The move from institutionalised to community-based care is at the heart of Scotland’s strategy for patients with psychiatric, addiction of learning disability conditions. The number of patients treated as inpatients has fallen by 15% in the last 5 years. There will of course always be some patients who cannot be treated in the community.
This statement from the Royal College of Nursing sums up the need for this trend and one major reason for its success in Scotland, staff engagement:
Scotland’s mental health services, and related policy and legislation, have shifted over recent decades from a focus on institutional care towards community services delivering holistic and person-centred care which is designed in collaboration with the service user, to meet their own goals for health and wellbeing. The development of this change was highly collaborative, with leaders opening up dialogue with people who have lived experience of poor mental health, carers and families, and health and social care professionals. As nurses and others were engaged in this change, and their experience and advice reflected in how services were redesigned, they felt a real sense of ownership of the process. The shared approach to mental health care and support was embraced by professionals and, as RCN Scotland members and partner professionals have reported, the values of recovery-oriented care and support for people’s rights are still at the heart of mental health practice today.