Review: Mental Health Ten Years On: Progress on Mental Health Care Reform

The featured brief article by the Department of Health is entitled ‘Mental Health Ten Years On: Progress On Mental Health Care Reform’ and freely available here. The report is by Professor Louis Appleby, National Director for Mental Health who after discussing the Mental Health National Service Framework (reviewed here) identifies a number of developments including increases in staff and the lowest suicide rate since 1861. The progressive increase in the number of people served by specialised teams such as crisis teams is then discussed. A chart shows the increase in atypical antipsychotic prescriptions together with a decrease in non-atypical antipsychotics and implications of these changes are complex. There is also positive feedback about services from patients. The report then finishes with a statement of priorities for the next few years including social inclusion, psychological therapies, services for ethnic minorities and the mental health bill. This short report provides descriptive data on a number of positive changes that have occurred since the introduction of the Mental Health National Service Framework. This data is a useful starting point for further explorations of the possible relationship between investment, policy changes and the clinical changes identified here.

STT 3 (Further elucidation of relationships (e.g. investment v clinical outcomes, testing of suggested relationships, use of associations to inform future interventions)

Steps To Treatment (STT)

STT = Steps To Treatment. An estimate of the number of steps between the results and translation into practice i.e. treatment. This is an opinion.


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The comments made here represent the opinions of the author and do not represent the profession or any body/organisation. The comments made here are not meant as a source of medical advice and those seeking medical advice are advised to consult with their own doctor. The author is not responsible for the contents of any external sites that are linked to in this blog.


    • Dear Finiaviaidine,

      Many thanks. What in particular did you find appealing in this post?




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