Zoning: A system for managing case work and targeting resources in community mental health teams

Abstract

The principles of robust operational management and clinical supervision have been identified in the literature as significant challenges for multi-disciplinary community mental health teams (CMHTs). This paper presents the findings of a descriptive study into a system of 'zoning' employed by one CMHT to enhance operational management and ensure the effective targeting of case management services. Qualitative interviews were undertaken with service staff to elicit information on the structure and process of 'zoning' and on their perceptions of the degree to which it contributes to the delivery of an effective service. The findings indicate that 'zoning' promotes adherence to operational policies, provides a forum in which the staff can receive support from colleagues, and facilitates the sharing of clinical knowledge within and between disciplines. The necessary requirements for an effective 'zoning' system are also presented and its limitations explored. In conclusion 'zoning' is considered to be of value in promoting the delivery of a highly targeted and proactive community mental health service.