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Social justice, respect and meaning-making: keys to working with the homeless elderly population
- Author:
- PROEHL Rebecca A.
- Journal article citation:
- Health and Social Work, 32(4), November 2007, pp.301-307.
- Publisher:
- Oxford University Press
Substance abuse programs designed for the needs of older adults are rare in the United States, and traditional mental health providers are often reluctant to work with the population, thus making it difficult for the homeless older adult to receive mental health services. This article looks at the work of the Saint Mary's Center in California which obtained funding for three years to provide services for elderly homeless people with mental health problems.
Multidisciplinary teams’ practice strategies with older adult clients who hoard
- Authors:
- KOENIG Terry L., et al
- Journal article citation:
- Social Work in Mental Health, 12(1), 2014, pp.81-97.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Social workers are integral members of multidisciplinary teams designed to address older adults’ hoarding behaviours. However, few studies have examined practice strategies used by these teams. This qualitative study examined multidisciplinary teams’ use of a political approach that involved bargaining and coercion as practice strategies. Ten informants, as members of four multidisciplinary teams, described their practice strategies and client outcomes regarding older adult hoarding cases. Outcomes of these strategies resulted in a majority of elders being removed from their home. Implications include the need for teams to increase understanding of their roles in service delivery; and additions to the political approach for addressing hoarding behaviours (Publisher abstract)
Establishing community partnerships to support late-life anxiety research: lessons learned from the calmer life project
- Authors:
- JAMESON John Paul, et al
- Journal article citation:
- Aging and Mental Health, 16(7), September 2012, pp.874-883.
- Publisher:
- Taylor and Francis
This article describes the development of the Calmer Life project, a partnership between researchers and faith-based and social service organisations to examine the effectiveness of cognitive behavioural therapy (CBT) incorporating religious/spiritual components for older African Americans in low-income communities. The programme allowed multimodal delivery that occurred outside traditional mental health settings through faith-based organisations and neighbourhood community centres. Established relationships within the community were built upon, and initial meetings were held in community settings, allowing feedback from community organisations. This ongoing programme has been successfully and strengthened relationships with community partners and facilitated increased availability of education and services in the community. The lessons learned in establishing these partnerships are detailed.
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.
Pinning down opinion on mental healthcare
- Author:
- PATEL Seraphim
- Journal article citation:
- Health Service Journal, 4.11.10, 2010, pp.20-21.
- Publisher:
- Emap Healthcare
An audit tool has been successfully piloted to measure older mental health service users' views by a team at Central and North West London Foundation Trust. The process of piloting of the patient-related outcome measures (PROMs) and patient-related experience measures (PREMs) is described.
Grouchy old men?
- Author:
- WILLIAMSON Toby
- Journal article citation:
- Working with Older People, 13(1), March 2009, pp.19-22.
- Publisher:
- Emerald
This article describes Grouchy Old Men?, a Mental Health Foundation project that aims to raise awareness of the emotional health and mental well-being needs of older men. It is also challenging perceptions of who older men are and how they relate to the world. The project involves several activities including: developing a learning and information exchange network for organisations with an interest in older men's mental health; producing a "how to" guide to developing services that engage isolated older men; working with organisations such as Age Concern to pilot new approaches to communicating, engaging and working with older men with mental health needs. It concludes that age, poorly designed information and inaccessible services should not prevent older men from getting support for their emotional health and well-being when they need it.
Rapid access for older people to specialist mental health services
- Authors:
- HIRST Joanne, OLDKNOW Helen
- Journal article citation:
- Nursing Times, 24.2.09, 2009, pp.12-13.
- Publisher:
- Nursing Times
This article outlines an initiative to provide rapid access to specialist services for older people with mental health difficulties living in care homes. It outlines the main aims of the service and its impact. The service has significantly reduced unnecessary hospital admissions.
