between 1987 and 1994.
Additional qualitative interviews were held with general practitioners (GPs) from each of the nine practices in the area.
The setting was the inner city area of Bristol, an area with a population of around 35,000 27% of whom are from ethnic minority communities.
This is an area shown in previous research to have a high level of mental health problems.
Trends in referral rates, demographic characteristics and seriousness of psychiatric illness amongst those referred to the Inner City Mental Health Team were the main outcome measures used.
In the years studied there were significant increases in the number and proportion of overall referrals from GPs and psychiatrists and decreases in referrals from other agencies.
In particular, there were reductions in the referral both of clients from the originally identified target groups and of patients with serious mental illness.
GPs tended to refer a greater proportion of patients with less serious mental illness. (...)
Mots-clés Pascal : Personnel sanitaire, Santé mentale, Service santé, Travail social, Soin santé primaire, Minorité, Organisation santé, Royaume Uni, Europe, Homme
Mots-clés Pascal anglais : Health staff, Mental health, Health service, Social work, Primary health care, Minority, Public health organization, United Kingdom, Europe, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0152163
Code Inist : 002B18H05B. Création : 21/07/1998.