Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 8 of 8
The challenge of evaluating mental health services for older people
- Authors:
- McCRAE Niall, BANERJEE Sube
- Journal article citation:
- International Journal of Geriatric Psychiatry, 26(6), June 2011, pp.551-557.
- Publisher:
- Wiley
Despite a consensus on the need to expand service capacity and function in mental health care for older people, evidence on models of service development is limited. The authors suggest that while clinicians move towards evidence-based practice, health service management and commissioning tends to continue to be driven by political expediency. In attempting to answer the question “Does it work?” it is necessary to remember that programmes do not work; people make them work. Evaluators need to look beyond the formal aspects of the programme and understand change from each participant’s perspective. Mixed methods were applied to evaluating two developments in mental health services for older people run by the South London and Maudsley NHS Foundation Trust: Improving Quality of Care for Older People in Lambeth, and Croydon Memory Service. Drawing on these two case studies, the authors consider how evaluation of service innovations can inform policy and practice. They suggest that combining formative and summative methodology improves the contribution of evaluation of service development to the evidence base and that the realist evaluation model is useful in generating theory from complex interventions in a unique context. It is concluded that evaluation should involve both measurement and meaning when judging the value of an intervention.
Transitions: graduating between general and old age psychiatry services in England and Wales
- Authors:
- BAWN Sadie, et al
- Journal article citation:
- Mental Health Review, 12(1), March 2007, pp.21-26.
- Publisher:
- Pier Professional
In 2002 a report from the Royal College of Psychiatrists set out good practice for people with an enduring or relapsing mental illness under the care of working-aged adult mental health services who were making the transition to older adult mental health services. This study aimed to investigate how this report had influenced policies relating to the transfer of people with long standing mental health problems across the interface between working-aged adults and older adult mental health services (OAMHS). In the study 41 interviews were analysed relating to 40 healthcare organisations. The findings are discussed in relation to: needs-led versus age-led services; resource allocation and disadvantages and advantages of using the protocol.
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)
Dealing with distrust and power dynamics: asymmetric relations among stakeholders in responsive evaluation
- Authors:
- BAUR Vivianne E., et al
- Journal article citation:
- Evaluation, 16(3), July 2010, pp.233-248.
- Publisher:
- Sage
Asymmetric relations among stakeholders create challenges in participatory evaluation processes. The aim of responsive evaluation is to include the issues of as many stakeholder groups as possible in the evaluation by engaging them in evaluative interaction. However, power and conflict may hinder equal and genuine communication about the value of the practices evaluated. This article discusses the use of a specific interpretation of responsive evaluation as an approach to foster dialogues among stakeholders in politically laden contexts. It aims to illustrate how asymmetric relations can be dealt with constructively, focusing on inclusion of marginalised groups, mutual learning and good dialogue. The article uses two reflective case narratives, conducted in a residential elderly care setting and in a psychiatric hospital, as examples of responsive evaluation projects in settings with marginalised groups. These case studies illustrate the changing, active roles of responsive evaluators. Both evaluation settings shed light on how to go about making social relations among stakeholders and the evaluator ‘the point’ in evaluation, and how to exploit these relations constructively in order to establish practice improvements.
Depression among older people living in care homes: collaborative approaches to treatment
- Authors:
- ROYAL COLLEGE OF PSYCHIATRISTS, BRITISH GERIATRICS SOCIETY
- Publishers:
- Royal College of Psychiatrists, British Geriatrics Society
- Publication year:
- 2018
- Pagination:
- 28
- Place of publication:
- London
Showcases good practice examples of effective interdisciplinary collaboration between geriatricians, allied health professionals, and psychiatrists who are working with older people with depression living care homes. It identifies key features from the case studies and highlights the importance of addressing the divide between mental and physical healthcare in order to provide the best care for older people living with frailty. Key themes from the case studies included person-centred care; the use of Comprehensive Geriatric Assessment and multidisciplinary working; professional development and training; and voluntary and community sector involvement. The eight examples are from: Gateshead Care Home Initiative, Camden and Islington NHS Foundation Trust’s care home liaison service, Tri-borough in-reach service for care homes in South London, multi-disciplinary care home and community liaison model in Dorset; University Hospital of South Manchester Nursing Home Service; the Integrated care pilot Nazareth House, West London Mental Health Trust. The report aims to promote awareness and understanding of the key features of best practice among practitioners, commissioners and policy-makers. (Edited publisher abstract)
Working towards promoting positive mental health and well-being for older people from BME communities
- Authors:
- TRIBE Rachel, LANE Pauline, HEASUM Sue
- Journal article citation:
- Working with Older People, 13(1), March 2009, pp.35-40.
- Publisher:
- Emerald
This article identifies some of the key issues to be considered when trying to promote positive mental health and well-being for older people from black and minority ethnic (BME) communities. While developing a cultural understanding is important, a number of structural or organisational issues that go beyond language or culture can also affect health and access to health care. The article also considers the role of voluntary sector organisations in developing culturally appropriate mental health promotion services for BME elders. Two case studies are presented: the 'Meri Yaadain' Dementia Project - raising awareness and promoting access to mental health services of South Asian elders in Bradford; and the Bangladeshi mental health Promotion Project in Tower Hamlets, London.