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Evaluating mental health services for older people
- Author:
- FINCH Jenny
- Publisher:
- Radcliffe
- Publication year:
- 2004
- Pagination:
- 212p.,bibliog.
- Place of publication:
- Oxford
This book provides an account of the current developments in mental health services for older people and describes a robust model for evaluating health and social care to improve these services. Drawing on international experience, it provides accounts of the development of mental health services for older people in the UK, Europe, the USA, Canada and Australia. The approaches to evaluating health and social care in these countries are all outlined, and a comparative analysis is given. The services currently offered are patchy, so there is a pressing need for effective mechanisms to be introduced in order to monitor quality.
Is mental health economics important in geriatric psychiatry in developing countries?
- Authors:
- SHAH Ajit, MURTHY Srinivasa, SUH Guh-Kee
- Journal article citation:
- International Journal of Geriatric Psychiatry, 17(8), August 2002, pp.758-764.
- Publisher:
- Wiley
This article found that there were no health economic studies in geriatric psychiatry from developing countries against a background of many such studies in developed countries. There were a greater number of health economic studies in other areas of psychiatry in developing countries. Several reasons for the paucity of such studies, the feasibility of undertaking these studies and their significance are discussed.Mental health economic studies in geriatric psychiatry in developing countries are feasible, realistic and may well have an important part to play in the allocation of resources. Also, data sets necessary for such studies are emerging from many developing countries.
Availability of mental health services for older adults: a cross-cultural comparison of the United States and Turkey
- Authors:
- SIVIS R., McCRAE C. S., DEMIR A.
- Journal article citation:
- Aging and Mental Health, 9(3), May 2005, pp.223-234.
- Publisher:
- Taylor and Francis
Researchers conducted a cross-cultural study using qualitative methods (based on a phenomenological approach) to explore the availability of mental health services (MHS) for older adults in the United States and Turkey. Using purposive sampling, semi-structured in-depth interviews were conducted with 24 administrators from a wide-range of sites (nursing homes, hospice, senior centers) in a rural area of North Central Florida, United States and Ankara, Turkey. Interview questions focused on types of staff employed; integration of MHS with other services provided; community promotion of services; coordination, cooperation and communication with other service providers; and administrators’ perceptions of barriers in the provision of MHS for older adults. Employing on-site mental health staff was a much more popular practice in Turkey compared to the United States. Administrators in both countries cited inadequate funding as the most common barrier to MHS provision. Potential solutions to MHS barriers in both countries are discussed.
A prospective study in three psychogeriatric day hospitals using administrative interventions to improve non-attendance
- Authors:
- WRIGHT Barry D., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 10(1), January 1995, pp.55-61.
- Publisher:
- Wiley
Reports a survey and a subsequent prospective intervention study. The survey was conducted in two psychogeriatric day hospitals to establish the extent of day-by-day non-attendance. In 1991, 23% of allocated places were not taken up and the reasons for 98% of these episodes are reported. Little attention has been paid to non-attendance rates in the literature. Their importance is discussed. The prospective intervention study was then conducted using information from the survey year. Administrative interventions, which sought to raise the awareness of patient non-attendance within the multidisciplinary team, were put into place in the two day hospitals. Non-attendance rates in a third day hospital, where no intervention was made, were used for comparative purposes. After a second year, non-attendance in the day hospital with no interventions had fallen by 3%. The other two had each reduced non-attendance rates by 18%. These reductions have clinical relevance, representing 380 patient days over the whole year in the two day hospitals.
Caring for older Europeans: comparative studies in 29 countries
- Author:
- GIARCHI George Giacinto
- Publisher:
- Arena
- Publication year:
- 1996
- Pagination:
- 547p.,bibliog.
- Place of publication:
- Aldershot
Provides a reference source for various modes of care (both formal and informal) for older people throughout Europe. Each chapter follows the same format and covers: demography; socio-political and administrative background; social security and pensions; housing; health care; mental health care; residential care; personal social services; voluntary care agencies and support organisations; leisure pursuits and education; and older people in rural areas.