{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T23:16:07Z","timestamp":1790637367068,"version":"4.1.0"},"reference-count":11,"publisher":"Royal College of Psychiatrists","issue":"3","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":946,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJPsych Bull"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:sec><jats:title>Aims and method<\/jats:title><jats:p>This paper investigates the relationship between cluster (Mental Health Clustering Tool, MHCT) and diagnosis in an in-patient population. We analysed the diagnostic make-up of each cluster and the clinical utility of the diagnostic advice in the Department of Health's <jats:italic>Mental Health Clustering Booklet<\/jats:italic>. In-patients discharged from working-age adult and older people's services of a National Health Service trust over 1 year were included. Cluster on admission was compared with primary diagnosis on discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Organic, schizophreniform, anxiety disorder and personality disorders aligned to one superclass cluster. Alcohol and substance misuse, and mood disorders distributed evenly across psychosis and non-psychosis superclass clusters. Two-thirds of diagnoses fell within the MHCT \u2018likely\u2019 group and a tenth into the \u2018unlikely\u2019 group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical implications<\/jats:title><jats:p>Cluster and diagnosis are best viewed as complimentary systems to describe an individual's needs. Improvements are suggested to the MHCT diagnostic advice in in-patient settings. Substance misuse and affective disorders have a more complex distribution between superclass clusters than all other broad diagnostic groups.<\/jats:p><\/jats:sec>","DOI":"10.1192\/pb.bp.114.047043","type":"journal-article","created":{"date-parts":[[2015,6,1]],"date-time":"2015-06-01T07:40:20Z","timestamp":1433144420000},"page":"119-123","source":"Crossref","is-referenced-by-count":21,"title":["Mental health clustering and diagnosis in psychiatric in-patients"],"prefix":"10.1192","volume":"39","author":[{"given":"Liam","family":"Trevithick","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon","family":"Painter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Keown","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S2056469400000723_ref6","article-title":"Establishing the severity of personality disorder","volume":"153","author":"Tyrer","year":"1996","journal-title":"Am J Psychiatry"},{"key":"S2056469400000723_ref11","volume-title":"Study: To improve and demonstrate the structural properties of the care clusters that form the basis of the PbR currency development programme (Care Pathways and Packages Project)","author":"Self","year":"2009"},{"key":"S2056469400000723_ref5","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.112.041780"},{"key":"S2056469400000723_ref9","unstructured":"Royal College of Psychiatrists. Mental Health Clustering Tool (MHCT) \u2013 Frequently Asked Questions. RCPsych 2011; 4.1."},{"key":"S2056469400000723_ref2","volume-title":"HoNOS: Health of the Nation Outcome Scales Trainers' Guide","author":"Wing","year":"1996"},{"key":"S2056469400000723_ref3","volume-title":"The Mental Health Clustering Booklet v 3.0 2013\/14","year":"2013"},{"key":"S2056469400000723_ref1","doi-asserted-by":"publisher","DOI":"10.1080\/09638230701505806"},{"key":"S2056469400000723_ref4","volume-title":"The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines","year":"1992"},{"key":"S2056469400000723_ref7","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0031660"},{"key":"S2056469400000723_ref8","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.187.48.s108"},{"key":"S2056469400000723_ref10","volume-title":"Practice Guidance Note Regarding: Allocation of Patients with a Bipolar Diagnosis to a Cluster"}],"container-title":["BJPsych Bulletin"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056469400000723","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,21]],"date-time":"2019-04-21T00:07:45Z","timestamp":1555805265000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056469400000723\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,6]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,6]]}},"alternative-id":["S2056469400000723"],"URL":"https:\/\/doi.org\/10.1192\/pb.bp.114.047043","relation":{},"ISSN":["2056-4694","2056-4708"],"issn-type":[{"value":"2056-4694","type":"print"},{"value":"2056-4708","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,6]]}}}