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Losing time: developing mental health services for older people in Wales
- Author:
- AUDIT COMMISSION
- Publisher:
- Audit Commission
- Publication year:
- 2002
- Pagination:
- 42p.
- Place of publication:
- London
The quality of mental health services for older people in Wales varies greatly depending on where they live, and there are severe shortages of specialist care when they can no longer be supported at home. Carers are generally well supported but their needs should be assessed more consistently and staff in residential homes need better training. Report highlights over 30 examples of good practice, but says that this needs to be shared more widely. Calls for more partnership working between health and social care and the introduction of defined minimum standards.
Separating the personal from the professional
- Author:
- BHADURI Reba
- Journal article citation:
- Professional Social Work, March 2001, pp.14-15.
- Publisher:
- British Association of Social Workers
The author had a shock when she visited her mother in India and discovered the realities of caring for a person with mental health problems. Here she describes the difficulties that many carers cope with on a daily basis.
Patients' and carers' journeys through older people's mental health services
- Authors:
- DOHERTY Donna, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 8(4), November 2009, pp.501-513.
- Publisher:
- Sage
Mapping the patient journey is a way of investigating the experiences of people using older people’s mental health services, particularly those with a dementia. It is a useful concept for patients and their families and enables them to tell their stories in a way which carries the potential for improving and developing the service. Similarly it is a useful concept for health and social care professionals in giving them the opportunity to understand, and reflect on, how their services work in practice for users and carers and how they might be improved. The collaboration between patients, carers and professionals may itself bring about broader benefits and changes in culture for the individuals and services involved. The West Midlands Older People’s Mental Health Collaborative has encouraged the use of mapping by Collaborative teams in order to identify areas for improvement work.
Psychosocial factors associated with the use/non-use of mental health services by primary carers of individuals with dementia
- Authors:
- MOCKLER Darren, RIORDAN John, MURPHY Marian
- Journal article citation:
- International Journal of Geriatric Psychiatry, 13(5), May 1998, pp.310-314.
- Publisher:
- Wiley
Investigates psychosocial factors associated with the use/non-use of services by primary carers of people with dementia. Considers health, stress, family and social support, years of caring, age of carers and person with dementia, gender and level of behavioural disturbance presented by the person with dementia. The findings indicated that primary carers in the non-user service group scored significantly higher on a measure estimating an individual's ability to deal with stressful situations. The individual's ability to deal with caring responsibilities was associated with a reduction in the level of diagnosable psychiatric disorder and the non-use of services. A significant inverse association between health, stress and individual ability to deal with stressful situations was also found when the two carer groups were combined.
Carers' knowledge of dementia and their expressed concerns
- Authors:
- GRAHAM Candida, BALLARD Clive, SHAM Pak
- Journal article citation:
- International Journal of Geriatric Psychiatry, 12(4), April 1997, pp.470-473.
- Publisher:
- Wiley
The authors wished to determine how much carers from different settings caring for patients with dementia knew about the disorder and elicit their main concerns about the disease. Carers in contact with an Alzheimer's support group were the most knowledgeable and carers in the preassessment group were the least knowledgeable on the subject of dementia. While carers in the postassessment group, this difference failed to reach statistical significance. The study highlights the need for elderly mental health teams to evaluate their methods of dissemination of knowledge to carers, develop educational packages for carers and evaluate their effectiveness.
Case managing older people with AIDS: bridging systems - recognizing diversity
- Author:
- EMLET Charles A.
- Journal article citation:
- Journal of Gerontological Social Work, 27(1/2), 1996, pp.55-71.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Discusses the issues facing older people with AIDS in the USA and explores whether older adults use AIDS/HIV services differently to the younger population. Findings revealed that individuals of 50 years of age and older were less likely to use emotional support services and mental health services that the population over 50. Caregivers with ageing related problems, ageing related diseases, difficulty with social support and disclosure of sexual orientation were consistent themes found among a sample of cases of persons over 50 with AIDS.
Report of the community led research project focussing on: the needs of Chinese older people with dementia and their carers
- Authors:
- CHAN Nancy, et al
- Publisher:
- National Institute for Mental Health in England
- Publication year:
- 2007
- Pagination:
- 121p.
- Place of publication:
- Leeds
The aim of this research project was to investigate the needs of older Chinese people with dementia and their carers in the Greater Manchester area. The particular areas of interest relate to understanding and awareness of dementia and the support needs among Chinese older people and carers. Data was collected by means of questionnaires which were completed by 72 respondents (28 males and 44 females). All of the respondents were born outside the UK, and almost 75% had lived in the UK for over 20 years, 75% of them had come from Hong Kong. The findings from the different sections of the questionnaires are presented: profiles of the respondents; dementia awareness; services from the family doctor; and health and social care needs. The findings demonstrate in particular that the respondents had a lack of awareness and understanding of dementia and of how to access mental health services. The report concludes that it is important to provide individual and family support for the people with dementia and their carers, and to develop services which are culturally appropriate for Chinese older people. Some key recommendations are provided.
Older people and mental health nursing: a handbook of care
- Editors:
- NENO Rebecca, AVEYARD Barry, HEATH Hazel, (eds.)
- Publisher:
- Blackwell
- Publication year:
- 2007
- Pagination:
- 240p.
- Place of publication:
- Oxford
Older People and Mental Health Nursing provides an evidence-based guide to caring for the growing number of older people with mental health issues. It focuses on the knowledge and key skills which practitioners require to work effectively with older people who have, or are at risk of developing, mental health needs. Divided into five sections, Older People and Mental Health Nursing first explores the background, historical perspectives and influences on mental health care in later life. It then looks at the ethical and legal issues involved, therapeutic relationships, and the values underpinning support and care. Part three focuses on aspects which have traditionally been neglected in mental health care, including culture, religion and sexuality. Part four details specific mental health issues for older people, including delirium, depression, and dementia. The final section explores future trends in older people’s mental health and offers ideas on how nursing is developing, and could develop, to address these.
Care management, dementia care and specialist mental health services: and evaluation
- Authors:
- CHALLIS David, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 17(4), April 2002, pp.315-325.
- Publisher:
- Wiley
This article evaluates a model of intensive case management for people with dementia based in a community-based mental health service for older people. Individuals in one community team setting received case management and were compared with those in a similar team without such a service. The impact of the scheme upon placement occurred in the second year at the end of which 51% of the experimental group remained at home compared with 33% of the comparison group. For the experimental group significant improvements in the social contacts of older people were noted; a decrease in the stress of their carers was observed, together with a reduction in their input to the care of the client; and there were significant improvements on ratings of overall need reduction, aspects of daily living and level of risk. Differences between the two groups based on service receipt showed higher costs for the experimental group. Discusses the issues which influence the cost-effectiveness of intensive case management. The benefits of locating this service within a specialist mental health team are explored in the context of promoting greater service integration between health and social services.
A handbook of dementia care
- Editor:
- CANTLEY Caroline
- Publisher:
- Open University
- Publication year:
- 2001
- Pagination:
- 400p.,bibliog.
- Place of publication:
- Buckingham
Handbook providing a multidisciplinary and critical guide to what we know about dementia and dementia care. Includes chapters on: biomedical and clinical perspectives; psychological perspectives; sociological perspective; philosophical and spiritual perspectives; the perspectives of people with dementia, their families and their carers; understanding practice development; assessment, care planning and care management; living at home; communication and personhood; therapeutic activity; working with carers; care settings and the care environment; ethical ideas and practice; the policy context; organisational issues; quality services; user and carer involvement; and research, policy and practice.