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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.
Taking the Cinderella speciality to the PROM: developing a patient related outcome measure for an older adult mental health service
- Authors:
- WHELAN Paul, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 11(4), December 2010, pp.51-55.
- Publisher:
- Emerald
In recent years there has been a shift to setting targets by commissioning or regulatory bodies so that health services provide improved levels of care. For mental health services this has occurred in three phases: simple key performance indicators such as collecting patients’ diagnostic codes; greater emphasis on more meaningful clinical outcome data; and prominence on patient-focused data collection. This article reports on the development and preliminary findings of a piloting of a patient-related outcome measure (PROM) and patient-related experience measure (PREM) created specifically for older adult mental health services in Central and North West London NHS Foundation Trust. These measures are designed to overcome problems associated with other performance indicators. The authors conclude that PROMs and PREMs are in keeping with an increased focus on patients’ experience of health care, the provision of quality services and various key policies.