The author’s reflections on the MD Sample Clauses

The author’s reflections on the MD. (Res) research programme. At the beginning of this MD (Res) research programme my opinion was that it was highly problematic that mental health services for people with ID in the UK remained relatively undeveloped and highly variable in configuration and purpose. This situation of great heterogeneity of community services is likely to continue when comparative research into the effectiveness of different service models has been virtually non-existent. As previously stated, UK Government policy has been to encourage the use of generic (or ‘mainstream’) services wherever possible for people with ID and mental health problems (Department of Health, 2000), whilst recognising that specialist services are sometimes necessary. My own view has been (and remains) that specialist mental services for people with ID should have been developed and trialled and evaluated in some of the ways that newer models of service delivery within generic mental health services have been. I was keen at the outset to see if these relatively more recent models of mental health service delivery such as assertive outreach/Assertive Community Treatment, home treatment and crisis resolution teams could be utilized for people with coexisting ID. The research findings in this MD (Res) programme suggested however that there is not widespread support for developing new standalone specialist ID services. Specialist ID clinicians saw the future for specialist ID services in developing new and closer ways of co-working with staff in generic mental health services. This viewpoint seemed borne from recognition that adequate resources would not be likely to be allocated for this service user group in order to develop new service models that would have specialist staff in numbers of xxxxxxxx xxxx to ensure effectiveness. In turn these research findings have influenced my own views as without widespread support new types of standalone specialist services for people with ID and mental health problems are unlikely to be supported, established and sustained. My own view is now that specialist ID services need to focus on developing closer working relationships and practice with generic mental health services including with newer service models such as home treatment and crisis resolution teams. It is important that staff in specialist ID services do not just complain about people with ID being misunderstood or neglected by generic mental health services but instead take an active role in changing and de...
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