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Access to public mental health services among older adults with severe mental illness
- Authors:
- GILMER Todd P., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(3), March 2009, pp.313-318.
- Publisher:
- Wiley
Data from San Diego County, 2002-2006, were used to examine how older adults initially accessed the public mental health system, and their utilization over the subsequent 90 days. Multivariate regression models were used to control for demographic and clinical characteristics. Older adults (age 60 +) were more likely to access the public mental health system through the Psychiatric Emergency Response Team (PERT), a combined law-enforcement and psychiatric service that responds to psychiatric related 911 calls. Older adults were also less likely to receive follow-up care. This lower rate of follow-up was due to both the initial site of service - and an associated lower rate of follow-up among PERT clients - as well as a lower rate of follow-up among older adult clients initiating services in other sectors. This paper suggests two areas for intervention that would improve access to care for older adults: improving linkages and referrals between PERT and outpatient providers; and additional efforts to retain older adults at outpatient programs.
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.
In the light of Bournewood: changes in the management of elderly incapacitated patients
- Authors:
- KEARNEY Norma, TREOLAR Adrian
- Journal article citation:
- Psychiatric Bulletin, 24(2), February 2000, pp.52-54.
- Publisher:
- Royal College of Psychiatrists
This article presents the results of an audit of practice in the South-East Thames Region of England before and after the Bournewood judgements. Findings show that although the judgement was expected by some to have a permanent impact upon the management of the mentally incapacitated, this has not happened. There is a need for effective and resource efficient safeguards for elderly mentally incapacitated patients to be developed.
Bridges not walls: good practice guidance for transition and cooperation between mental health services for older patients
- Author:
- ROYAL COLLEGE OF PSYCHIATRISTS
- Publisher:
- Royal College of Psychiatrists
- Publication year:
- 2019
- Pagination:
- 11
- Place of publication:
- London
The report makes recommendations aimed at improving the care of people who are growing old with enduring mental health problems and who face the possibility of moving between psychiatric services to the psychiatry of old age. Updating previous guidance, it recognises the growing needs of patients in specific groups, such as older offenders; older people with alcohol and substance misuse problems; people with neuropsychiatric disorders; and people with intellectual disabilities. The recommendations fall into six areas: availability and use of protocols, assessment, transition, monitoring, commissioning, and training. It updates guidance the contained in College Report CR153 'Links not boundaries: service transitions for people growing older with enduring or relapsing mental illness.' (Edited publisher abstract)
Adult and older mental health services 2012-2016. An analysis of mental health NHS Benchmarking Network data for England and Wales
- Authors:
- BELL Andy, et al
- Publisher:
- Centre for Mental Health
- Publication year:
- 2017
- Pagination:
- 18
- Place of publication:
- London
An independent analysis of NHS Benchmarking Network Data to show how acute inpatient care and community mental health services for adults are developing in England and Wales. The analysis highlights both reductions in inpatient care capacity, despite increases in the number of admissions and lengths of stay in hospitals, and a fall in community care provision. The analysis also identifies changes in the types of community mental health services available. Early Intervention in Psychosis (EIP) and Crisis Resolution and Home Treatment (CRHT) teams both reduced early in the period and then increased following the introduction of access and waiting time standards for first episode psychosis and the Crisis Care Concordat. There has also been a reduction in the number of Assertive Outreach teams in many parts of the country, whilst the number of Assessment and Brief Intervention teams have increased. The data highlights a need to review the capacity of community mental health services to meet people’s needs. (Edited publisher abstract)
Equalities in mental health
- Author:
- NATIONAL MENTAL HEALTH DEVELOPMENT UNIT
- Publisher:
- National Mental Health Development Unit
- Publication year:
- 2010
- Pagination:
- 9p.
- Place of publication:
- London
This fact sheet outlines some relevant facts and figures relating to inequality in mental health. It discusses race issues, age and sex discrimination, and inequalities with those with learning disabilities. It also highlights how these inequalities affect children and young people.
The characteristics of Indian subcontinent origin elders newly referred to a psychogeriatric service
- Authors:
- ODUTOYE Koye, SHAH Ajit
- Journal article citation:
- International Journal of Geriatric Psychiatry, 14(6), June 1999, pp.446-453.
- Publisher:
- Wiley
Presents the findings of a study designed to compare clinical, social and demographic characteristics between Indian subcontinent origin ethnic elders newly referred to a psychogeriatric service. Results found ethnic elders were younger, had more children, had more people living in their household, were more likely to be married, were less likely to live alone, were more likely to have schizophrenia and less likely to have dementia. There were no differences between the two groups with regard to use of almost all health and social services resources at the time of the referral after the initial assessment. These findings do not support the traditional view that ethnic elders do not adequately access psychogeriatric and social services and that they are primarily cared for be extended families.
Aging and mental health
- Authors:
- SMYER Michael A., QUALLS Sara H
- Publisher:
- Blackwell
- Publication year:
- 1999
- Pagination:
- 359p.,bibliog.
- Place of publication:
- Oxford
Part one introduces mental health and ageing and looks at basic gerontology for working with older adults. Part two presents models of mental health in later life, including: the psychodynamic model; the behavioural model; stress and coping; and the family systems model. Part three gives an introduction to mental disorders and looks at: cognitive impairment; depression; severe mental illness (including Schizophrenia) in later life; and other disorders and difficulties. Part four is on the contexts of practice.
The characteristics of ethnic elders from the Indian subcontinent using a geriatric psychiatry service in West London
- Authors:
- REDELINGHUYS J., SHAH A.
- Journal article citation:
- Aging and Mental Health, 1(3), August 1997, pp.243-247.
- Publisher:
- Taylor and Francis
Reports on a cross-sectional comparative study examining the demographic, social and clinical characteristics of Indian subcontinent origin elders with mental illness. Of the patients in the study, 17 per cent were of Indian subcontinent origin compared to 7 per cent in the general population. Comparison with indigenous patients revealed that ethnic elders were younger, had more children, had more people living in their household and were more likely to have schizophrenia. There were no differences with regard to use of health and social service resources between the ethnic and indigenous elders. Findings do not support the traditional myth that ethnic elders do not adequately access services and that these individuals are primarily cared for by extended families.
The case for breaking through ageism in mental health care
- Author:
- ADAMS Trevor
- Journal article citation:
- Nursing Times, 20.3.96, 1996, pp.46-47.
- Publisher:
- Nursing Times
Examines the recent policy in mental health nursing of refocusing care on people with severe and enduring mental health problems. It is argued that older people with severe and enduring mental illnesses such as dementia are excluded from this policy and that this amounts to a clear case of ageism. Various ways of addressing the problem of ageism in recent policy changes are explored.