Alternative approaches to standard inpatient mental health care: development of a typology of service models
Through this mapping exercise, we have developed three novel typologies of alternatives to standard inpatient care. A range of community-based, hospital-based and cross-setting approaches were identified. The identification of services providing inpatient care in a substantially different way to the standard suggests that some improvements could be provided within existing structures. Potential inequities in access to alternatives were identified for certain groups, such as people who are compulsorily detained, younger children, and young people transitioning between children's and adults' services. These typologies can inform future description, evaluation and comparison of different service models. This research also yields some key considerations for the design, development and implementation of alternative mental health service models and service arrays.
Authors
- Patrick Nyikavaranda (ORCID: https://orcid.org/0000-0002-9896-6078)
- Rachel Rowan Olive (ORCID: https://orcid.org/0000-0002-0871-9859)
- Steven Pryjmachuk (ORCID: https://orcid.org/0000-0002-6976-1727)
- Sonia Johnson (ORCID: https://orcid.org/0000-0002-2219-1384)
- Karen Newbigging (ORCID: https://orcid.org/0000-0001-8764-528X)
- Brynmor Lloyd‐Evans (ORCID: https://orcid.org/0000-0001-9866-788X)
- Alan Simpson (ORCID: https://orcid.org/0000-0003-3286-9846)
- Luke Sheridan Rains (ORCID: https://orcid.org/0000-0003-4905-4168)
- Una Foye (ORCID: https://orcid.org/0000-0002-3414-2854)
- Phoebe Barnett (ORCID: https://orcid.org/0000-0001-6521-3101)
- Karen Persaud (ORCID: https://orcid.org/0000-0003-0182-7141)
- Jo Lomani (ORCID: https://orcid.org/0000-0001-9243-9229)
- Chris Lynch
- Helen Baldwin (ORCID: https://orcid.org/0000-0002-9507-9019)
- Ruth Cooper (ORCID: https://orcid.org/0000-0002-9735-4731)
- Lizzie Mitchell (ORCID: https://orcid.org/0000-0002-6329-5673)
- Katherine R. K. Saunders (ORCID: https://orcid.org/0000-0002-8484-0888)
- Jessica Griffiths (ORCID: https://orcid.org/0009-0006-0950-8814)
- Jerusaa Vasikaran
- Molly Lusted-Challen
- Ramya Pillutla
- Ruby Jarvis
- Geoff Brennan
Institutions
- Brighton and Sussex Medical School (GB)
- National Health Service (GB)
- University of Sussex (GB)
- King's College London (GB)
- Manchester Academic Health Science Centre (GB)
- Mental Health Research UK (GB)
- University of Manchester (GB)
- University College London (GB)
- University of Birmingham (GB)
- Camden and Islington NHS Foundation Trust (GB)
Publication Details
- Journal
- International Journal of Mental Health Systems
- Published
- 2025-04-17
- DOI
- https://doi.org/10.1186/s13033-025-00669-7
- Citations
- 2
- Primary Topic
- Psychiatric care and mental health services
- Type
- article
- Field-Weighted Citation Impact
- 4.61
Funders
- National Institute for Health and Care Research
- Department of Health and Social Care