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Addressing the needs of older people with co-morbid alcohol and mental health disorders: a case series from a London Community Mental Health Team (CMHT)
- Authors:
- ANDREWS Tresa, REDDY Lenna, WHELAN Paul
- Journal article citation:
- Advances in Dual Diagnosis, 4(1), 2011, pp.8-16.
- Publisher:
- Emerald
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.
The importance of collaborative theory in older people's services
- Authors:
- ANDREWS Tresa, READ Jessica
- Journal article citation:
- Journal of Integrated Care, 17(2), April 2009, pp.35-40.
- Publisher:
- Emerald
The article shows how Southwark and Salford have attempted to bring alive government guidance by developing a mental health resource for those working at the intersection with integrated mainstream care. The solution was the Southwark Mental Health Intermediate Care team and Salford Intermediate Care Psychology and Counselling services. Although a local context receptive to partnership working was important, connecting collaborative theory with practice was crucial to the successful development of this resource.