Reference no: EM133747693

Question

Simplify, Adult mental health services have been primarily located within community-based provision across the UK, Western Europe, and elsewhere for many years following a de-institutionalisation process. In England, this dates back to the 1959 Mental Health Act which declared the community as the most appropriate setting to support people with mental ill health, although large scale hospital closures were only evident from the 1980s From this time, community services for people with severe and enduring mental ill health have been largely provided by CMHTs with variation in focus over time reflecting shifts in policy and practice developments about the optimal way of providing support . Two key CMHT features have persisted. First, a responsibility for the delivery of specialised community-based support for specific groups of people. This encompasses assessment and diagnosis, coordination, including within the framework of the Care Programme Approach (CPA), a form of case management introduced to improve care in the community for people with severe mental ill health (), and provision of a range of therapies, advice and support regarding health and wider social issues. Second, multidisciplinary membership, including medical, health, allied health and social care, and social work staff (. Membership has expanded over time with.