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Formal support, mental disorders and personal characteristics: a 25-year follow-up study of a total cohort of older people
- Authors:
- SAMUELSSON G., et al
- Journal article citation:
- Health and Social Care in the Community, 11(2), March 2003, pp.95-102.
- Publisher:
- Wiley
This study was designed to describe the pattern of long-term formal support received by people with mental disorders and to investigate the relationship between the medical, psychological and social characteristics of the participants and types of formal support, based on a cohort of 192 people born in 1902 and 1903 in a community in Southern Sweden. They were assessed using interviews, psychological tests and medical examinations. Information was collected about the use of primary healthcare and social services. The first assessment took place when the cohort was aged 67 and on 8 further occasions until they were 92. Participation ranged from 72% to 100%. During the observation period of 25 years, 53% of people with dementia eventually received both home help and institutional care compared to 34% with other psychiatric diagnoses and 12% with good mental health. The last group all had physical health problems and/or problems with activities of daily living. However, 35% of the dementia group, 46% with other psychiatric diagnoses and 52% with good mental health received no formal support. Males and self-employed people were significantly less likely to use formal support. The institutionalised group reported loneliness significantly more often than the other 2. In a logistic regression analysis, loneliness, low social class, high blood pressure and low problem-solving ability were predictors of formal support use. People with mental disorder, including dementia, were significantly more likely to use formal support compared with people with good mental health. Social factors were the main factors predicting formal support.
The use of Mental Health Review Tribunals by older people
- Author:
- DWYER Sandra
- Journal article citation:
- Practice: Social Work in Action, 15(3), 2003, pp.51-60.
- Publisher:
- Taylor and Francis
Focuses on the proportion of older people who are detained under the Mental Health Act 1983 who make applications to tribunals in comparison to younger adults. Some implications for social work practice are explored, both under current legislation, and in the context of legislative reform.
Investigation into matters arising from care on Rowan ward, Manchester Mental Health and Social Care Trust
- Author:
- COMMISSION FOR HEALTH INSPECTION
- Publisher:
- Stationery Office
- Publication year:
- 2003
- Pagination:
- 65p.
- Place of publication:
- London
Older people with mental health problems are the most vulnerable of all the groups we are charged with providing care for. What happened on Rowan Ward should never have happened. This report followed allegations in August 2002 of physical and emotional abuse of patients by care staff on Rowan ward, an isolated facility housing older people with mental health problems. The comprehensive review of in-patient services and the advice and recommendations that came from it, and which is set out in this pamphlet, should go some way to making sure that events such as happened on Rowan Ward cannot happen again
People with mental health problems
- Author:
- GEORGE Mike
- Journal article citation:
- Care and Health Magazine, 51, 17.12.03, 2003, pp.44-45.
- Publisher:
- Care and Health
Summarises some of the main figures available on the numbers of people with mental health problems.
Impact of facility type on assisted living facilities' response to residents' mental health needs
- Author:
- CUMMINGS Sherry
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 8(1), 2003, pp.25-41.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Assisted living facilities (ALFs) are the most rapidly growing type of residential care for the elderly in the United States. However, little is known about facilities' responses to residents' mental health needs. A survey of the administrators of two different types of assisted living facilities in the state of Tennessee-Assisted Living Care Facilities (ALCFs) and Homes for the Aged (HFA)-was conducted in 2001. Results indicate that 94% of the facilities house residents with mental health disorders. Considerable overlap was found in the characteristics (number of beds, number of staff, cost, years of operation) of the ALCFs and HFAs. However, when examined in aggregate, significant differences emerged. Significant differences were also found in the percent of elders with specific mental health disorders and the methods used to identify and respond to these elders by facility type. Policy and research implications are discussed. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Collaboration in social work practice
- Editor:
- WEINSTEIN Jenny
- Publisher:
- Jessica Kingsley
- Publication year:
- 2003
- Pagination:
- 255p.,bibliog.
- Place of publication:
- London
The authors explore definitions of collaborative work, describe policy and research and give examples from their experiences of interprofessional practice. They emphasize the importance of building genuine partnerships between professionals, and with service users and carers in planning and providing care, service development and research. Good practice in collaborative working is described with different groups, including older people, people with mental health needs, children and families and people with learning disabilities. Exploring the ways in which shared values and collaborative working practices can be brought together for effective interprofessional provision of user-focused services, this informative book is a must-read for social workers and other professionals involved with social care and health services.
