time was comprehensive health planning (CHP), initially a voluntary effort to rationalize the configuration of personal health care facilities, services, and programs, often with a special emphasis on hospitals (Gottlieb, 1974). From the 1960s to the 1980s, the federal government supported formal programs for state- and community-level CHP as a strategy to improve the availability, accessibility, acceptability, cost, coordination, and quality of health care services and facilities (Benjamin and Downs, 1982; Lefkowitz, 1983). At the local level, however, CHP was hampered both by limited control over resource allocation and by its responsibilities to regulate the introduction of new health care facilities and programs (Sofaer, 1988). In addition, local ''ownership" of these activities was weakened by strict federal requirements regarding their organization and operation.
Nevertheless, the governing bodies of local planning agencies brought together multiple constituencies, including health care professionals and other "experts," consumers, and in a few cases, private-sector health care purchasers (Sofaer, 1988). CHP efforts also combined data on a community's health care services, epidemiology, and socioeconomic characteristics to identify high priority health problems. Indeed, some planning theorists explicitly based their approach on a model of the determinants of health (Blum, 1981) that might be considered an early version of the field model.
Concerns about the quality of health care stimulated measurement and monitoring activities. Evidence of widespread variations in medical practice patterns (e.g., Wennberg and Gittelsohn, 1973; Connell et al., 1981; Wennberg, 1984; Chassin et al., 1986), inadequate information about the outcomes of common treatments (e.g., Wennberg et al., 1980; Eddy and Billings, 1988), and evidence of marked variations across providers in the outcomes of treatment (e.g., Bunker et al., 1969; Luft et al., 1979) prompted increased concern about the effectiveness of care (e.g., Brook and Lohr, 1985; Roper et al., 1988) and a recognition of the importance of monitoring health care practices (e.g., IOM, 1990). Continuous quality improvement (CQI) techniques have been adapted from their origins in industry for use in health care settings (e.g., Berwick et al., 1990; IOM, 1990; Batalden and Stoltz, 1993), and clinical practice guidelines are providing criteria for assessing quality of care (e.g., IOM, 1992; AHCPR, 1995). The basic Plan-Do-Check-Act cycle used in CQI is being applied to community health programs (Nolan and Knapp, 1996; Zablocki, 1996). Health departments are also exploring their role in promoting the quality
1568 WordsNov 19th, 20127 Pages
In this assignment am going to identify the services available for people suffering with depression in . I will also identify statutory and non-statutory services available to meet the needs of people experiencing depression; examine the contribution of different professional groups and support staff and their impact on inter-professional working. Identify the relationship between primary, secondary and tertiary service provision and a conclusion. According to en.wikipedia.org/wiki/Statutory a service which is defined as statutory “ is one that legally must be supplied by The authority concerned” ...and
Statutory services available for…show more content…
All referrals are from NECA, and Social Services
• Darlington Mind's aim is: To promote and preserve good mental health and to assist those experiencing mental distress to regain their full potential in life and work
• Housing Authorities & and Providers
• Educational institution
For people suffering with depression, they are different professional people working with them in primary, secondary and tertiary care. Primary health care, It seeks to address an individual and population health problems at an early stage through GPs and Nurses. (PHC) services for depression sufferers involve continuity of care, health promotion and education, integration of prevention with sick care, a concern for population as well as individual health (Hannigan and Coffey, 2003). Some CPNs work in primary care (doing mainly counselling-type work with people with depression and anxiety) or work closely with primary care in a liaison role in Darlington. The primary care Psychological Therapies in Darlington provides comprehensive psychological assessments for people with mild to moderate depression.
When the depression becomes severe to an extent of presenting disenabling anxiety Primary care services make a referral to a Secondary Care Services (Godfrey & Denby, 2004). They may also present a high risk to themselves (such as suicidal thoughts) or thoughts to harm