CMHTs in Wales

This article reports on some of the main findings from a survey of CMHTs in Wales. Although a wide range of team models exists, many common features were found. The high level of commitment and importance of the All Wales Strategy as a reference point were highlighted. The setting up of CMHTs and the development of new services by team members has increased the possibility of providing appropriate and individualised service packages. Many teams, however, are still in the early stages of development and major gaps sometimes exist, such as establishing individual programme plans and review systems. Major issues emerging are the role of community nurses in CMHTs, the management and accountability of multidisciplinary teams, the level of team autonomy, and changes in professional roles.