The trouble with NHS psychiatry in England

McQueen, Daniel and St John Smith, Paul and Michael, Albert and Ikkos, George (2009) The trouble with NHS psychiatry in England. Psychiatric Bulletin, 33 (6). pp. 219-225. ISSN 0955-6036 Full text available

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Abstract/Book Review

In ‘Wake-up call for British psychiatry’ Craddock et al explained how recent attempts to improve psychosocial care for people with mental illness focus on non-specific psychosocial support. This has been at the expense of proper diagnostic assessment and prescription of treatment by psychiatrists aimed at treatment of specific disorders and recovery. They describe a creeping devaluation of psychiatry which is caricatured as narrow, biological, reductionist, oppressive, discriminatory and stigmatising. Some trusts have implemented ‘New Ways of Working for Psychiatrists’ in a way that undermines the central importance of psychiatrists in mental healthcare. Consequently, patients may be treated in secondary care without ever being seen by a psychiatrist. We consider a number of different changes that have interacted in unforeseen ways, with unintended adverse consequences for psychiatric services in England. We aim to continue the debate here.

Item Type: Article
Subjects: Groups & Organisations > Groups/Institutions/Organisations
Health and Medical Sciences > National Health Service
Psychological Therapies, Psychiatry, Counselling > Psychiatry
Department/People: Children, Young Adult and Family Services
Depositing User: Ms Linda Dolben
Date Deposited: 02 Oct 2018 10:46
Last Modified: 02 Oct 2018 10:46
URI: http://repository.tavistockandportman.ac.uk/id/eprint/1831

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