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The use of assessment scales in Old Age Psychiatry Services in England and Northern Ireland
- Authors:
- REILLY D., et al
- Journal article citation:
- Aging and Mental Health, 8(3), May 2004, pp.249-255.
- Publisher:
- Taylor and Francis
Implementation of the Single Assessment Process in the UK is designed to ensure that more standardized assessment procedures are in place across all areas and agencies, that practice improves and older people's needs are comprehensively assessed. This study provides a unique picture of the range and prevalence of standardized scales used within Old Age Psychiatry Services in England and Northern Ireland, reported by 73% of old age psychiatrists. Most services (64%) used three or more standardized assessment scales (range 1-12). Sixty-two separate instruments were identified. The six most used measures were the Mini Mental State Examination (95%), the Geriatric Depression Scale (52%) and the Clock Drawing (50%), the Clifton Assessment Procedures for the elderly (26%), the Barthel Index (18%) and the Health of the Nation Outcome Scales (HoNOS) 65 + (18%). A number of factors were associated with greater use of certain standardized assessment scales. Shared documentation, along with other indicators of integration between health and social care were associated with greater use of standardized scales. The provision of a memory clinic was associated with greater use of neuropsychiatric scales and lower levels of use of cognitive scales. These results provide key material for shaping the provision of psychiatric services for older people
The influence of social factors on psychiatric hospitalisation in Northern Ireland: a review of the literature: an analysis of offical statistics and the implications for social workers
- Author:
- MANKTELOW Roger
- Journal article citation:
- Irish Journal of Social Work Research, 2(2), 2000, pp.57-72.
- Publisher:
- Irish Association of Social Workers
The paper reviews the knowledge of the influence of social factors on psychiatric hospitalisation within Great Britain, Northern Ireland and the Republic of Ireland and investigates the particular features of the process in Northern Ireland. The inverse relationship between social class and mental illness has been widely documented in an international context, and has also been investigated by the author in Northern Ireland. But there are oather particular factors which are important mediators of soical influences on psychiatric hospitalisation within the divided society of Northern Ireland. The author identifies three sets of local factors as being of importance. These are: the urban/rural dimensions; religious affiliation; and the influence of twenty five years of civil unrest on the local population's use of psychiatric hospitalisation. The paper reviews the methodological difficulties in concpetualising a causal mechanism operating between social factors and mental illness and argues for the adoption of a qualitative research approach to the social process of psychiatric hospitalisation.
Outside the walls of the asylum: the history of care in the community 1750-2000
- Editors:
- BARTLETT Peter, WRIGHT David
- Publisher:
- Athlone Press
- Publication year:
- 1999
- Pagination:
- 350p.
- Place of publication:
- London
Collection of essays offering an exploration of the interface between mental health problems and social institutions from a social history perspective. Includes chapters on: community care and its antecedents; care of the mentally incapacitated in Scotland during the eighteenth century; the domestic treatment of post natal depression in the nineteenth century; family, community and the lunatic in mid nineteenth century North Wales; the Scottish system of boarding out patients with mental health problems 1857-1913; domestic psychiatric regimes and the public sphere in early nineteenth century England; lunatic and criminal alliances in nineteenth century Ireland; assessments of crime, violence and welfare in admissions to the Devon Asylum 1845-1914; community care and 'mental deficiency' 1913-1945; community care in England and Wales 1948-1974; mental health policy, care in the community and political conflict in Northern Ireland; and psychiatric treatment in the 1980s and 1990s.