Background The Care Programme Approach (CPA) and supervision register policies in England are intended to prioritise patients to receive specialist mental health care.
Aims To describe and evaluate the practical application ofthe policies.
Method A questionnaire survey of key informants in mental health provider trusts and an analysis ofaggregated data collected by health authorities using the Mental Illness Needs Index as a measure of population need.
Results On average, 1175 per 100 000 total population are subject to the CPA (95% CI=1055-1309) and 8.6 per 100 000 (95% CI=7.5-9.9) are on supervision registers.
Wide local variations in the number of people subjecttothe CPA and supervision registers are not explained by variations in population need.
Conclusions Prioritisation to receive specialist mental health services is carried out inconsistently, and inequitable use of resources may result.
Declaration of interest The study was funded by a grant from the Department of Health.
Mots-clés Pascal : Programme sanitaire, Politique sanitaire, Environnement social, Angleterre, Grande Bretagne, Royaume Uni, Europe, Santé mentale, Evaluation, Besoin utilisateur, Utilisation, Ressource, Enquête, Homme
Mots-clés Pascal anglais : Sanitary program, Health policy, Social environment, England, Great Britain, United Kingdom, Europe, Mental health, Evaluation, User need, Use, Resource, Survey, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0505350
Code Inist : 002B18H05A. Création : 22/03/2000.