British Journal of General Practice, 57(538), May 2007, pp.364-370.
Publisher:
Royal College of General Practitioners
This study aimed to investigate the feasibility of a collaborative care model for depression in older people in a primary care setting. Participants were 105 people aged 60 years or older who scored 5 or more on the Geriatric Depression Scale; 53 were randomly allocated to an intervention group and 52 to a usual care group. The intervention group received care managed by a community psychiatric nurse who delivered an intervention comprising a facilitated self-help programme with close liaison with primary care professionals and old-age psychiatry according to a defined protocol. The usual care group received usual GP care. A nested qualitative study explored the views of the health professionals and patients regarding the acceptability and effectiveness of the intervention. The main outcome measure was recovery from depression. Patients in the intervention group were less likely to suffer from major depressive disorder at follow up compared with usual care. The qualitative component of the intervention demonstrated the acceptability of the intervention to patients. This study demonstrates that the implementation of a collaborative care model is feasible in UK primary care and the intervention is effective and acceptable to patients.
This study aimed to investigate the feasibility of a collaborative care model for depression in older people in a primary care setting. Participants were 105 people aged 60 years or older who scored 5 or more on the Geriatric Depression Scale; 53 were randomly allocated to an intervention group and 52 to a usual care group. The intervention group received care managed by a community psychiatric nurse who delivered an intervention comprising a facilitated self-help programme with close liaison with primary care professionals and old-age psychiatry according to a defined protocol. The usual care group received usual GP care. A nested qualitative study explored the views of the health professionals and patients regarding the acceptability and effectiveness of the intervention. The main outcome measure was recovery from depression. Patients in the intervention group were less likely to suffer from major depressive disorder at follow up compared with usual care. The qualitative component of the intervention demonstrated the acceptability of the intervention to patients. This study demonstrates that the implementation of a collaborative care model is feasible in UK primary care and the intervention is effective and acceptable to patients.
Subject terms:
intervention, older people, primary care, randomised controlled trials, care management, community mental health nurses, depression, general practitioners;
Explains how in a bid to provide an integrated health and social care service for older people, social services care managers were placed in four GP surgeries in West Yorkshire.
Explains how in a bid to provide an integrated health and social care service for older people, social services care managers were placed in four GP surgeries in West Yorkshire.
Subject terms:
interagency cooperation, joint working, joint commissioning, older people, social workers, care management, general practice social work, general practitioners;
Venture Press/British Association of Social Workers
Publication year:
2000
Pagination:
160p.,bibliog.
Place of publication:
Birmingham
Provides five research studies focusing on health-related social work and its engagement with hospital, primary and community care, with particular reference to services to older people. The studies comprise: social workers in primary care settings; day-to-day activities of social workers in both hospital and community based settings; hospital social work in the context of care management; relevant issues in accident and emergency departments; and a policy study of continuing care.
Provides five research studies focusing on health-related social work and its engagement with hospital, primary and community care, with particular reference to services to older people. The studies comprise: social workers in primary care settings; day-to-day activities of social workers in both hospital and community based settings; hospital social work in the context of care management; relevant issues in accident and emergency departments; and a policy study of continuing care.
Subject terms:
hospital social workers, hospitals, joint working, medical social work, medical social workers, long term care, older people, patients, policy, primary care, social workers, care management, community care, emergency health services, general practitioners, health care;
Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
Describes a project aimed at promoting joint working in Primary Health Care Teams which has highlighted the need for targeted care management and greater planning and training among all team members.
Describes a project aimed at promoting joint working in Primary Health Care Teams which has highlighted the need for targeted care management and greater planning and training among all team members.
Subject terms:
interagency cooperation, joint planning, needs, older people, outcomes, planning, primary care, social services, teams, assessment, care management, community care, evaluation, health authorities, general practitioners;
A social worker from Hereford and Worcester SSD and a health visitor from South Worcestershire Community NHS TRUST report on how they work together to plan and deliver effective packages of care to elderly people registered with the GP practice to which they are attached.
A social worker from Hereford and Worcester SSD and a health visitor from South Worcestershire Community NHS TRUST report on how they work together to plan and deliver effective packages of care to elderly people registered with the GP practice to which they are attached.
Subject terms:
interagency cooperation, multidisciplinary services, older people, social services, social workers, care management, community care, general practice social work, general practitioners, health visiting, health visitors;
Research Policy and Planning, 11(1/2), 1994, pp.2-9.
Publisher:
Social Services Research Group
Provides a brief overview of the findings of a small exploratory study which looked at the ways in which frail older people were assessed for institutional care by different professionals prior to April 1993. It goes on to discuss selected findings in more detail and to consider planning and development implications of public bodies in the new era of community care.
Provides a brief overview of the findings of a small exploratory study which looked at the ways in which frail older people were assessed for institutional care by different professionals prior to April 1993. It goes on to discuss selected findings in more detail and to consider planning and development implications of public bodies in the new era of community care.
Subject terms:
home help, hospital social workers, interagency cooperation, interprofessional relations, older people, planning, social workers, admission to care, assessment, care management, community care, district nurses, general practitioners, health visiting, health visitors;
Contains a selection of clinical audit projects within old age mental health services, all of which have been carried out in practice, with some still in progress. The projects are divided into topics: referrals; assessment; care plans; medication; clinical care; depression, deliberate self harm and suicide; organisational and management processes; and discharge.
Contains a selection of clinical audit projects within old age mental health services, all of which have been carried out in practice, with some still in progress. The projects are divided into topics: referrals; assessment; care plans; medication; clinical care; depression, deliberate self harm and suicide; organisational and management processes; and discharge.
Subject terms:
medication, mental health problems, mental health services, management, older people, organisations, planning, primary care, referral, self-harm, suicide, assessment, care management, care programme approach, depression, diagnosis, discharge, general practitioners;
Journal of Interprofessional Care, 16(1), February 2002, pp.7-17.
Publisher:
Taylor and Francis
Partnership working is now a central plank of public policy in the UK, especially in the field of health and social care. However, much of the policy thrust has been at the level of interorganisational working rather than at the level of interprofessional partnerships. The empirical and theoretical literature is largely sceptical about the feasibility of effective joint working between separate but related professionals--the 'pessimistic tradition'. Based upon an empirical study of general practitioners, community nurses and social workers in northern England, this article challenges such a tradition and proposes an 'optimistic hypothesis' for further investigation.
Partnership working is now a central plank of public policy in the UK, especially in the field of health and social care. However, much of the policy thrust has been at the level of interorganisational working rather than at the level of interprofessional partnerships. The empirical and theoretical literature is largely sceptical about the feasibility of effective joint working between separate but related professionals--the 'pessimistic tradition'. Based upon an empirical study of general practitioners, community nurses and social workers in northern England, this article challenges such a tradition and proposes an 'optimistic hypothesis' for further investigation.
Subject terms:
interagency cooperation, joint working, interprofessional relations, nurses, multidisciplinary services, occupational therapists, older people, organisational structure, organisations, policy, primary care, social welfare, social work, social care, social care provision, social workers, teamwork, assessment, attitudes, care management, community health care, community nurses, decision making, general practitioners, health care;