The Scottish Government Mental Health Division established the National Co-Morbidity Working Group in 2007. The initial focus of this working group was on the use of in-patient and related services for people with a learning disability with mental health needs. This document provides an overview of efforts to expand the remit of the National Co-Morbidity Working Group to include a re-consideration of the scope of services for people with a learning disability, offending behaviour and autistic spectrum difficulties. A work plan was developed, which included the aim of identifying the most responsive models of service for this client group via a detailed analysis of existing international, national and local service models and key service model characteristics. The outcome of this modelling work was the development of a set of 22 Key Service Model Characteristics (KSMC), which appear to be predictive and reflective of responsive services for individuals with complex support needs. The KSMC was used to evaluate the quality and service governance processes of Turning Point Scotland (TPS). In addition, a workshop event was held with the Risk Management Team of TPS which aimed to evaluate the KSMC as a template for real service review and development.
The Scottish Government Mental Health Division established the National Co-Morbidity Working Group in 2007. The initial focus of this working group was on the use of in-patient and related services for people with a learning disability with mental health needs. This document provides an overview of efforts to expand the remit of the National Co-Morbidity Working Group to include a re-consideration of the scope of services for people with a learning disability, offending behaviour and autistic spectrum difficulties. A work plan was developed, which included the aim of identifying the most responsive models of service for this client group via a detailed analysis of existing international, national and local service models and key service model characteristics. The outcome of this modelling work was the development of a set of 22 Key Service Model Characteristics (KSMC), which appear to be predictive and reflective of responsive services for individuals with complex support needs. The KSMC was used to evaluate the quality and service governance processes of Turning Point Scotland (TPS). In addition, a workshop event was held with the Risk Management Team of TPS which aimed to evaluate the KSMC as a template for real service review and development.
Subject terms:
learning disabilities, models, social care provision, training, voluntary organisations, autistic spectrum conditions, comorbidity;
Community mental health teams (CMHTs) for older adults inevitably encounter service users with alcohol use disorders (AUDs). However, little attention has been given to the needs of older adults with a dual diagnosis. This paper argues against a wholesale transfer of knowledge and practices from working age adults with dual diagnosis to the older age group. Drawing on the experience of care professionals in a central London’s CMHT between 2008 and 2010, the paper illustrates the challenges encountered when working with older adults with co-morbid mental health problems and AUDs. The management and progress of 4 older adult service users are described. This case study series illuminates some of the clinical and professional dilemmas and challenges encountered when working with this group. Suggestions of how to respond to some of these challenges are provided by focussing on aspects of identification, assessment and treatment.
Community mental health teams (CMHTs) for older adults inevitably encounter service users with alcohol use disorders (AUDs). However, little attention has been given to the needs of older adults with a dual diagnosis. This paper argues against a wholesale transfer of knowledge and practices from working age adults with dual diagnosis to the older age group. Drawing on the experience of care professionals in a central London’s CMHT between 2008 and 2010, the paper illustrates the challenges encountered when working with older adults with co-morbid mental health problems and AUDs. The management and progress of 4 older adult service users are described. This case study series illuminates some of the clinical and professional dilemmas and challenges encountered when working with this group. Suggestions of how to respond to some of these challenges are provided by focussing on aspects of identification, assessment and treatment.
Subject terms:
mental health problems, older people, alcohol misuse, case studies, community mental health teams, dual diagnosis, comorbidity;
Health and Social Work, 37(3), August 2012, pp.173-179.
Publisher:
Oxford University Press
More than 2.5 million older Americans struggle with alcohol abuse and its associated medical and social consequences. This number is expected to double to 5 million by 2020. This increase in substance abuse among the older adult population coupled with the high comorbidity of substance misuse with mental and physical health disorders presents many challenges to the current treatment system.
More than 2.5 million older Americans struggle with alcohol abuse and its associated medical and social consequences. This number is expected to double to 5 million by 2020. This increase in substance abuse among the older adult population coupled with the high comorbidity of substance misuse with mental and physical health disorders presents many challenges to the current treatment system. The Older Adult Healthy Living Program (HeLP) was developed to address these challenges. This article describes both the barriers to older adult treatment effectiveness and the means by which HeLP overcomes these barriers. HeLP was developed to meet the needs of older substance abusers by utilising evidence-based substance abuse treatment approaches and specifically targeting the barriers face by older adults. Help combines motivational interviewing and cognitive behaviour therapy, and is current being implemented in two public housing facilities for older residents.
HUGHES Julian C., LLOYD-WILLIAMS Mari, SACHS Greg A., (eds.)
Publisher:
Oxford University Press
Publication year:
2010
Pagination:
313p.
