@article{ref1,
title="Psychiatric patients at greatest risk and in greatest need. Impact of the Supervision Register Policy",
journal="British journal of psychiatry",
year="2000",
author="Bindman, J. and Beck, A. and Thornicroft, G. and Knapp, M. and Szmukler, G.",
volume="177",
number="",
pages="33-37",
abstract="BACKGROUND: Mental health provider trusts in England were required in 1994 to establish local Supervision Registers of patients at risk. AIMS: To identify the factors associated with registration, and obtain clinicians' views on its effectiveness. METHOD: At a random sample of 14 trusts data were collected from case notes, key workers and responsible medical officers. RESULTS: A sample of 133 registered patients were more disabled and had more extensive histories of violence and self-harm than 126 comparison patients on the upper tier of the Care Programme Approach (CPA). Those registered were a heterogeneous group. For some there was little evidence of risk. In most cases clinicians did not believe registration had improved care. CONCLUSIONS: The Supervision Register policy has not resulted in the identification of a well-defined group. Its effectiveness is limited by the lack of operationalized measures of risk.<p /><p>Language: en</p>",
language="en",
issn="0007-1250",
doi="",
url="http://dx.doi.org/"
}