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A rapid response intermediate care service for older people with mental health problems
- Author:
- GOMERSALL Caroline
- Journal article citation:
- Nursing Times, 5.5.09, 2009, pp.12-13.
- Publisher:
- Nursing Times
This article follows the development of an intermediate care service for older people with mental health needs in North Yorkshire and assesses the impact of the service on patients, carers and referrers, and the availability of dedicated elderly mentally ill (EMI) beds.
Fit for life: a community exercise group for older people with a mental health condition
- Author:
- JOINT IMPROVEMENT TEAM
- Publisher:
- Joint Improvement Team
- Publication year:
- 2014
- Pagination:
- 4
- Place of publication:
- Edinburgh
An outline of the Fit for Life programme, designed to help bridge the gap between NHS mental health services and main-stream community exercise groups with the aim of: increasing physical activity levels, reducing risk of falls and maintaining/improving mental health and well-being for older people with mental health conditions. The programme has evolved in the last four years to encompass the principles of recovery orientated practice whereby individuals are able to actively build a meaningful life while continuing to experience mental health problems or following a period of poor mental health. It consists of a 12 week community-based group, run three times a year. The format includes strengthening/balance exercises and Tai Chi. Case studies are included to illustrate impact and outcomes of the programme. (Edited publisher abstract)
Seasonality of depression referrals in older people
- Authors:
- HOLLOWAY Lucy Elizabeth, EVANS Sandra
- Journal article citation:
- Community Mental Health Journal, 50(3), 2014, pp.336-338.
- Publisher:
- Springer
Seasonal affective disorder is becoming more widely recognised as a prevalent mood disorder in the adult population. However, few studies have investigated the link between sunlight exposure and mood in the elderly. Referrals to the community Mental Health Care for Older People (MHCOP) in the Hackney and City area, were screened for the number of patients referred with depression in three separate years (2007, 2009 and 2011) in order to determine whether more referrals were made to the service during darker months of the year (October to March) than in the lighter months of the year (April to September). When data from the three years was combined, we found no significant increase in the number of referrals to the MHCOP in the darker months (Chi squared value 1.375, p value (2 tailed) 0.2409). Theauthors observed no statistically significant seasonal pattern of referrals, this suggests that depression in older people is not more prevalent in darker months of the year. (Edited publisher abstract)
Remission from depressive symptoms among older adults with mood disorders: findings of a representative community sample
- Authors:
- FULLER-THOMSON Esme, BATTISTON Marla
- Journal article citation:
- Journal of Gerontological Social Work, 52(7), October 2009, pp.744-760.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The aim of this study was to determine factors associated with remission in a community-dwelling sample of older Canadians with mood disorders. A representative community survey conducted in 6 Canadian provinces was used. Data were gathered by telephone and in-person interviews. The response rate was 79%. The sample (n = 1,161) was limited to community-dwelling individuals, aged 55 and over, who reported that they had been diagnosed by a health professional with a mood disorder lasting 6 months or more at some point in their life. Three-quarters (76%) of older adults with mood disorders had been symptom-free for the preceding year. Analysis indicated that the married, those aged 65 and over, those in good to excellent health and those who reported minimal stress had the highest odds of remission. Gender, immigration status, education level, household income, number of chronic conditions, activities of daily living limitations, comorbid anxiety disorders and physical activity level were not associated with the likelihood of remission. Remission rates in this community sample of older adults with mood disorders were much higher than in previous clinical samples. Strategies to improve identification and outreach to those least likely to be in remission from depression are discussed.
We do everything
- Author:
- JACKSON Catherine
- Journal article citation:
- Mental Health Today, April 2008, pp.16-17.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Home treatment provides brief, intensive care at home as an alternative to hospital admission. This article describes the work of the older people's home treatment team based at Penn Hospital at Wolverhampton, winners of the NIMHE Positive Practice Award for innovative commissioning. Their model reduces the risk of dependency and also helps older people re-engage with their families and communities.
