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A cultural consultation service in East London: Experiences and outcomes from implementation of an innovative service

Kamaldeep S. Bhui, John A. Owiti, Andrea Palinski, Micol Ascoli, Bertine De Jongh, Jane Archer, Pat Staples, Ali Ajaz, Nilufar Ahmed Orcid Logo

International Review of Psychiatry, Volume: 27, Issue: 1, Pages: 11 - 22

Swansea University Author: Nilufar Ahmed Orcid Logo

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DOI (Published version): 10.3109/09540261.2014.992303

Abstract

his paper reports on a feasibility study and evaluation of a new type of cultural consultation service (CCS). This multi-component and systemic complex intervention was offered over 18 months to specialist mental health providers in one of the poorest regions of the UK. The service received 900 clin...

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Published in: International Review of Psychiatry
Published: 2015
URI: https://cronfa.swan.ac.uk/Record/cronfa24920
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first_indexed 2015-11-28T01:57:59Z
last_indexed 2020-09-29T02:38:38Z
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spelling v2 24920 2015-11-27 A cultural consultation service in East London: Experiences and outcomes from implementation of an innovative service d8d2587d94adcdf31706b9efe04db909 0000-0003-4274-801X Nilufar Ahmed Nilufar Ahmed true false 2015-11-27 HPP his paper reports on a feasibility study and evaluation of a new type of cultural consultation service (CCS). This multi-component and systemic complex intervention was offered over 18 months to specialist mental health providers in one of the poorest regions of the UK. The service received 900 clinically related contacts and 99 in-depth consultations. Service users who were referred to the CCS had high levels of clinical needs with an average score of 15.9 on the Health of the Nation Outcomes Scale. Overall, Global Assessment of Function scores improved and there were trends for improvements in symptoms. The level of routine care (and by implication associated costs) significantly reduced after CCS intervention, due to a reduction in use of accident and emergency (A&E) services, psychiatrists and community psychiatric nurses (CPNs)/case managers. Cost analysis indicates that savings amounted to £497 per patient. The cost of intervention was no greater than usual care, and may reduce spend per patient over a 3-month follow-up and perhaps longer. More specifically, clinicians felt the cultural consultation service helped to improve the treatment plan (71%), engagement (50%), medication compliance (21%) and earlier discharge (7%) Journal Article International Review of Psychiatry 27 1 11 22 31 12 2015 2015-12-31 10.3109/09540261.2014.992303 COLLEGE NANME Public Health, Policy and Social Sciences COLLEGE CODE HPP Swansea University 2023-06-28T14:38:58.9551381 2015-11-27T16:24:50.4492752 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Social Work Kamaldeep S. Bhui 1 John A. Owiti 2 Andrea Palinski 3 Micol Ascoli 4 Bertine De Jongh 5 Jane Archer 6 Pat Staples 7 Ali Ajaz 8 Nilufar Ahmed 0000-0003-4274-801X 9
title A cultural consultation service in East London: Experiences and outcomes from implementation of an innovative service
spellingShingle A cultural consultation service in East London: Experiences and outcomes from implementation of an innovative service
Nilufar Ahmed
title_short A cultural consultation service in East London: Experiences and outcomes from implementation of an innovative service
title_full A cultural consultation service in East London: Experiences and outcomes from implementation of an innovative service
title_fullStr A cultural consultation service in East London: Experiences and outcomes from implementation of an innovative service
title_full_unstemmed A cultural consultation service in East London: Experiences and outcomes from implementation of an innovative service
title_sort A cultural consultation service in East London: Experiences and outcomes from implementation of an innovative service
author_id_str_mv d8d2587d94adcdf31706b9efe04db909
author_id_fullname_str_mv d8d2587d94adcdf31706b9efe04db909_***_Nilufar Ahmed
author Nilufar Ahmed
author2 Kamaldeep S. Bhui
John A. Owiti
Andrea Palinski
Micol Ascoli
Bertine De Jongh
Jane Archer
Pat Staples
Ali Ajaz
Nilufar Ahmed
format Journal article
container_title International Review of Psychiatry
container_volume 27
container_issue 1
container_start_page 11
publishDate 2015
institution Swansea University
doi_str_mv 10.3109/09540261.2014.992303
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Social Work{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Social Work
document_store_str 0
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description his paper reports on a feasibility study and evaluation of a new type of cultural consultation service (CCS). This multi-component and systemic complex intervention was offered over 18 months to specialist mental health providers in one of the poorest regions of the UK. The service received 900 clinically related contacts and 99 in-depth consultations. Service users who were referred to the CCS had high levels of clinical needs with an average score of 15.9 on the Health of the Nation Outcomes Scale. Overall, Global Assessment of Function scores improved and there were trends for improvements in symptoms. The level of routine care (and by implication associated costs) significantly reduced after CCS intervention, due to a reduction in use of accident and emergency (A&E) services, psychiatrists and community psychiatric nurses (CPNs)/case managers. Cost analysis indicates that savings amounted to £497 per patient. The cost of intervention was no greater than usual care, and may reduce spend per patient over a 3-month follow-up and perhaps longer. More specifically, clinicians felt the cultural consultation service helped to improve the treatment plan (71%), engagement (50%), medication compliance (21%) and earlier discharge (7%)
published_date 2015-12-31T14:38:55Z
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score 11.037603

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