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Peer support and peer support workers in older people’s mental health
- Authors:
- WILLIAMSON Toby, DURCAN Graham
- Publisher:
- Centre for Mental Health
- Publication year:
- 2020
- Pagination:
- 12
- Place of publication:
- London
This briefing explores the evidence, opportunities and issues relating to peer support models for older people with mental health problems There is very limited evidence on what works and the best models for older people’s mental health peer support. While narrowly defined examples of peer support within mental health services are thin on the ground among people in later life, there is some evidence that peer support benefits people with dementia and poor mental health. Combatting social isolation, and cognitive engagement in particular, seem to be features of ‘positive’ peer support that can prevent or slow down either depression or dementia. Using a looser definition of peer support that involves befriending, volunteering, social groups and activities (often for older people with multiple morbidities) may make it harder to ‘manualise’ peer support, but it has a number of benefits. These include the existence of some well-developed and evaluated models, being accessible to a wide group of older people, and being effective both in preventing poor mental health and improving the wellbeing of older people with mental health problems. (Edited publisher abstract)
National survey of investment in mental health services for older people 2011/12
- Author:
- MENTAL HEALTH STRATEGIES
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2012
- Pagination:
- 47p.
- Place of publication:
- London
This report presents the results of the finance mapping exercise carried out as part of the autumn review process. It provides details of the level of investment in mental health services for older people’s mental health services (OPMH) covering people aged 65 and above, in England for 2011/12 and compares it with the reported results in previous in OPMH in England since 2006/07. Overall, 87% of OPMH investment by value was reported with only 13% being estimated – a little higher estimation than last year but still very creditable for a non-mandatory collection. Return rates were better from PCTs than Local Authorities (89% investment reported compared to 84%). The largest area of non-returns was the same as the working age adult survey, from the West Midlands area which consequently has a much higher level of estimation. Total reported overall cash investment in OPMH mental health services fell by -1.00% from £2.859 billion in 2010/11 to £2.830 billion in 2011/12. 62% of the OPMH services in 2011/12 were commissioned by PCTs and 38% reported commissioned by Local Authorities.
A long time coming: part 2: achieving age equality in local mental health services
- Author:
- NATIONAL DEVELOPMENT TEAM FOR INCLUSION
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2011
- Pagination:
- 52p.
- Place of publication:
- Bath
This document reports on the findings of the Achieving Age Equality in Mental Health Network. The Network ran from November 2010 to March 2011 and consisted of 4 different elements: development support to 2 localities based in the Midlands; a call for information on practical examples of age equality in mental health services; analysis of local and national data; and a review of concurrent national and development programmes. This document is the second of 2 reports arising from this work. It shares the experiences and lessons from the activities undertaken by the 2 Network sites, and the experiences of working in partnership to audit their mental health services, explore issues of discrimination and equality, and identify priority actions in order to address the identified age discrimination. The report outlines the practical steps that local health and social care communities can take to audit their services in order to identify where discrimination exists and what needs to happen in order to achieve age equality.
A long time coming: part 1: strategies for achieving age equality in mental health services
- Author:
- NATIONAL DEVELOPMENT TEAM FOR INCLUSION
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2011
- Pagination:
- 27p.
- Place of publication:
- Bath
This document reports on the findings of the Achieving Age Equality in Mental Health Network. The Network ran from November 2010 to March 2011 and consisted of 4 different elements: development support to 2 localities based in the Midlands; a call for information on practical examples of age equality in mental health services; analysis of local and national data; and a review of concurrent national and development programmes. The development support provided to the 2 health and social care communities in the Midlands involved the audit of local mental health services to establish whether and where age discrimination exists and to identify priority actions for developing cost effective and inclusive mental health systems for all ages. This document is the first of 2 reports arising from this work. It focuses on the findings, key messages and priorities for achieving age equality. It identifies the critical issues that need urgent attention in order to eradicate age discrimination in mental health services everywhere. A central message is the need for much greater clarity and a shared understanding about age equality in respect of mental health and mental health services. The report sets out 4 priority actions identified by the Network that need to be taken forward at both a local and a national level.
Age equality: what does it mean for older people's mental health services?
- Author:
- CARE SERVICES IMPROVEMENT PARTNERSHIP. National Older People's Mental Health Programme
- Publisher:
- Care Services Improvement Partnership. National Older People's Mental Health Programme
- Publication year:
- 2008
- Pagination:
- 4p.
- Place of publication:
- London
A 4-page report on older people's mental health services: Providing age inclusive services is an issue currently hotly debated across the country. In some cases it is even slowing progress in the implementation of Everybody's Business. This short paper attempts to clarify what is meant by service provision based on need not age.
Developing mental health services for older people in Wales: a follow-up to Losing Time
- Author:
- AUDIT COMMISSION IN WALES
- Publisher:
- Audit Commission in Wales
- Publication year:
- 2004
- Pagination:
- 22p.
- Place of publication:
- Cardiff
Mental health problems are common among older people, and more people are living to old age. An estimated 41,000 people living in Wales have dementia, and depression is more common among older people than in any other age group. This report provides a review of progress in the development of mental health services for older people in Wales during the two years since the publication of 'Losing Time – Developing Mental Health Services for Older People in Wales'. It examines each of the areas considered in the original report and, based on recent work carried out across Wales, draws conclusions about the extent to which services have moved forward. It has been written to provide a stocktake for the Welsh Assembly Government and local agencies to help them to prioritise actions and investment.
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.
Guidance for commissioners of older people's mental health services
- Author:
- JOINT COMMISSIONING PANEL FOR MENTAL HEALTH
- Publisher:
- Joint Commissioning Panel for Mental Health
- Publication year:
- 2013
- Pagination:
- 22
- Place of publication:
- London
The Joint Commissioning Panel for Mental Health (JCP-MH) is a new collaboration co-chaired by the Royal College of General Practitioners and the Royal College of Psychiatrists, which brings together leading organisations and individuals with an interest in commissioning for mental health and learning disabilities. This guide is about the commissioning of mental health services which can improve older people's mental health and wellbeing. It has been developed by a group of older people’s mental health professionals, people with mental health problems, and carers. The content is primarily evidence and literature-based, but ideas deemed to be best practice by expert consensus have also been included. (Edited publisher abstract)
The Equality Act 2010 and adult mental health services: achieving non-discriminatory age-appropriate services: joint guidance from the Royal College of Psychiatrists' Faculties of Old Age and General and Community Psychiatry
- Author:
- ROYAL COLLEGE OF PSYCHIATRISTS
- Publisher:
- Royal College of Psychiatrists
- Publication year:
- 2011
- Pagination:
- 11p.
- Place of publication:
- London
As of April 2012, age discrimination will be banned in the UK and health and social care services will be legally required to promote age equality in their adult mental health services. Of all health and social care services, older people’s mental healthcare has been highlighted as one of the worst examples of discrimination. There is a danger that commissioners and providers of mental health services, in an attempt to meet the need for equality and to save money, might attempt to merge adult and older people’s services into ‘age-blind’ services. However, this does not recognise age-appropriateness and will result in indirect age discrimination. This document explains what age discrimination is, gives examples of age discrimination in action, describes the requirements under the Equality Act 2010, and provides guidance on responding to the equality challenge in a non-discriminatory age-appropriate way.
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.