The community mental health framework for adults and older adults
- Authors:
- NHS ENGLAND, NHS IMPROVEMENT, NATIONAL COLLABORATING CENTRE FOR MENTAL HEALTH
- Publisher:
- NHS England
- Publication year:
- 2019
- Pagination:
- 22
- Place of publication:
- Redditch
This Framework describes how the NHS Long Term Plan’s vision for a place-based community mental health model can be realised, and how community services should modernise to offer whole-person, whole-population health approaches, aligned with the new Primary Care Networks. The integrated approach will provide benefits for both service users and staff, though integrated assessment, fewer referrals and more direct contact time between staff and service users. The Framework includes links to resources and good practice examples. It has been in partnership with an Expert Reference Group drawn from a range of disciplines and professions across health, social care, the VCSE sector, community groups, and users and carers. (Edited publisher abstract)
Improving treatment access and primary care referrals for depression in a national community-based outreach program for the elderly
- Authors:
- NYUNT Ma Shwe Zin, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(11), November 2009, pp.1267-1276.
- Publisher:
- Wiley
This paper describes a nationwide community-based outreach service model, the Community-Based Early Psychiatric Intervention Strategy (CEPIS) programme, aimed at improving access and acceptance of treatment for depression among the elderly population in Singapore. In the CEPIS, community nurses routinely screened older people for depressive symptoms, and provided psychoeducation (giving information about depression and its causes and treatment and availability of care by a general practitioner, and addressing commonly held negative beliefs and attitudes) and referral for primary care treatment. The authors evaluated the impact of the programme and the extent to which determinants of treatment-seeking were altered by removing socioeconomic, physical and cognitive barriers to care. Their conclusions were that an outreach service model of routine and active screening for depressive symptoms in a community setting of providing social services for the elderly population greatly increased the use of primary care treatment for depression, and that by eliminating socioeconomic, physical, knowledge, belief and attitudinal barriers, equitable care to all in need is attainable through such a service.
ElderLynk: a community outreach model for the integrated treatment of mental health problems in the rural elderly
- Authors:
- McGOVERN Rene J., et al
- Journal article citation:
- Ageing International, 32(1), March 2008, pp.43-53.
- Publisher:
- Springer
- Place of publication:
- New York
In 2000, a rural consortium of health care education and service providers established a geriatric mental health outreach program (ElderLynk) for the underserved elderly (aged 65 and older) in ten rural counties in northeast Missouri. ElderLynk evaluated the efficacy of an integrated community-based treatment model through the creation and evaluation of a clinical database. Ten rural counties in northeast Missouri were chosen because they were designated as mental health shortage areas (MHSAs) and because their elderly population approximates the projected level of elderly in the USA in 2020. All patients were managed by a geriatric nurse with treatment planning and oversight provided by a community-based interdisciplinary team which included a psychiatrist, geriatrician, psychologist, and social worker. Using the Geriatric Depression Scale (GDS); the Government Performance and Results Act data (GPRA) to assess life satisfaction, independence/autonomy, psychosocial functioning, and overall health; the Instrumental Activities of Daily Living (IADL); the Mini-Mental Status Examination (MMSE); and patterns of service usage (number of hours of case management and number of counselling sessions), ElderLynk patients improved significantly in overall psychological functioning, level of depression, and reported life satisfaction despite significant declines in mental status, daily function, and overall health.
Mental health
- Author:
- RYAN Peter
- Journal article citation:
- Research Matters, 2005, pp.31-36.
- Publisher:
- Community Care
Assertive outreach has been extended in the US to older people with mental health difficulties and mentally ill people in the criminal justice system. This article resports on research looking at the expansion of assertive outreach to older people with mental illness and people with mental illness in the criminal justice system.
Service provision for elderly depressed persons and political and professional awareness for this subject: a comparison of six European countries
- Author:
- BRAMSFELD Anke
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(5), May 2003, pp.392-401.
- Publisher:
- Wiley
Under-treatment of depression in late-life is a subject of rising public health concern throughout Europe. This study investigates and compares the availability of services for depressed elderly persons in Denmark, France, Germany, Sweden, Switzerland and the UK. Additionally, it explores factors that might contribute to an adequate services supply for depressed elderly people. Review of the literature and guide supported expert interviews. Analysis of the practice of care provision for depressed elderly persons and of indicators for political and professional awareness, such as university chairs, certification processes and political programmes in gerontopsychiatry. Only Switzerland and the UK offer countrywide community-oriented services for depressed elderly persons. Clinical experience in treating depression in late-life is not regularly acquired in the vocational training of the concerned professionals. Indicators suggest that the medical society and health politics in Switzerland and the UK regard psychiatric disease in the elderly more importantly than it is the case in the other investigated countries. Service provision for depressed elderly persons seems to be more elaborated and better available in countries where gerontopsychiatry is institutionalised to a greater extend in the medical society and health politics.