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Schizophrenia: Shifting the balance of care

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Abstract

Schizophrenia poses a major challenge to policy makers in health and social care in England. As deinstitutionalisation has progressed, public concern about people with the condition has increased owing to a small number of public incidents. This paper describes the overall balance of care or support for people with schizophrenia, particularly between different settings and the services received. Using these data we are able to provide a basic estimate of the current resource implications of schizophrenia care in England with respect to different public sector agencies, the voluntary sector and service users and their families. The targeting of public sector resources between different care settings is also considered. The discussion suggests that resources are still targeted at existing care facilities rather than on individuals, and examines the roles of individual care agencies and the relationships between them. Four broad resource guidelines are suggested that could improve the effective use of resources for schizophrenia care.

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Authors and Affiliations

  1. Personal Social Services Research Unit (PSSRU), University of Kent at Canterbury, CT2 7NF, Canterbury, UK

    S. Kavanagh

  2. Centre for Health Services Studies, University of Kent at Canterbury, UK

    L. Opit

  3. PSSRU, University of Kent at Canterbury, Canterbury, UK

    M. Knapp & J. Beecham

  4. Institute of Psychiatry, Centre for the Economics of Mental Health (CEMH), London, UK

    M. Knapp & J. Beecham

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  1. S. Kavanagh
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  2. L. Opit
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  4. J. Beecham
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Kavanagh, S., Opit, L., Knapp, M. et al. Schizophrenia: Shifting the balance of care. Soc Psychiatry Psychiatr Epidemiol 30, 206–212 (1995). https://doi.org/10.1007/BF00789055

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