Advocacy techniques with older adults in rural environments
- Authors:
- BUTLER Sandra S., WEBSTER Nancy M.
- Journal article citation:
- Journal of Gerontological Social Work, 41(1/2), 2003, pp.59-74.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Examines the role of advocacy and its implementation for gerontological social work practice in rural areas. Reviews some of the many ways social work advocacy has been defined over the years and specifically how advocacy can be used in social work practice with older adults. Particular attention is given to an advocacy model currently utilized in rural Maine-the Integrated Case Management model and how it is precisely well-suited to the needs of older people living in rural areas. Concludes with recommendations regarding the incorporation of advocacy into rural gerontological social work practice. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Service for all: making it happen; a report from the Service for All conference held on 18 June 2003 in Edinburgh
- Author:
- SERVICE FOR ALL CONFERENCE
- Publisher:
- Scottish Human Services Trust
- Publication year:
- 2003
- Pagination:
- 42p.
- Place of publication:
- Edinburgh
The conference aimed to bring people together to exchange information, examples of good practice and ideas about making NHS services more accessible. The main elements of the event were to: understand access from the perspective of people with disabilities, people with mental health problems and older people, what helps and what are the main problems?; identify good practice in Scotland and start a database of good practice; share ideas around practical solutions and on ways to get advice and help from others; and inform ongoing development of policies and advice for the Scottish Executive and the NHS in Scotland on how the NHS and people who use services can work together to improve access. Under the Disability Discrimination Act 1995, the NHS and other service providers have to think actively about how to make services accessible. This legislation is important but making this happen is not just about following legislation. It is about people sharing a vision of what a service for all looks like, of imagining better and working together to make it real.
The September 11th attacks and depressive symptomatology among older adults with vision loss in New York City
- Authors:
- BRENNAN Mark, HOROWITZ Amy, REINHARDT Joannn P.
- Journal article citation:
- Journal of Gerontological Social Work, 40(4), 2003, pp.55-71.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Responding to the September 11, 2001 terrorist attacks, the NIH Office of Behavioral and Social Science Research developed a measure to assess bias in studies of mental health resulting from these events. Studies that have reported a negative mental health impact from September 11th have focused on adults of all ages and have had limited preattack comparison data. However, at the time, we were studying depression among older adult vision rehabilitation applicants in the New York City metro area. Thus, we were in an unique position to examine any potential biasing effects of September 11th given our proximity to one of the attack sites. CES-D scores and life satisfaction were compared for those providing data 2 months prior (n = 111) or 2 months after September 11th (n = 58). Significant biasing effects of September 11th did not emerge, nor were there any interaction effects of the event with age, gender or education. Failure to find bias from September 11th in our Sample reflects, in part, the resiliency of older adults who have coped with other stressful events in their lifetimes. (Copies of this article are available from: Haworth Document Delivery Centre Haworth Press Inc., 10 Alice Street Binghamton, NY 13904-1580)
Screening for problem drinking in older people referred to a mental health service: a comparison of CAGE and AUDIT
- Authors:
- PHILIPOT M., et al
- Journal article citation:
- Aging and Mental Health, 7(3), May 2003, pp.171-175.
- Publisher:
- Taylor and Francis
The aim of the study was to evaluate the validity of the Alcohol Use Disorders Identification Test (AUDIT), the five-item version (AUDIT-5) and the CAGE as screening tests for problem drinking in mentally ill older people. The study was of prospective cross-sectional design with Questionnaire survey and interview and included all consecutive referrals to an old age psychiatry service fulfilling inclusion criteria. Sensitivity, specificity and positive predictive values and areas under the receiver operating characteristic curves (AUROC) for the AUDIT, AUDIT-5, and CAGE were the primary outcome measures. Using clinical criteria as the gold standard, the AUDIT, AUDIT-5 and CAGE had AUROCs of 0.961, 0.964, and 0.780 respectively. The AUDIT-5 performed best of the three scales with a sensitivity of 75.0%, specificity of 97.2% and positive predictive value of 83.3% when using a 4/5 cut-point. The AUDIT-5 performed as well as the AUDIT and better than the CAGE in identifying problem drinking in this sample. The AUDIT-5 may be a useful addition to the specialist mental health assessment of older people.