Outcomes of referrals over a six‐month period to a mental health gateway team
Abstract
Mental health policy in recent years has prescribed the role, function and form for services in England. Evidence of their effectiveness post‐policy implementation has been limited to date and minimal guidance has been available on how services should operate together as whole systems. This paper reports findings from a study of referrals and their outcomes in respect of specialist community mental health services following implementation of national policy and its interpretation and configuration at a local level. Findings highlight that gateway workers configured as a team operating between primary and secondary care can effectively shield community mental health teams from high numbers of referrals that they would deem inappropriate. The study also identified the triage role of this service as being crucial to the effectiveness of developing and maintaining care pathways and also in potentially supporting the mental health capability of primary care.
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A gateway team operating between primary and secondary mental health care services could reduce inappropriate referrals.
“Another study found that a gateway team operating between primary and secondary mental health care services could reduce inappropriate referrals [44]”
Cites
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Kvestad, C. A., Holte, I. R., Reitan, S. K., Chiappa, C. S., Helle, G. K., Skjervold, A. E., Rosenlund, A. M. A., Watne, Ø., Brattland, H., Helle, J., et al. (2024) · Trials · doi:10.1186/s13063-024-08028-6 · Cited by 5 · see citing works
“Another study found that a gateway team operating between primary and secondary mental health care services could reduce inappropriate referrals [44].”
Background
- Authors
- RYAN, T., HATFIELD, B., & SHARMA, I.
- Affiliations
- University of Manchester (GB)
- ORCID
- RYAN, T.
- Venue
- Journal of Psychiatric and Mental Health Nursing
- Publisher
- Wiley
- Published
- 2007-08-20
- Volume
- 14
- Issue
- 6
- Pages
- 527-534
- ISSN
- 1351-0126 (ISSN-L)
- 1365-2850
- OpenAlex
- W2043065214
- Cited by
- 10
- References
- 12
- Citations by year
- 2024: 2 · 2018: 2 · 2016: 1
- FWCI
- 1.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychiatric and Mental Health Nursing (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Institute of Mental Health
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › General Health Professions › Health Services Management and Policy
- Keywords
- referral outcomes, primary-secondary care interface, triage, care pathways, mental health policy implementation
- MeSH terms
- Adolescent, Adult, Aged, Mental Disorders, Community Mental Health Services, England, Female, Health Policy, Health Services Research, Humans, Male, Middle Aged, Primary Health Care, Surveys and Questionnaires, Referral and Consultation, Risk Factors, State Medicine, Triage, Program Evaluation, Outcome Assessment, Health Care, Health Care Reform, Critical Pathways, Needs Assessment
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