TY  - JOUR
PY  - 2000//
TI  - Psychiatric patients at greatest risk and in greatest need. Impact of the Supervision Register Policy
JO  - British journal of psychiatry
A1  - Bindman, J.
A1  - Beck, A.
A1  - Thornicroft, G.
A1  - Knapp, M.
A1  - Szmukler, G.
SP  - 33
EP  - 37
VL  - 177
IS  - 
N2  - 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>
LA  - en
SN  - 0007-1250
UR  - http://dx.doi.org/
ID  - ref1
ER  -