Provides an overview of the different treatments available and the contributions difficult disciplines can bring to the problem of managing depression in older people. Practical implications of physical and psychotherapeutic treatments are discussed. The roles of the family practitioner, clinical psychiatrist, nurse and occupational therapist are explored within the context of a multidisciplinary team. Guidelines for diagnoses are outlined.
Provides an overview of the different treatments available and the contributions difficult disciplines can bring to the problem of managing depression in older people. Practical implications of physical and psychotherapeutic treatments are discussed. The roles of the family practitioner, clinical psychiatrist, nurse and occupational therapist are explored within the context of a multidisciplinary team. Guidelines for diagnoses are outlined.
Subject terms:
medication, mental health problems, occupational therapists, older people, psychiatry, primary care, psychology, psychotherapy, treatment, therapy and treatment, assessment, community mental health nurses, depression, diagnosis, general practitioners;
Health and Social Care in the Community, 9(6), November 2001, pp.436-444.
Publisher:
Wiley
Examines the reasons why in contemporary Britain many single homeless people with severe physical and mental health problems and welfare needs do not receive the treatment, care and financial support that they manifestly need, and in particular considers the interaction between their personal characteristics and the organisation and the obligations of services. The greatest weaknesses of the service system are that no single agency has a statutory responsibility to ensure that vulnerable homeless people are served. The article appraises the approaches to single homeless peoples problems that have recently been introduced by the Rough Sleepers Unit (RSU), and discusses the ways in which current reforms of the welfare services may impact on the situation of homeless people. With the possibility that the RSUs prime responsibility for commissioning single homeless peoples services will transfer to local authorities in 2002, the article concludes by specifying the implications for voluntary and statutory providers and makes recommendations about the attribution of the responsibility to care for this vulnerable group.
Examines the reasons why in contemporary Britain many single homeless people with severe physical and mental health problems and welfare needs do not receive the treatment, care and financial support that they manifestly need, and in particular considers the interaction between their personal characteristics and the organisation and the obligations of services. The greatest weaknesses of the service system are that no single agency has a statutory responsibility to ensure that vulnerable homeless people are served. The article appraises the approaches to single homeless peoples problems that have recently been introduced by the Rough Sleepers Unit (RSU), and discusses the ways in which current reforms of the welfare services may impact on the situation of homeless people. With the possibility that the RSUs prime responsibility for commissioning single homeless peoples services will transfer to local authorities in 2002, the article concludes by specifying the implications for voluntary and statutory providers and makes recommendations about the attribution of the responsibility to care for this vulnerable group.
Subject terms:
homeless people, housing departments, local authorities, mental health problems, older people, policy, primary care, single homeless people, social care provision, unmet need, voluntary organisations, community care, commissioning, eligibility criteria, health care;
Explores the issues related to public and patient involvement in primary care. Begins by describing the theoretical and policy contexts that are shaping user involvement currently; why user involvement is regarded as important; and its role in primary care at organisation level and in the individual consultation. Moves on to consider a range of case studies of involvement of different types of user, including women, members of ethnic minorities, older people and people with mental health problems. Concludes with an overview of the challenges remaining and suggestions for future development.
Explores the issues related to public and patient involvement in primary care. Begins by describing the theoretical and policy contexts that are shaping user involvement currently; why user involvement is regarded as important; and its role in primary care at organisation level and in the individual consultation. Moves on to consider a range of case studies of involvement of different types of user, including women, members of ethnic minorities, older people and people with mental health problems. Concludes with an overview of the challenges remaining and suggestions for future development.
Subject terms:
mental health problems, older people, patients, policy, primary care, service users, user participation, user views, women, black and minority ethnic people, general practitioners, health care;
Reports on the development of a joint mental health strategy for older people in a central London Borough. The project brought together clinicians and practitioners from a variety of settings, the voluntary sector, and users and carers. The aim of the project was to develop a shared philosophy of care based on promoting independence and from this to identify the components of a spectrum of care that would meet the wide range of needs of elders with mental ill health. The borough had high levels of deprivation, unemployment and poor housing. In addition there was a rich ethnic diversity within the borough.
Reports on the development of a joint mental health strategy for older people in a central London Borough. The project brought together clinicians and practitioners from a variety of settings, the voluntary sector, and users and carers. The aim of the project was to develop a shared philosophy of care based on promoting independence and from this to identify the components of a spectrum of care that would meet the wide range of needs of elders with mental ill health. The borough had high levels of deprivation, unemployment and poor housing. In addition there was a rich ethnic diversity within the borough.
Subject terms:
home care, joint working, mental health problems, mental health services, NHS trusts, multidisciplinary services, older people, policy, primary care, social services, staff, standards, training, user participation, voluntary sector, carers, community mental health teams, dementia;