Search results for ‘Subject term:"mental health problems"’ Sort:
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A national survey of old age psychiatry services in Wales
- Author:
- NAPIER Alison
- Journal article citation:
- Psychiatric Bulletin, 26(1), January 2002, pp.18-20.
- Publisher:
- Royal College of Psychiatrists
A postal questionnaire was circulated to all consultants in old age psychiatry in Wales, examining provision of services with reference to the indicative service levels defined by the Royal College of Psychiatrists and Royal College of Physicians. The response rate was 100%. Levels of staffing and resources overall fell well below recommendations and varied widely between services. No association was found between morale or how well population needs were perceived as being met, and the size of the population served.
The assessment of pain in older people
- Authors:
- ROYAL COLLEGE OF PHYSICIANS, BRITISH GERIATRICS SOCIETY, BRITISH PAIN SOCIETY
- Publisher:
- Royal College of Physicians
- Publication year:
- 2007
- Pagination:
- 13p.
- Place of publication:
- London
Pain is under-recognised and under-treated in older people, and the assessment of pain is particularly challenging in the presence of severe cognitive impairments, communication difficulties or language and cultural barriers. This guidance sets out the key components of assessing pain in older people, together with a range of practical scales that can be used with different groups, including those with cognitive or communication impairment. It aims to provide professionals with a set of practical skills to assess pain as the first step towards its effective management. It describes the background and methodology used, key components of an assessment of pain, and types of scale used to assess pain. It also provides a summary of recommendations in the full guidelines covering: pain awareness, pain enquiry, pain description, pain location and intensity, communication, assessment in people with impaired cognition/communication, cause of pain, and re-evaluation. It notes that the basic guidelines should be a routine part of the training and care provision of all healthcare professionals. The appendices include the guideline development process, an algorithm for the assessment of pain in older people, a pain map, and examples of pain scales.
"Valuing the individual": policy and practice for older people with a mental infirmity; report of an inspection; April 1995
- Author:
- GREAT BRITAIN. Welsh Office. Social Services Inspectorate for Wales
- Publisher:
- Great Britain. Welsh Office. Social Services Inspectorate for Wales
- Publication year:
- 1995
- Pagination:
- 68p.
- Place of publication:
- Cardiff
Scoping study: a research and development network for rural and remote health, social care and wellbeing
- Authors:
- EARP Alice, DEAVILLE Jennifer
- Publisher:
- Institute of Rural Health
- Publication year:
- 2005
- Pagination:
- 28p
- Place of publication:
- Newtown
Over the past five years, there has been increasing interest in Wales and other countries of the UK in research in the field of rural and remote health, social care and wellbeing. There is recognition that a large proportion of the population of Wales live in rural areas but that there is a lack of research evidence on their health, social care and well-being needs. Research has tackled a broad range of topics which can be briefly categorised as: older people (e.g. dementia, barriers to accessing healthcare, psychiatric morbidity in older people); children and young people (e.g. children and domestic violence, the uptake of childhood immunisation in rural areas, unintended teenage pregnancy and reducing sexually transmitted infection); mental health (e.g. depressive disorders, community mental health promotion, suicide); pregnancy and antenatal carep; farmers (e.g. improving access to healthcare for farming)
Hold the line for carer support
- Author:
- O'DONOVAN Simon
- Journal article citation:
- Journal of Dementia Care, 3(4), July 1995, pp.20-22.
- Publisher:
- Hawker
Carers themselves identified the need for a telephone helpline service, and so the South East Wales Dementia Careline was born. Describes the first two years of this highly valued service, and plans for the future.
The NHS atlas of variation in healthcare: reducing unwarranted variation to increase value and improve quality
- Author:
- NATIONAL HEALTH SERVICE. Right Care
- Publisher:
- Public Health England
- Publication year:
- 2015
- Pagination:
- 277
- Place of publication:
- London
This publication uses maps to show the variation in health care for a variety of conditions across England and Wales. The maps are accompanied by commentary on the background context, scale of variation and options for action. Conditions covered include: care of mothers, babies, and children and young people; mental health problems; dementia; care of older people; end of life care; and learning disabilities. Twenty one of the indicators are also presented by local authority area. The Atlas also highlights the work being done by Right to Care to support anyone wanting to reduce unwarranted variation of health care provision within their locality or between their locality and other areas of the country. (Edited publisher abstract)
The presence of behavioural and psychological symptoms and progression to dementia in the cognitively impaired older population
- Authors:
- van der LINDE Rianne M., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 28(7), 2013, pp.700-709.
