Chronic mental illness and community treatment resistance.
Alex Holmes, Mark Hodge, Simon Lenten, John Fielding, David Castle, Dennis Velakoulis, Gail Bradley
Australas Psychiatry | Published : 2006
OBJECTIVES: The movement from institutional to community care has been a key component of national mental health reform in Australia. In Victoria, where a model of community care has been fully implemented, a specialized forensic hospital is the sole remaining stand-alone psychiatric inpatient facility and access to long-term inpatient beds is severely limited. Clinical experience suggests that some high-needs patients are not well serviced by this structure. These patients are placing an increasing burden on a wide range of community services outside mental health. This paper aims to define more clearly this patient group, explore the limitations of their management and outline potential pa..View full abstract