De Ponte P, Hughes G
London Health Observatory and London Development Health Centre for Mental Health, London, UK.
Eur Psychiatry. 2005 Oct;20 Suppl 2:S274-8. doi: 10.1016/s0924-9338(05)80173-7.
To describe principles and characteristics of mental health care in London.
Based on existing data, service provision, number of professionals working in services, funding arrangements, pathways into care, user/carer involvement and specific issues are reported.
London experiences high levels of need and use of mental health services compared to England as a whole. Inpatient and compulsory admissions are considerably higher than the national average. Despite having more psychiatric beds and mental health staff, London has higher bed occupancy rates and staffing shortages. At the same time there is a trend away from institutionalised care to care in the community.
Mental health services in the UK are undergoing considerable reform. These changes will not remove the greater need for mental health services in the capital, but national policy and funding lends support to cross-agency and pan-London work to tackle some of the problems characteristic of mental health in London. Whilst various issues of mental health care in London overlap with those in other European capitals, there also are some specific problems and features.
描述伦敦心理健康护理的原则和特点。
基于现有数据，报告服务提供情况、服务领域的专业人员数量、资金安排、护理途径、用户/护理者参与情况及具体问题。
与整个英格兰相比，伦敦对心理健康服务的需求和使用水平较高。住院和强制入院人数远高于全国平均水平。尽管伦敦有更多的精神病床位和心理健康工作人员，但床位占用率更高，人员短缺问题也更严重。与此同时，存在从机构化护理转向社区护理的趋势。
英国的心理健康服务正在经历重大改革。这些变革不会消除首都对心理健康服务的更大需求，但国家政策和资金支持跨机构和全伦敦范围的工作，以解决伦敦心理健康方面的一些典型问题。虽然伦敦心理健康护理的各种问题与其他欧洲首都的问题有重叠，但也存在一些特定的问题和特点。
