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Advances in Psychiatric Treatment (2003) 9: 368-373
© 2003 The Royal College of Psychiatrists

Psychiatric assertive outreach and learning disability services

Angela Hassiotis, Peter Tyrer and Patricia Oliver

Angela Hassiotis is a clinical senior lecturer in the psychiatry of learning disabilities and an honorary consultant psychiatrist at Royal Free and University College Medical School (Department of Psychiatry and Behavioural Sciences, Wolfson Building, 48 Riding House Street, London W1N 8AA, UK. E-mail: a.hassiotis{at}ucl.ac.uk). Her main research interest is the evaluation of mental health services and interventions for people with learning disabilities and she also has been involved in the development of a memory service for older people with learning disabilities. Peter Tyrer is Professor of Psychiatry at Imperial College Faculty of Medicine and Editor of The British Journal of Psychiatry. His main research interests are in evaluations of mental health interventions and personality disorder. Patricia Oliver is a research associate in learning disabilities at the Department of Psychological Medicine, Imperial College Faculty of Medicine. Her main research interests are in the evaluation of mental health services and interventions for people with learning disabilities.

Assertive outreach is a well-established method of managing patients with severe mental illness in the community. However, there is limited application and evidence of its efficacy in services for people with learning disabilities who also have mental illness. This paper elucidates current service provision for this group of patients and illustrates the pathways to mental health care available to them.





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