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The social care component of multidisciplinary mental health teams: a review and national survey

S Evans, P Huxley, C Baker, J White, S Madge, S Onyett, N Gould, Chris Baker, Joanna White Orcid Logo, Peter Huxley, Sherrill Evans

Journal of Health Services Research & Policy, Volume: 17, Issue: Supplement 2, Pages: 23 - 29

Swansea University Authors: Chris Baker, Joanna White Orcid Logo, Peter Huxley, Sherrill Evans

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DOI (Published version): 10.1258/jhsrp.2012.011117

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BackgroundThe study reviewed the disciplinary composition of community mental health teams (CMHTs) and conducted a national survey of mental health providers in England and Wales to explore the determinants of the social care component and of CMHTs. MethodsA comprehensive literature review and a nat...

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Published in: Journal of Health Services Research & Policy
ISSN: 1355-8196
Published: College of Medicine Mental Health Research Team 2012
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URI: https://cronfa.swan.ac.uk/Record/cronfa12934
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fullrecord <?xml version="1.0"?><rfc1807><datestamp>2019-07-01T15:44:40.7415291</datestamp><bib-version>v2</bib-version><id>12934</id><entry>2012-09-28</entry><title>The social care component of multidisciplinary mental health teams: a review and national survey</title><swanseaauthors><author><sid>42b62e94d25ac53a4b423a1d68f57900</sid><ORCID/><firstname>Chris</firstname><surname>Baker</surname><name>Chris Baker</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>0ec0eb979ae9f0e78aa950e332635d90</sid><ORCID>0000-0002-5606-8704</ORCID><firstname>Joanna</firstname><surname>White</surname><name>Joanna White</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>c47356f047ce80c0d816c0fb066eed96</sid><ORCID/><firstname>Peter</firstname><surname>Huxley</surname><name>Peter Huxley</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>22468cbac77228173c59c6b3270b8f8b</sid><ORCID/><firstname>Sherrill</firstname><surname>Evans</surname><name>Sherrill Evans</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2012-09-28</date><deptcode>PMSC</deptcode><abstract>BackgroundThe study reviewed the disciplinary composition of community mental health teams (CMHTs) and conducted a national survey of mental health providers in England and Wales to explore the determinants of the social care component and of CMHTs. MethodsA comprehensive literature review and a national survey of NHS mental health Trusts in England and Wales.ResultsThe literature review showed that team composition was rarely well justified with regard to effectiveness, despite some evidence that greater professional diversity (i.e. inclusion of social workers) was associated with higher effectiveness. Forty-two mental health Trusts responded (53.2%) to the survey. There were no staffing differences between responding and non-responding Trusts. Social workers accounted for 19.3% of the staffing total. Nurses formed a third of the workforce and social support workers made up a further 10%. Social workers bring a different perspective to CMHT work. We found that there continues to be a shortage (compared to policy targets and previous research) of psychiatrists, psychologists and occupational therapists, whereas the numbers of nurses employed far exceeds their target numbers.Total staffing numbers appeared to be slightly higher in Trusts citing &#x2018;financial resources&#x2019; as a determining factor of team composition. Despite being statistically non-significant, the &#x2018;financial resource&#x2019; effect was of medium magnitude. Similarly, there was a non-significant but approaching medium-sized effect of higher numbers of social care support staff when guidance was cited as a rationale for CMHT composition. There was a non-significant (p=0.076) medium magnitude (&#xF068;2p=0.067) trend towards higher staff numbers in more integrated trusts that did not cite financial resources as a driver of team composition.ConclusionsIf service recipients are to gain equal access to appropriately staffed services, further attention needs to be paid to supporting an adequately skilled multidisciplinary workforce. The workforce needs to be organised in a way that best provides for local needs rather than a service based largely on the existing supply of different professionals and disjointed workforce planning.