Objective: To report how well a particular mental health service was responding to National and State mental health policies by emphasising community-based clinical care for patients.
Method: The method involved analysis and action in response to information obtained from a consecutive sample of 100 people admitted to a psychiatric hospital ward from a geographical catchment area.
Results: It was found that community mental health staff were working without adequate support and were not able to effectively implement early intervention and relapse prevention strategies. Concern about these findings led to organisational change using action research methodology and some of these changes are discussed.
Conclusions: Such methodology was a useful tool to identlfy and achieve organisational change in psychiatric services.
Australian Health Ministers.National mental health policy. Canberra: Australian Government Publishing Service, 1992.
2.
New South Wales Department of Health.Leading the way: a framework for NSW mental health services 1991–2001. Publication no. MHB 92–39. Sydney: New South Wales Department of Health, 1992.
3.
BachrachLLThe legacy of model programs. Hospital and Community Psychiatry1989; 40:234–235.
4.
SolomonP.The efficacy of case management services for severely mentally disabled clients. Community Mental Health Journal1992; 28:163–180.
5.
KavanaghDJSchizophrenia. In: WilsonPH, ed. Principles and practice of relapse prevention. New York: Guilford Press, 1992:157–190.
6.
BirchwoodM.Early intervention in schizophrenia: theoretical background and clinical strategies. British Journal of Clinical Psychology1992; 31:257–278.
7.
AndrewsGTeesonM.Smart vs. dumb treatment: services for mental disorders. Current Opinion in Psychiatry1994; 7:181–185.
8.
SteinLIOn the abolishment of the case manager. Health Affairs1992; 11:172–177.
9.
OlfsonMDAssertive community treatment: an evaluation of the experimental evidence. Hospital and Community Psychiatry1990; 41:634–641.
10.
TeesonMHambridgeJ.Mobile community treatment in inner city and suburban Sydney. Psychiatric Quarterly1992; 63:119–127.
11.
Human Rights and and Equal Opportunity Commission.Human rights and mental illness: report of the national inquiry into the human rights of people with mental illness. Canberra: Australian Government Publishing Service, 1993.
12.
PrideauxG.Action research, organisational change and management development. Australian Health Review1990; 13:3–14.
13.
BrownLHenryCHenryJMcTaggartR.Action research: notes on the national seminar. In: KemmisSMcTaggartR, eds. The action research reader. 3rd ed.Geelong: Deakin University Press, 1988:337–352.
