Mental health in community care

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Summary of report content

Dorset Clinical Commissioning Group (CCG) launched the Mental Health Integrated Community Care Project in August 2020 to capture the views of local people about the development of community mental health services. To complement Dorset CCG findings, Healthwatch Dorset visited local homeless support groups and drug and alcohol services to gather feedback from people who don’t always have a strong voice. They spoke to a total of 27 people, age 16 years and over in August and September 2020.

People said that there were long waiting times to access mental health services in the community. People who are using drugs and/or alcohol are unable to access mental health services in the community. All too often they were routinely prescribed medication instead of therapy. People were concerned about the lack of continuity of Community Psychiatric Nurses (CPN’s). They also felt they were not listened to and felt patronised. People are discharged if they miss an appointment. They didn’t have regular reviews of medication.

There were 6 recommendations about the need for mental health services to be better integrated with drug and alcohol services, how better to deal with missed appointments, improved access to mental health services in the community, training for staff and access to therapy.

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General details

Report title 
Mental health in community care
Local Healthwatch 
Healthwatch Dorset
Date of publication 
Wednesday, 28 April, 2021
Date evidence capture began 
Saturday, 1 August, 2020
Date evidence capture finished 
Wednesday, 30 September, 2020
Key themes 
Access
Integration of services
Medication
Service delivery organisation and staffing
Staff attitudes
Waiting times and lists for treatment

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
CCG
Primary research method used 
Engagement event
If an Enter and View methodology was applied, was the visit announced or unannounced? 
N/A

Details of health and care services included in the report

Mental health services 
Community mental health team (CMHT)

Details about conditions and diseases

Types of disabilities 
Mental health
Types of long term conditions 
Mental health condition
What type of pregnancy or maternity themes are included in the report 
N/A

Details of people who shared their views

Number of people who shared their views 
27
Age group 
16-17 years
All people 18 and over
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Other population characteristics 
Homeless people
People who misuse drugs
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
No
Does the information include staff's views? 
No
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
No
Is there evidence of impact in the report? 
Yes
Is there evidence of impact external to the report? 
Not known
What type of impact was determined? 
Implied Impact

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.