</abstract><type>Journal Article</type><journal>Journal of Health Services Research &amp; Policy</journal><volume>17</volume><journalNumber>Supplement 2</journalNumber><paginationStart>23</paginationStart><paginationEnd>29</paginationEnd><publisher>Mental Health Research Team</publisher><placeOfPublication>College of Medicine</placeOfPublication><issnPrint>1355-8196</issnPrint><keywords>Community Mental Heath Teams, social care, multidisciplinary teams</keywords><publishedDay>1</publishedDay><publishedMonth>4</publishedMonth><publishedYear>2012</publishedYear><publishedDate>2012-04-01</publishedDate><doi>10.1258/jhsrp.2012.011117</doi><url>http://www.ncbi.nlm.nih.gov/pubmed/22572713</url><notes/><college>COLLEGE NANME</college><department>Medicine</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>PMSC</DepartmentCode><institution>Swansea University</institution><apcterm/><lastEdited>2019-07-01T15:44:40.7415291</lastEdited><Created>2012-09-28T15:14:27.3556068</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Medicine</level></path><authors><author><firstname>S</firstname><surname>Evans</surname><order>1</order></author><author><firstname>P</firstname><surname>Huxley</surname><order>2</order></author><author><firstname>C</firstname><surname>Baker</surname><order>3</order></author><author><firstname>J</firstname><surname>White</surname><order>4</order></author><author><firstname>S</firstname><surname>Madge</surname><order>5</order></author><author><firstname>S</firstname><surname>Onyett</surname><order>6</order></author><author><firstname>N</firstname><surname>Gould</surname><order>7</order></author><author><firstname>Chris</firstname><surname>Baker</surname><orcid/><order>8</order></author><author><firstname>Joanna</firstname><surname>White</surname><orcid>0000-0002-5606-8704</orcid><order>9</order></author><author><firstname>Peter</firstname><surname>Huxley</surname><orcid/><order>10</order></author><author><firstname>Sherrill</firstname><surname>Evans</surname><orcid/><order>11</order></author></authors><documents/><OutputDurs/></rfc1807>
spelling 2019-07-01T15:44:40.7415291 v2 12934 2012-09-28 The social care component of multidisciplinary mental health teams: a review and national survey 42b62e94d25ac53a4b423a1d68f57900 Chris Baker Chris Baker true false 0ec0eb979ae9f0e78aa950e332635d90 0000-0002-5606-8704 Joanna White Joanna White true false c47356f047ce80c0d816c0fb066eed96 Peter Huxley Peter Huxley true false 22468cbac77228173c59c6b3270b8f8b Sherrill Evans Sherrill Evans true false 2012-09-28 PMSC BackgroundThe study reviewed the disciplinary composition of community mental health teams (CMHTs) and conducted a national survey of mental health providers in England and Wales to explore the determinants of the social care component and of CMHTs. MethodsA comprehensive literature review and a national survey of NHS mental health Trusts in England and Wales.ResultsThe literature review showed that team composition was rarely well justified with regard to effectiveness, despite some evidence that greater professional diversity (i.e. inclusion of social workers) was associated with higher effectiveness. Forty-two mental health Trusts responded (53.2%) to the survey. There were no staffing differences between responding and non-responding Trusts. Social workers accounted for 19.3% of the staffing total. Nurses formed a third of the workforce and social support workers made up a further 10%. Social workers bring a different perspective to CMHT work. We found that there continues to be a shortage (compared to policy targets and previous research) of psychiatrists, psychologists and occupational therapists, whereas the numbers of nurses employed far exceeds their target numbers.Total staffing numbers appeared to be slightly higher in Trusts citing ‘financial resources’ as a determining factor of team composition. Despite being statistically non-significant, the ‘financial resource’ effect was of medium magnitude. Similarly, there was a non-significant but approaching medium-sized effect of higher numbers of social care support staff when guidance was cited as a rationale for CMHT composition. There was a non-significant (p=0.076) medium magnitude (2p=0.067) trend towards higher staff numbers in more integrated trusts that did not cite financial resources as a driver of team composition.ConclusionsIf service recipients are to gain equal access to appropriately staffed services, further attention needs to be paid to supporting an adequately skilled multidisciplinary workforce. The workforce needs to be organised in a way that best provides for local needs rather than a service based largely on the existing supply of different professionals and disjointed workforce planning. Journal Article Journal of Health Services Research & Policy 17 Supplement 2 23 29 Mental Health Research Team College of Medicine 1355-8196 Community Mental Heath Teams, social care, multidisciplinary teams 1 4 2012 2012-04-01 10.1258/jhsrp.2012.011117 http://www.ncbi.nlm.nih.gov/pubmed/22572713 COLLEGE NANME Medicine COLLEGE CODE PMSC Swansea University 2019-07-01T15:44:40.7415291 2012-09-28T15:14:27.3556068 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine S Evans 1 P Huxley 2 C Baker 3 J White 4 S Madge 5 S Onyett 6 N Gould 7 Chris Baker 8 Joanna White 0000-0002-5606-8704 9 Peter Huxley 10 Sherrill Evans 11
