[PDF] Service models in adult psychiatry

Royal College of Psychiatrists - RCPsych
Royal College of Psychiatrists
Publication date:
01 May 2014


Over the past 50 years, mental health services in Britain have seen, a shift from Victorian institutional care  to community-based  services, increasingly offered close to or even in the patient’s home and an emphasis on partnership working.    The purpose of this report is to:

  • provide an overview of how some aspects of functionalisation developed
  • comment on emergent problems with and advantages of functionalisation
  • suggest a principles-centred, rather than model-centred, approach to service development
  • outline actions for the Royal College of Psychiatrists to pursue
  • help commissioners and service providers, in outine, to determine whether or not to pursue a particular service development