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Individual standards for intermediate care for older people with mental health difficulties
- Author:
- HEALTH AND SOCIAL CARE ADVISORY SERVICE
- Publisher:
- Health and Social Care Advisory Service
- Publication year:
- 2006
- Pagination:
- 17p.
- Place of publication:
- London
This paper presents the standards and the early findings from the Department of Health funded national project on Intermediate Care for Older People with Mental Health difficulties. The project benchmarked the intermediate care service provision in seven sites across England during March and April 2006 against best practice standards developed by HASCAS. An overarching view is that is that there is often poor integration and understanding between mainstream older peoples intermediate care services and older peoples mental health services and that this results in sub optimal care.
Age concerns
- Author:
- MOORE Alison
- Journal article citation:
- Health Service Journal, 27.03.03, 2003, pp.37-41.
- Publisher:
- Emap Healthcare
Some have claimed that the national service framework for older people has been patchy at best. Others describe a steady start for a programme that is lacking in financial investment. This article assesses the progress of the framework and finds that the reality lies between these two opinions.
National service framework for older people: executive summary
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2001
- Pagination:
- 35p.
- Place of publication:
- London
Delayed discharge, a solvable problem?: the place of intermediate care in mental health care of older people
- Authors:
- PATON J. M., FAHY M. A., LIVINGSTONE G. A.
- Journal article citation:
- Aging and Mental Health, 8(1), January 2004, pp.34-39.
- Publisher:
- Taylor and Francis
The National Service Framework for Older People envisages the development of intermediate care for older people. This study examined the possible role of intermediate care beds within mental health trusts. We interviewed senior clinicians in an inner city old age psychiatry service about the 91 current in-patients on the old age psychiatric wards. Sixty-five were classified as acute patients and the remaining 26 were continuing care patients. Structured instruments were used to collect information regarding neuropsychiatric symptoms, activities of daily living and current met and unmet needs. Where discharge was delayed an assessment was made regarding the appropriateness for an intermediate care setting according to the criteria set by the Department of Health guidelines. A total of 30 (46%) patients' discharges were delayed. Of these, 19 (29%) patients met the DOH criteria for intermediate care; 10 (53%) had dementia, five (26%) affective disorder, and four (21%) with schizophrenia. The 11 other delayed discharges were because of lack of availability of finance for placements. The study found that the prompt discharge of older patients from acute psychiatric care was a significant problem and many of those patients may benefit from the therapeutic and rehabilitative process afforded by intermediate care.