title The social care component of multidisciplinary mental health teams: a review and national survey
spellingShingle The social care component of multidisciplinary mental health teams: a review and national survey
Chris Baker
Joanna White
Peter Huxley
Sherrill Evans
title_short The social care component of multidisciplinary mental health teams: a review and national survey
title_full The social care component of multidisciplinary mental health teams: a review and national survey
title_fullStr The social care component of multidisciplinary mental health teams: a review and national survey
title_full_unstemmed The social care component of multidisciplinary mental health teams: a review and national survey
title_sort The social care component of multidisciplinary mental health teams: a review and national survey
author_id_str_mv 42b62e94d25ac53a4b423a1d68f57900
0ec0eb979ae9f0e78aa950e332635d90
c47356f047ce80c0d816c0fb066eed96
22468cbac77228173c59c6b3270b8f8b
author_id_fullname_str_mv 42b62e94d25ac53a4b423a1d68f57900_***_Chris Baker
0ec0eb979ae9f0e78aa950e332635d90_***_Joanna White
c47356f047ce80c0d816c0fb066eed96_***_Peter Huxley
22468cbac77228173c59c6b3270b8f8b_***_Sherrill Evans
author Chris Baker
Joanna White
Peter Huxley
Sherrill Evans
author2 S Evans
P Huxley
C Baker
J White
S Madge
S Onyett
N Gould
Chris Baker
Joanna White
Peter Huxley
Sherrill Evans
format Journal article
container_title Journal of Health Services Research & Policy
container_volume 17
container_issue Supplement 2
container_start_page 23
publishDate 2012
institution Swansea University
issn 1355-8196
doi_str_mv 10.1258/jhsrp.2012.011117
publisher Mental Health Research Team
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
url http://www.ncbi.nlm.nih.gov/pubmed/22572713
document_store_str 0
active_str 0
description BackgroundThe study reviewed the disciplinary composition of community mental health teams (CMHTs) and conducted a national survey of mental health providers in England and Wales to explore the determinants of the social care component and of CMHTs. MethodsA comprehensive literature review and a national survey of NHS mental health Trusts in England and Wales.ResultsThe literature review showed that team composition was rarely well justified with regard to effectiveness, despite some evidence that greater professional diversity (i.e. inclusion of social workers) was associated with higher effectiveness. Forty-two mental health Trusts responded (53.2%) to the survey. There were no staffing differences between responding and non-responding Trusts. Social workers accounted for 19.3% of the staffing total. Nurses formed a third of the workforce and social support workers made up a further 10%. Social workers bring a different perspective to CMHT work. We found that there continues to be a shortage (compared to policy targets and previous research) of psychiatrists, psychologists and occupational therapists, whereas the numbers of nurses employed far exceeds their target numbers.Total staffing numbers appeared to be slightly higher in Trusts citing ‘financial resources’ as a determining factor of team composition. Despite being statistically non-significant, the ‘financial resource’ effect was of medium magnitude. Similarly, there was a non-significant but approaching medium-sized effect of higher numbers of social care support staff when guidance was cited as a rationale for CMHT composition. There was a non-significant (p=0.076) medium magnitude (2p=0.067) trend towards higher staff numbers in more integrated trusts that did not cite financial resources as a driver of team composition.ConclusionsIf service recipients are to gain equal access to appropriately staffed services, further attention needs to be paid to supporting an adequately skilled multidisciplinary workforce. The workforce needs to be organised in a way that best provides for local needs rather than a service based largely on the existing supply of different professionals and disjointed workforce planning.
published_date 2012-04-01T03:14:50Z
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score 11.012678

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