- Publisher:
- Wiley
This study explores the predictive effect of the presence of behavioural and psychological symptoms (BPS) on the 2-year progression to dementia in a cognitively impaired population without dementia at baseline. Twelve symptoms were measured in 2024 participants from five areas of England and Wales. These included depression, apathy, anxiety, feelings of persecution, hallucination, agitated behaviour, irritability and wandering.The risk of progression to dementia was predicted in those with cognitive impairment for each individual BPS and using a BPS composite score. Wandering and persecution were independently associated with progression to dementia after adjustment for socio-demographic factors, cognitive domains and other BPS. When stratifying by cognitive function, those with low cognition (MMSE 0–18) and 4 or more BPS were more likely to progress to dementia than those without BPS. The predictive effect of BPS in dementia progression has implications for risk stratification of those at high risk of progression to dementia, along with memory impairment, other cognitive impairment and health variables. (Edited publisher abstract)
The NHS atlas of variation in healthcare: reducing unwarranted variation to increase value and improve quality
- Author:
- NATIONAL HEALTH SERVICE. Right Care
- Publisher:
- National Health Service. Right Care
- Publication year:
- 2011
- Pagination:
- 229p., ills., tables
- Place of publication:
- London
This publication uses maps to show the variation in health care for a variety of conditions across England and Wales. The maps are accompanied by commentary on the background context, scale of variation and options for action. Conditions covered include mental disorders, learning disabilities, care of older people and end of life care. The Atlas also highlights the work being done by Right to Care to support anyone wanting to reduce unwarranted variation of health care provision within their locality or between their locality and other areas of the country.
The early experience of consultant psychiatrists in application of the Mental Capacity Act: issues for black and minority individuals
- Authors:
- SHAH Ajit, et al
- Journal article citation:
- Ethnicity and Inequalities in Health and Social Care, 2(2), July 2009, pp.4-10.
- Publisher:
- Emerald
The Mental Capacity Act 2005 (MCA) was fully implemented in October 2007 in England and Wales. This article reports on two similar, but separate, pilot questionnaire studies that examined the experience of consultants in old age psychiatry and consultants in other psychiatric specialities in the early implementation of the MCA pertaining to issues relevant to black and minority ethnic (BME) groups. Fifty-two (27%) of the 196 consultants in old age psychiatry and 113 (12%) of the 955 consultants in other psychiatric specialities returned useable questionnaires. Eighty per cent or more of the consultants in old age psychiatry and consultants in other psychiatric specialities gave consideration to religion and culture and ethnicity in the assessment of decision-making capacity (DMC). Almost 50% of the consultants in old age psychiatry reported that half or more of the patients lacking fluency in English or where English was not their first language received an assessment of DMC with the aid of an interpreter and 40% of the consultants in other psychiatric specialities reported that no such patients received an assessment of DMC with the aid of an interpreter. The low rate of using interpreters is of concern. The nature of the consideration and implementation of factors relevant to culture, ethnicity and religion in the application of the MCA and the precise reasons for the low rate of using interpreters in patients lacking fluency in English or English not being their first language require clarification in further studies.
Helping vulnerable adults to keep safe
- Authors:
- COLLINS Mick, WALFORD Mel
- Journal article citation:
- Journal of Adult Protection, 10(1), February 2008, pp.7-12.
- Publisher:
- Emerald
This article describes innovative work in Powys, mid Wales, where trainers are working with vulnerable adults to help them reduce the risk that they will be abused, or if the worst happens, where to turn for help. College staff have developed a course that runs to one afternoon a week for the academic year for people with learning disabilities. For people with mental health problems the approach had been workshop based, with a programme of six or eight workshops, run by skilled trainers. For older people a third approach has been developed because there are so many older people who need to hear about Keeping Safe. After piloting one-off workshops and presentations, the trainer has worked with staff and volunteers from a variety of agencies who already work with older people to train them as trainers working in pairs. Those who have received training will be delivering sessions in luncheon clubs, day services, care homes etc.