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Issues in mental health care for older adults after disasters
- Author:
- BROWN Lisa M.
- Journal article citation:
- Generations, 31(4), Winter 2007, pp.21-26.
- Publisher:
- American Society on Aging
This article describes key issues to consider when providing mental health care to older adults after a disaster. It covers strategies to assessment mental and medical health needs, provides an overview of interventions for use with older people during the recovery process, and identifies some of the challenges that might be encountered when providing services to older people across various settings.
Case for change: mental health liaison service for dementia care in hospitals: evidence
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2011
- Pagination:
- 11p.
- Place of publication:
- London
One of the resources that make up the Dementia Commissioning pack, this document includes: an overview of patients eligible for mental health liaison services, what this service should involve and a list of the evidence sources used to inform the hospital mental health liaison service design. The document begins by highlighting the challenge general hospitals face in meeting the needs of older people with mental health conditions. It then looks at how a mental health liaison service can improve outcomes and ensure hospital resources are used efficiently. It then looks at specific aspects of the service: assessment and diagnosis; providing support and advice on management and care planning to other parts of the hospital; and contributing to staff training and organisational development. The resources that make up the Commissioning Packs have been designed to help commissioners improve the quality of services and minimise unwarranted variation in service delivery.
National Dementia Strategy: a window of opportunity?: commentary on... National Dementia Strategy: innovation or reiteration?
- Author:
- ILIFFE Steve
- Journal article citation:
- Psychiatrist (The), 34(7), July 2010, pp.294-297.
- Publisher:
- Royal College of Psychiatrists
This article is a commentary to the opinion piece by Hilton (in pages 292-294 of this journal issue). It states that Hilton makes very valid points about the National Dementia Strategy, and that many practitioners will sympathise with them. However, the National Dementia Strategy embodies a political commitment made by the government to an ageing society, and is the result of a long period of agitation and lobbying. It argues that the implementation of healthcare policies is frequently a long drawn out and messy process. There is no guarantee that its proposals will be implemented, given the vagaries of economies and the frailty of political will, but all of them could be. It concludes that the aim should be for gradual changes that produce qualitative shifts in the standards of dementia care.
The National Dementia Strategy: innovation or reiteration
- Author:
- HILTON Claire
- Journal article citation:
- Psychiatrist (The), 34(7), July 2010, pp.292-294.
- Publisher:
- Royal College of Psychiatrists
This opinion piece looks at the National Dementia Strategy. It describes the new strategy as providing constructive ideals of adequate, person-centred, humane care and support for people with dementia and their carers. The article argues that mental health service provision for older people is inadequate due to a lack of financial commitment and the low priority put on these services. It concludes that the National Dementia Strategy is likely to have little impact because it is neither adequately funded nor mandatory.
Clinical supervision in older adult mental health services
- Author:
- MERIZZI Alessandra
- Journal article citation:
- Working with Older People, 23(4), 2019, pp.241-250.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore how supervision is applied in the context of National Health Service services for older adults, with particular regard to the profession of clinical psychology and psychotherapy. Design/methodology/approach: The clinical supervision theories that are considered in this exploration are the Seven-Eyed Model (Hawkins and Shohet, 2012) and the Cyclical Model (Page and Wosket, 2015). The discussion also integrates an overview of psychological dynamics as presented by the existing literature with the author’s reflections on the influence of ageing stereotypes in the therapeutic work with older adults. Findings: The theoretical models of clinical supervision considered can offer a robust framework and pathway for supervisory work in psychology and psychotherapy for older people. However, this alone seems insufficient and needs to be combined with the supervisor’s knowledge on psychology of ageing as well as their own self-reflection on internalised ageing stereotypes. Practical implications: The paper suggests a need for health care professionals, providing clinical supervision on older adult therapeutic work, to be familiar with the aspects analysed. Originality/value: Clinical supervision handbooks overlook aspects related to age as an issue of difference. This paper adds value to the clinical work with older people through a novel attempt to link implications of ageing stereotypes with the therapeutic and supervisory practice. (Publisher abstract)
Older Asian Americans' primary care use: examining the effect of perceived mental health need
- Author:
- NGUYEN Duy D.
