Articles

Measuring Outcomes and Demonstrating Value in Long-Term Mental Illness Services

Long-term mental illness support must evidence outcomes that matter to people, commissioners and regulators, not just activity levels. This article sets out practical outcome frameworks, day-to-day measurement methods and governance...

Ageing, Physical Health and Frailty in Long-Term Mental Illness Support

People living with long-term mental illness often experience earlier physical health deterioration, frailty and reduced access to routine healthcare. This article sets out how providers can deliver integrated, practical support...

Sustaining Engagement and Preventing Disengagement in Long-Term Mental Illness

Disengagement from services is a leading cause of relapse and crisis in long-term mental illness. This article explores how providers can sustain engagement through consistent relationships, adaptive support and operational...

Risk Management and Positive Risk-Taking in Long-Term Mental Illness

Supporting people with long-term mental illness requires careful balance between safety and autonomy. This article explores how providers can evidence proportionate risk management and defensible positive risk-taking within community-based services.

Housing Stability, Safeguarding and Self-Neglect in Long-Term Mental Illness

Housing instability is one of the biggest drivers of relapse, crisis demand and safeguarding risk for people with long-term mental illness. This article sets out how providers can support tenancy...

Medication Optimisation and Physical Health in Long-Term Mental Illness Support

Medication is often central to stability in long-term mental illness, but it can also create risks through side effects, poor adherence and unmet physical health needs. This article sets out...

Workforce Continuity and Therapeutic Relationships in Long-Term Mental Health Care

For people with long-term mental illness, stable therapeutic relationships are often more impactful than short-term interventions. This article explores why workforce continuity is central to safe, effective long-term mental health...

Risk, Relapse and Stability in Long-Term Mental Illness Support

Risk in long-term mental illness is rarely eliminated and must instead be understood, managed and reviewed over time. This article explores how services can balance safety, autonomy and stability through...

Designing Services for Long-Term Mental Illness Within Modern Care Pathways

Modern mental health pathways often prioritise access speed and discharge efficiency, creating tension with the realities of long-term mental illness. This article explores how services can be designed to work...

Supporting People With Long-Term Mental Illness: What “Ongoing Care” Really Requires

Long-term mental illness requires support models built for persistence, fluctuation and complexity rather than short episodes of intervention. This article explores what effective ongoing care looks like in practice, including...