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Improving methods of assessment in a community mental health team

UMDS (Guy's), Bexley Hospital, Bexley, Kent DA5 2BW

Changing methods of recording psychiatric histories by a community mental health team for the elderly was associated with a dramatic improvement in the quality of recording of clinical information and of communication with general practitioners. Comparison is made with published studies of case note audit with feedback. It is suggested that restructuring the way we work may be more effective than simple review of case notes with feedback.