Supporting people in mental health crisis in 21st-century Britain

Recent years have seen a surge in interest in mental healthcare and some reduction in stigma. Partly as a result of this, alongside a growing population and higher levels of societal distress, many more people are presenting with mental health needs, often in crisis. Systems that date back to the be...

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Bibliographic Details
Published in:BJPsych Bulletin 2020-12, Vol.44 (6), p.231-232
Main Authors: Molodynski, Andrew, Puntis, Stephen, Mcallister, Em, Wheeler, Hannah, Cooper, Keith
Format: Article
Language:English
Subjects:
21st century
Community mental health services
Crisis intervention
Departments
Emergency services
Health needs
Health services
Hospitals
Inappropriateness
Law enforcement
Mental disorders
Mental health care
Patient satisfaction
Peer tutoring
Psychological distress
Stigma
Systematic review
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Summary:Recent years have seen a surge in interest in mental healthcare and some reduction in stigma. Partly as a result of this, alongside a growing population and higher levels of societal distress, many more people are presenting with mental health needs, often in crisis. Systems that date back to the beginning of the National Health Service still form the basis for much care, and the current system is complex, hard to navigate and often fails people. Law enforcement services are increasingly being drawn into providing mental healthcare in the community, which most believe is inappropriate. We propose that it is now time for a fundamental root and branch review of mental health emergency care, taking into account the views of patients and the international evidence base, to ‘reset’ the balance and commission services that are humane and responsive – services that are fit for the 21st century.
ISSN:2056-4694
2056-4708
2053-4868
DOI:10.1192/bjb.2019.93