Social Psychiatry and Psychiatric Epidemiology

, Volume 30, Issue 5, pp 206–212 | Cite as

Schizophrenia: Shifting the balance of care

  • S. Kavanagh
  • L. Opit
  • M. Knapp
  • J. Beecham
Original Paper


Schizophrenia poses a major challenge to policy makers in health and social care in England. As deinstitutionalisation has progressed, public concern about people with the condition has increased owing to a small number of public incidents. This paper describes the overall balance of care or support for people with schizophrenia, particularly between different settings and the services received. Using these data we are able to provide a basic estimate of the current resource implications of schizophrenia care in England with respect to different public sector agencies, the voluntary sector and service users and their families. The targeting of public sector resources between different care settings is also considered. The discussion suggests that resources are still targeted at existing care facilities rather than on individuals, and examines the roles of individual care agencies and the relationships between them. Four broad resource guidelines are suggested that could improve the effective use of resources for schizophrenia care.


Schizophrenia Policy Maker Public Sector Care Setting Care Facility 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • S. Kavanagh
    • 1
  • L. Opit
    • 2
  • M. Knapp
    • 3
    • 4
  • J. Beecham
    • 3
    • 4
  1. 1.Personal Social Services Research Unit (PSSRU)University of Kent at CanterburyCanterburyUK
  2. 2.Centre for Health Services StudiesUniversity of Kent at CanterburyUK
  3. 3.PSSRU, University of Kent at CanterburyCanterburyUK
  4. 4.Institute of PsychiatryCentre for the Economics of Mental Health (CEMH)LondonUK

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