Search results for ‘Subject term:"mental health problems"’ Sort:
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Developing inclusive mental health services for older people
- Author:
- BOWERS Helen
- Journal article citation:
- Mental Health Review, 6(2), June 2001, pp.6-13.
- Publisher:
- Pier Professional
Discusses the need for specific mental health services for older people, and the obstacles to the recognition of mental health problems in older people. Also looks at recent policy developments, including the National Service Framework for Older people. Finally, provides an overview of the current issues and challenges.
The prevalence and correlates of capacity to consent to a geriatric psychiatry admission
- Authors:
- MUKHERJEE S., SHAH A.
- Journal article citation:
- Aging and Mental Health, 5(4), November 2001, pp.335-339.
- Publisher:
- Taylor and Francis
Reports on a study to ascertain the prevalence and correlates of the lack of capacity to consent to geriatric psychiatry inpatient admission. All consecutive acute inpatient admissions to a geriatric psychiatry unit over a six-month period were examined by an independent research psychiatrist (SM). The overall prevalence of lack of capacity to consent to geriatric psychiatry inpatient admission was 48%. It was associated with a diagnosis of dementia, increased severity of cognitive impairment, reduced insight and detention under the Mental Health Act. These findings require replication in a larger multi-centre study. A large number of psychiatric patients are informally admitted despite lacking the capacity to consent to the admission because they do not dissent. These patients do not enjoy the safeguards available under the Mental Health Act.
The wrong prescription
- Author:
- WINCHESTER Ruth
- Journal article citation:
- Community Care, 9.8.01, 2001, p.23.
- Publisher:
- Reed Business Information
Reports on how many older people in residential homes are spending their days in a drug-induced haze as the use of anti-psychotic drugs reached record high levels.
The comparison of burden between caregiving spouses of depressive and demented patients
- Authors:
- LEINONEN Esa, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 16(4), April 2001, pp.387-393.
- Publisher:
- Wiley
Article compares the burden of the spouses of depressive and demented elderly patients admitted to a Psychogeriatric Clinic in Finland. Found that the spouses of demented patients as a group were psychologically more stressed than the spouses of depressive patients. However, when demented patients were divided into two groups, in those admitted mainly for noncognitive symptoms related to dementia and in those admitted for memory assessment and diagnostic purposes, the burden of the spouses in the former group was higher than that of the group of depressive patients' spouses. No difference was found between the latter group of demented patient spouses and depressive patients' spouses. A correlation was found within both groups between low functional capacity of the patient and the stress of the spouse. In both groups the spouses who felt their own mental health to be poor were more likely to have high levels of burden. Concludes that among the general psychogeriatric patient groups, the caregiving spouses of demented patients with noncognitive psychiatric symptoms are the most burdened group. However, spouses of depressive patients are as much burdened as those of demented patients with mild to moderate memory impairment. More support is needed for every spouse group caring for psychogeriatric patients.
Interrogating person-centred dementia care in social work and social care practice
- Author:
- PARKER Jonathon
- Journal article citation:
- Journal of Social Work, 1(3), December 2001, pp.329-345.
- Publisher:
- Sage
Traditional approaches to the understanding and organization of dementia care, often drawn from medical perspectives, are examined. Alternative understandings based around the conception of 'personhood' are critically considered. Some of the philosophical challenges and practical difficulties raised by this debate are explored in the context of care management in the UK. The concept of personhood presents a challenge to traditional thought and has been influential in promoting the 'new culture' of dementia care within health and social service settings. It is crucial in contemporary social and health care to retain a clear sense of the person with whom we are working at any point in time. Medical, sociological and psychological approaches to dementia should not be seen as mutually exclusive. A shift in culture and thinking does not deny the importance of medical advance but adds a holistic and human element that brings back the person with dementia to centre stage. While the diseases underlying the personal and mental deterioration are important, it is equally important to consider how the disease and its characteristics are interpreted by the person with dementia, their carers, professionals and wider society.