Place of publication:
Oxford
Drawing on a number of international contributors, this publication outlines a model of supportive care for people with dementia. Real life case studies of patients, carers and practitioners are used explain the reality of the complex problems experienced by someone with dementia and by those formally and informally caring for them. Supportive care is defined as holistic care of patients. It is care from multi-disciplinary services from diagnosis to intervention aimed at prolonging life to improving the quality of life through palliative care at end of life. Supportive care must deal with active therapies’ side-effects; co-morbidities; the patient’s psychological, social and spiritual needs; and the needs of family carers.
Drawing on a number of international contributors, this publication outlines a model of supportive care for people with dementia. Real life case studies of patients, carers and practitioners are used explain the reality of the complex problems experienced by someone with dementia and by those formally and informally caring for them. Supportive care is defined as holistic care of patients. It is care from multi-disciplinary services from diagnosis to intervention aimed at prolonging life to improving the quality of life through palliative care at end of life. Supportive care must deal with active therapies’ side-effects; co-morbidities; the patient’s psychological, social and spiritual needs; and the needs of family carers.
Subject terms:
holistic care, intervention, older people, quality of life, Alzheimers disease, carers, case studies, dementia, families, comorbidity;
Journal of Children's Services, 3(3), November 2008, pp.17-30.
Publisher:
Emerald
Young children who are referred to mental health agencies because of oppositional defiant disorder (ODD) and conduct problems (CP) frequently have comorbid diagnoses or symptoms such as attention deficit disorder (ADD) with or without hyperactivity (ADHD), language/learning and developmental, or autism spectrum disorders. Research has show that the Incredible Years Child Dinosaur programme offered to children with comorbid issues is successful at reducing behaviour problems and increasing social and emotional competence. This article examines the was the Incredible Years Child Dinosaur programme is tailored to address the individual goals of each child so that the intervention is developmentally and therapeutically appropriate. It discusses group composition, as well as the importance of specific content and teaching methods for children with ADHD, academic and language delays and mild autism.
Young children who are referred to mental health agencies because of oppositional defiant disorder (ODD) and conduct problems (CP) frequently have comorbid diagnoses or symptoms such as attention deficit disorder (ADD) with or without hyperactivity (ADHD), language/learning and developmental, or autism spectrum disorders. Research has show that the Incredible Years Child Dinosaur programme offered to children with comorbid issues is successful at reducing behaviour problems and increasing social and emotional competence. This article examines the was the Incredible Years Child Dinosaur programme is tailored to address the individual goals of each child so that the intervention is developmentally and therapeutically appropriate. It discusses group composition, as well as the importance of specific content and teaching methods for children with ADHD, academic and language delays and mild autism.
Subject terms:
intervention, problem solving, pre-school children, ADHD, autism, behaviour modification, children, conduct disorders, group therapy, comorbidity;
This guide outlines ten case studies detailing the practical ways people with multiple conditions can be supported to live as well as possible; the lessons learned in the process of designing and delivering effective approaches; and the challenges that have been overcome along the way. The case studies represent the full range of health, social care and community settings with geographical spread across England, spanning: integrated health and wellbeing; community navigators and social prescribing; promoting self-management; setting up expert patient peer support groups; helping people with learning disabilities; creating a specialist multi-disciplinary community team; minimising the risks of multiple medications; GP practices combining health reviews using care and support planning; helping people into work; and creating an enhanced team around GPs. Underpinning these different practical approaches, eight ingredients appear to be critical in enabling the successful design and delivery of services for people with multiple conditions. These are: involving peers and co-production; focusing on prevention and sustainability; taking the right personal and practical steps; learning from local data and people in communities; working in partnership and fostering collaboration; coordinating to navigate complexity; sharing conversations and aspirations; and improving mood and wellbeing.
(Edited publisher abstract)
This guide outlines ten case studies detailing the practical ways people with multiple conditions can be supported to live as well as possible; the lessons learned in the process of designing and delivering effective approaches; and the challenges that have been overcome along the way. The case studies represent the full range of health, social care and community settings with geographical spread across England, spanning: integrated health and wellbeing; community navigators and social prescribing; promoting self-management; setting up expert patient peer support groups; helping people with learning disabilities; creating a specialist multi-disciplinary community team; minimising the risks of multiple medications; GP practices combining health reviews using care and support planning; helping people into work; and creating an enhanced team around GPs. Underpinning these different practical approaches, eight ingredients appear to be critical in enabling the successful design and delivery of services for people with multiple conditions. These are: involving peers and co-production; focusing on prevention and sustainability; taking the right personal and practical steps; learning from local data and people in communities; working in partnership and fostering collaboration; coordinating to navigate complexity; sharing conversations and aspirations; and improving mood and wellbeing.
(Edited publisher abstract)
Subject terms:
complex needs, comorbidity, case studies, long term conditions, good practice, integrated care, social prescribing, self care, peer support, learning disabilities, multidisciplinary teams;