Socially excluded older people and their access to health and care services: insights from professionals
- Author:
- AGE UK
- Publisher:
- Age UK
- Publication year:
- 2021
- Pagination:
- 30
- Place of publication:
- London
This report brings together a series of case studies from professionals who are working with socially excluded older people, including older people who are homeless, former prisoners, living in poverty, or living with severe mental illness or addiction. It offers an insight into the challenges these older people are facing and provides best practice examples of services making a difference to older people’s lives. The is report is based upon interviews with eight professionals from organisations supporting socially excluded older people. Day-to-day challenges of older people who are socially excluded include mental and physical health, social isolation and addiction. While socially excluded older people are facing challenges separate to ageing their age magnifies the issues which they face and makes day-to-day life more difficult. Reasons for this include the fact that unhealthy behaviours are riskier in later life; and services are not set up for older people. While services do exist to support socially excluded people, accessing them is often challenging, especially for older people, due to a range of reasons including mistrust of services, ageism and stigma, and lack of information. The professionals interviewed identified practical ways to support older people who are socially excluded: building trust with older people; continuity of care; adapting services to support people with cognitive impairment; understanding what matters to older people; moving away from a one-size fits all approach; creating safe spaces; and raising awareness of services. (Edited publisher abstract)
The development and implementation of a peer support model for a specialist mental health service for older people: lessons learned
- Authors:
- COATES Dominiek, LIVERMORE Patrick, GREEN Raichel
- Journal article citation:
- Mental Health Review Journal, 23(2), 2018, pp.73-85.
- Publisher:
- Emerald
Purpose: There has been a significant growth in the employment of peer workers over the past decade in youth and adult mental health settings. Peer work in mental health services for older people is less developed, and there are no existing peer work models for specialist mental health services for older people in Australia. The authors developed and implemented a peer work model for older consumers and carers of a specialist mental health service. The purpose of this paper is to describe the model, outline the implementation barriers experienced and lesson learned and comment on the acceptability of the model from the perspective of stakeholders. Design/methodology/approach: To ensure the development of the peer work model met the needs of key stakeholders, the authors adopted an evaluation process that occurred alongside the development of the model, informed by action research principles. To identify stakeholder preferences, implementation barriers and potential solutions, and gain insight into the acceptability and perceived effectiveness of the model, a range of methods were used, including focus groups with the peer workers, clinicians and steering committee, consumer and carer surveys, field notes and examination of project documentation. Findings: While the model was overall well received by stakeholders, the authors experienced a range of challenges and implementation barriers, in particular around governance, integrating the model into existing systems, and initial resistance to peer work from clinical staff. Originality/value: Older peer workers provide a valuable contribution to the mental health sector through the unique combination of lived experience and ageing. The authors recommend that models of care are developed prior to implementation so that there is clarity around governance, management, reporting lines and management of confidentiality issues. (Edited publisher abstract)
Guidance for commissioners of mental health services for people from black and minority ethnic communities
- Author:
- JOINT COMMISSIONING PANEL FOR MENTAL HEALTH
- Publisher:
- Joint Commissioning Panel for Mental Health
- Publication year:
- 2014
- Pagination:
- 29
- Place of publication:
- London
This guide describes what ‘good’ mental health services for people from Black and Minority Ethnic (BME) communities look like. While all of the Joint Commissioning Panel for Mental Health commissioning guides apply to all communities, there are good reasons why additional guidance is required on commissioning mental health services for people from BME communities. The document sets out the key priorities that should guide the commissioning of mental health services for BME groups. These include: supporting equitable access to effective interventions, and equitable experiences and outcomes; identifying and implementing specific measures to reduce ethnic inequalities in mental health; developing local strategies and plans for improving mental health and wellbeing amongst BME communities; making targeted investments in public mental health interventions for BME communities; involving service users, carers as well as members of local BME communities in the commissioning process; collecting, analysing, reporting, and acting upon data about ethnicity, service use, and outcomes; creating more accessible, broader, and flexible care pathways, and integrating services across the voluntary, community, social care and health sectors; ensuring every mental health service are culturally capable and able to address the diverse needs of a multi-cultural population through effective and appropriate forms of assessment and interventions; developing a number of strategies to reduce coercive care, which is experienced disproportionately by some BME groups. This guide focuses on services for working age adults. However, it could also be interpreted for commissioning specialist mental health services, such as CAMHS, secure psychiatric care, and services for older adults. It includes case-examples derived from an online survey of various BME stakeholder groups on the issue of quality in BME service provision (Edited publisher abstract)