Predictors of institutionalised of cognitively-impaired elderly cared for their relatives
- Authors:
- SPRUYTTE Nele, AUDENHOVE Chantal Van, LAMMERTYN Frans
- Journal article citation:
- International Journal of Geriatric Psychiatry, 16(12), December 2001, pp.1119-1128.
- Publisher:
- Wiley
This study aims to identify risk factors for nursing home placement of cognitively-impaired elderly, with special attention to the role of psychosocial factors such as the caregiver's preference for institutionalization and the quality of the dyadic relationship. Partners, children and children-in-law caring for a relative suffering from dementia were interviewed at home. The hypothesis that a poor quality of the relationship, besides other determinants, will be predictive of institutionalisation received partial support. No relationship is found between the premorbid relationship quality and institutionalisation. However, a good current relationship between the caregiver and the patient reduced the risk of nursing home placement. Institutionalisation was predicted by the caregiver's preference for institutionalisation, the functional level of the patient, the quality of the current relationship and the performance of accommodation changes at home. Research and interventions directed as delaying or preventing institutionalisation should pay more attention to the role of psychosocial aspects in the process of nursing home placement. Specifically the relationship quality in terms of criticism or warmth might be a critical factor in the continuation of home care.
Flexible care can be just a jive
- Author:
- TAYLOR Carolyn
- Journal article citation:
- Care Plan, 8(1), September 2001, pp.28-30.
- Publisher:
- Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
Reports on one of the winners of the health and social care awards. Looks at the use of "flexible carers" in Oxfordshire, who provided regular home based support to older people suffering from functional mental illness or dementia.
Mental health of migrant elders - the Islington study
- Authors:
- LIVINSTON G., et al
- Journal article citation:
- British Journal of Psychiatry, 179, October 2001, pp.361-366.
- Publisher:
- Cambridge University Press
In the UK, 6% of those aged 65 years and over were born abroad, most of whom now live in inner-city areas. It has been suggested that ethnic elders are particularly vulnerable to mental illness. This study compares the prevalence of dementia and depression in older migrants with those born in the UK. It uses a cross-sectional community study of 1085 people aged 65 years or older in an inner-London borough. Concludes that the excess of dementia may be of vascular aetiology. There is the potential for primary or secondary prevention.
Psychosis, depression and behavioural disturbances in Sydney nursing home residents: prevalence and predictors
- Authors:
- BRODATY Henry, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 16(5), May 2001, pp.504-512.
- Publisher:
- Wiley
Article aims to investigate: the prevalence of behavioural and psychological symptoms of dementia (BPSD) in nursing home residents; the relationships of BPSD with demographic, dementia, diurnal and nursing home variables; and the inter-relationships between different types of BPSD. Found that over 90% of residents exhibited at least one behavioural disturbance. Specifically, there was evidence of psychosis in 60%, depressed mood in 42% and activity disturbances or aggression in 82% of residents. Younger, more functionally impaired residents with a chart diagnosis of psychosis had higher BPSD rates, as did those residing in larger nursing homes. Individual BPSD were significantly intercorrelated. Concludes that BPSD are ubiquitous in nursing home residents. Behavioural disturbances are frequently associated with psychosis and/or depression. The findings suggest the need for psychogeriatric services to nursing homes and smaller facilities.
Care management and the care programme approach: towards integration in old age mental health services
- Authors:
- HUGHES Jane, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 16(3), March 2001, pp.266-272.
- Publisher:
- Wiley
This study examines the extent to which the development of care management arrangements and the implementation of the CPA have facilitated, and are indicative of, service integration between health and social care agencies for older people with mental health problems. The information reported is from a national study of care management arrangements, funded by the Department of Health obtained from local authority social services departments. In old age mental health services over half of the respondents reported joint screening arrangements for health and social care, almost four-fifths reported both joint criteria for the allocation of key workers and a clear definition of monitoring responsibilities. Forty-six per cent of respondents provided a specialist service for people with dementia. The findings are set in the context of service developments to date and the implementation of the two systems of community based coordinated care for older people with mental health problems. Inter-authority variations are noted and the potential for greater service integration within the current legislative framework assessed.