A Community Mental Health Service Delivery Model: Integrating the Evidence Base Within Existing Clinical Models

Abstract

Objectives: A model of care for community mental health services was developed by reviewing the available literature, surveying ‘best practice’ and evaluating the performance of existing services in a metropolitan area mental health service servicing a population of approximately 1.1 million people. Methods: A review of relevant academic literature and recognized ‘good practice’ service delivery models was undertaken in conjunction with a review of local activity data and consultation with key stakeholders (not addressed in this paper). A model was developed identifying the core functions of community mental health service delivery. Results: The components of a comprehensive, integrated model of community mental health service (CMHS) are outlined. The essential components of a comprehensive, integrated model of CMHSs include: acute and emergency response, community continuing care services, assertive rehabilitation teams, partnerships with general practitioners and other human services agencies. Conclusions: We propose a comprehensive integrated model of community mental health service. Clarity of role, required outputs and expected outcomes will assist the development of effective and appropriate community mental health services. Outreach to the community is a key success factor for these services and their associated inpatient services. Gap analysis can assist in the planning and costing of community mental health services.