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Service innovations: redesigning a community mental health team

Lanarkshire Primary Care NHS Trust, Airbles Centre, 49 Airbles Road, Motherwell ML12TP, e-mail: polash.shajahn{at}lanarkshire.scot.nhs.uk

Frances Forde, Community Psychiatric Nurse

Airbles Centre

Mary McIntosh, Community Psychiatric Nurse

Airbles Centre

Vicki Moffat

Airbles Centre

Pravin Munogee

Airbles Centre, Motherwell

Declaration of interest

None.

AIMS AND METHOD

We describe the redesign of a community mental health team in Lanarkshire (the focused intervention team for Bellshill). Their remit is to provide focused, time-limited therapeutic intervention for patients with mild-to-moderate mental health problems.

RESULTS

The redesign involved a closer working relationship with the psychiatrist, establishing a concurrent community psychiatric nurse/psychiatric clinic, recategorisation of ‘soon’ and routine referrals to the team, opt-in letters and the introduction of new assessment formats.

CLINICAL IMPLICATIONS

These measures combined to provide a shorter waiting list, increased joint working and management plans for patients. Team functioning and morale improved.