- Journal article citation:
- Social Work in Mental Health, 10(2), 2012, pp.89-103.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The Asian-American population in the United States is growing rapidly, particularly for those aged over 50 years. Studies suggest that this population has a higher level of mental health need, depending on cultural dimensions such as the place of birth, acculturation, and English proficiency. The aim of this study was to examine the effects of ethnicity and perceived mental health need on physician use among Chinese, Filipino, and Vietnamese over the age of 50. The study used pre-existing data from the California Health Interview Survey (CHIS) 2001, a cross-sectional study of California residents’ health and access to health care services. The findings showed that nearly all who perceived a mental health need saw a primary care physician, underscoring the importance of identifying mental health issues in primary care settings. Perceived mental health need affected physician use differently for each ethnic group. The article concludes that collaboration between social workers and other healthcare professionals is needed to identify and address mental health needs among diverse older Asian Americans groups in order to reduce mental health disparities.
Making progress: older adult functional assessment wards: visit and monitoring report
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2015
- Pagination:
- 28
- Place of publication:
- Edinburgh
This report details the findings from the visits to twenty four NHS wards providing acute assessment for older people with functional mental illness in Scotland and contains recommendations to improve patient care. Functional mental illness includes common conditions such as depression and anxiety, and rarer conditions such as schizophrenia, delusional disorder, bipolar affective disorder and obsessional compulsive disorder. The care of 128 individuals was reviewed, and attempts were made to hear their views where possible, including the views of 15 unpaid carers – most often family member or close friends. The review found that just about a quarter of care plans were felt to have a good amount of individualised and personalised content, with just over half having some individualised person centred content. The rest had non-individualised generic content. The majority of patients were able to give information about staff availability and felt staff were easily available and approachable. Nearly all patients were being reviewed at least weekly by their psychiatrist, with the remainder being reviewed every fortnight but there was considerable variation in levels of input from clinical psychologists in different wards. Only about half of patients said they had access to advocacy, half were either unaware of, or did not have access to, advocacy. Detained patients were more likely to be aware of advocacy. (Edited publisher abstract)
Equality in later life: a national study of older people's mental health services
- Author:
- HEALTHCARE COMMISSION
- Publisher:
- Healthcare Commission
- Publication year:
- 2009
- Pagination:
- 37p.
- Place of publication:
- London
This study of older people's mental health services assessed available national data and visited specialist mental health trusts. The interview tool covered questions relation to several of the core standards used by the Healthcare Commission to assess trusts' performance. The key findings are reported in four main themes: age discrimination, the quality of inpatient care, the comprehensiveness of services; and working with other organisations (how specialist services worked with primary care, adult social services and acute hospitals). The findings highlight strengths and weakness of services, and key priorities for improvement are included.
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.
Independent sector mental health care: a 1-day census of private and voluntary sector placements in seven Strategic Health Authority areas in England
- Authors:
- HATFIELD Barbara, et al
- Journal article citation:
- Health and Social Care in the Community, 15(5), September 2007, pp.407-416.
- Publisher:
- Wiley
The aims of this study were (i) to map the extent of all mental health placements in the independent sector, for adults of working age, and elderly people (excluding those with a diagnosis of dementia placed in Local Authority care homes), on a census date, across the areas in which the study was commissioned; (ii) to identify the characteristics of the population in placements; (iii) to explore some of the characteristics of the placements and the patterns of use within the private and voluntary sectors; and (iv) to identify the funding source of placements, and cost differences between the private and voluntary sector. The study took place in seven Strategic Health Authority areas, and information was sought from all Primary Care Trust and Social Services commissioners of mental health services, including regional secure commissioning teams, within those areas. A cross-sectional sample was used. Information was requested in relation to every individual meeting the inclusion criteria, placed in independent (private or voluntary) psychiatric hospitals, registered mental nursing homes and care homes on a specified study ‘census date’ of 28 June 2004 in six of the Strategic Health Authority areas, and 7 October 2004 in the seventh. Information was recorded on a standard questionnaire specifically designed for the study. Information was obtained on 3535 adults and 1623 elderly people in private or voluntary facilities. The largest groups of adults and elderly people had diagnoses of severe mental illnesses (42.1% and 30.5%, respectively), and placements were described as ‘continuing care’ or rehabilitation, with a ‘niche’ in specialist forensic care. Around four-fifths of units were in the private sector, which for adults was significantly more expensive than the voluntary sector. A large proportion of units (47.2% of adult placements and 59.3% of placements for elderly people) had only single placements from particular commissioning authorities, whilst others had large numbers, raising issues for effective commissioning. The distance of placements from patients’ area of origin, is also an issue highlighted by the study. The study findings are discussed in relation to commissioning practice, and the development of the independent sector in mental health care.