|dc.description.abstract||This study examined the local needs of individuals accessing an adult community
psychology service, using a cross sectional view of those waiting for the service. This
service mapping exercise aimed to gather a better understanding of how the service was
operating and the local differences in need. The results showed 163 individuals were
waiting to access the service, with the majority (131) waiting for the stand-alone service. The different levels of demand resulted in varying waiting times across the service, with the stand-alone bases accruing the longest and the South-East and West areas producing the biggest relative need. Individuals waiting for the CMHT service were more likely to have two or more presenting problems than those waiting for stand-alone psychology (62.5% and 38.2% respectively). Social phobia and bipolar were more prevalent in the CMHT service, in comparison the stand-alone service had a higher percentage of individuals with depression, obsessive compulsive disorder and post traumatic stress disorder, however the proportions differed between areas.
The second part of the study explored the effect on estimated waiting times of improving access to the stand-alone service by devolving it to local CMHT areas. Waiting times varied according to the resource deployment criteria used; relative need proved the most promising. The proposed advantages and disadvantages of reconfiguration demonstrated the complex implications involved, reinforcing the need for clear rationale when considering service restructuring. In conclusion this project highlighted the need for the service to continue tracking demand and individuals’ needs and keep systematic waiting time information for all parts of the service. The results provided a useful starting point to inform future service development, whilst emphasising the necessity for longitudinal data too.||en