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Focus group
Focus group
Focus group

Background

It is clear that the quantity and quality of research evidence in mental health has improved, but that some areas of practice have large evidence gaps. This is particularly apparent for inpatient care where mental health budgets are most highly invested. Most policy and practice take place largely in an evidential vacuum despite the wide consensus that such care is required for the effective management of some emergencies.

 

Researcher Caroline Laker discusses nursing research and the benefits of the PERCEIVE project for psychiatric services.

 

The transfer of care from hospital to the community has had clear effects on inpatient care, including increases in the levels of severity of symptoms and behavioural problems, increased numbers of detained patients and difficulty in staff recruitment and retention, leading to a service that can sometimes appear more custodial than therapeutic. Inpatient mental health care has been specifically targeted because these problems have been identified not only in surveys and policy documents but also in reports from service users. Additionally, these reports have highlighted solutions to such issues including increasing therapeutic activities, supporting staff skill development and increasing access to psychological support on wards.

Aims

To evaluate innovative hospital-based mental health care interventions:

  1. Develop measures of staff and patient satisfaction
  2. Measure key indicators of costs in inpatient services
  3. Assess two admissions models: ‘triage’ and ‘mainstream’
  4. Integrate a menu of ward-led therapies and assess them by randomised control trial
Prof. Til Wykes

“It is exciting to be leading a project using psychological therapies which have an ever growing evidence base and are requested by the service users themselves.”

Til Wykes, Chief Investigator