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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.
Structuring mental health within senior services: a case study of an outpatient mental health clinic serving Latinos
- Author:
- ORTIZ Daniel Vélez
- Journal article citation:
- Journal of Gerontological Social Work, 55(6), August 2012, pp.503-518.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study explored how organisational factors in a community-based agency providing senior services were interconnected to the structure of mental health services and how staff perceived their efforts to provide services to Latino clients. The study based in an urban area in the eastern United States used in-depth, semistructured interviews with two support staff, four clinical social workers, and two administrators. Interviews were analysed using a thematic content analysis. The mental health clinic formation was perceived by staff as an ecological process stemming from the needs of the Latino immigrant senior clients. A close knit and interdependent culture allowed the clinic to adjust to diversity and changing cultural contexts. Implications for practice are future practice are discussed.
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.
Establishing community partnerships to support late-life anxiety research: lessons learned from the calmer life project
- Authors:
- JAMESON John Paul, et al
- Journal article citation:
- Aging and Mental Health, 16(7), September 2012, pp.874-883.
- Publisher:
- Taylor and Francis
This article describes the development of the Calmer Life project, a partnership between researchers and faith-based and social service organisations to examine the effectiveness of cognitive behavioural therapy (CBT) incorporating religious/spiritual components for older African Americans in low-income communities. The programme allowed multimodal delivery that occurred outside traditional mental health settings through faith-based organisations and neighbourhood community centres. Established relationships within the community were built upon, and initial meetings were held in community settings, allowing feedback from community organisations. This ongoing programme has been successfully and strengthened relationships with community partners and facilitated increased availability of education and services in the community. The lessons learned in establishing these partnerships are detailed.
An examination of the needs of older patients with chronic mental illness in public mental health services
- Authors:
- FUTERAN Shuli, DRAPER Brian M.
- Journal article citation:
- Aging and Mental Health, 16(3), April 2012, pp.327-334.
- Publisher:
- Taylor and Francis
Meeting the needs of patients is likely to influence their experienced quality of life. The aim of this study was to describe the needs of patients aged 50 years and over with chronic mental illness being case managed within a public mental health service, and to determine factors that influence these needs. The participants were 97 patients recruited from community-based Adult Mental Health (AMH) teams and Specialist Mental Health Services for Older People (SMHSOP) teams. Eligibility criteria included a diagnosis of schizophrenia or mood disorder. Patient, carer and key worker interviews were carried out using the Camberwell Assessment of Need for the Elderly (CANE). The findings showed that patients self-rated fewer needs overall on the CANE than their key workers or the researcher, and also rated a higher proportion of their needs being met (83%) than the key worker (77%) or researcher (76%). From each perspective, over 80% of psychiatric and around 95% of identified medical needs were being met. The majority of social needs were unmet, with patients reporting only 42%, and key workers only 33%, met needs. The key unmet social needs were company, daily activities and having a close confidant. The article concludes that the social needs of older patients with chronic mental illness require greater attention by public mental health services.
Interdisciplinary working in mental health
- Author:
- BAILEY Di
- Publisher:
- Palgrave Macmillan
- Publication year:
- 2012
- Pagination:
- 256p.
- Place of publication:
- Basingstoke
This book presents a model for interdisciplinary working, and offers an overview of practice and policy across a range of mental health settings. It explores how to combine skills, theories and expertise from a range of disciplines in response to the diverse needs of service users, from children to older people, and those with complex needs. Chapters include: the evolution of interdisciplinary working: definitions and policy context; models and values for interdisciplinary working in mental health; interdisciplinary working and the mental health legislation; interdisciplinary care planning in mental health; interdisciplinary risk assessment planning and management; involving people who use services in interdisciplinary working in mental health; interdisciplinary working with people with mental health problems in primary care; interdisciplinary working with children and young people with mental health problems; interdisciplinary working with older adults with mental health needs; interdisciplinary working with individuals with complex needs; interdisciplinary education and training; and managing interdisciplinary working and practice in mental health.
Mental health and the market: briefing
- Author:
- NHS CONFEDERATION
- Publisher:
- NHS Confederation
- Publication year:
- 2012
- Pagination:
- 8p.
- Place of publication:
- London
Mental health services represent a significant area of expenditure in the NHS. In 2010/11, the total investment in adult and older people’s mental health services in England was £7.19 billion. The vast majority of mental health services are delivered by statutory providers. There are also numerous independent organisations providing NHS-funded mental healthcare, from both the for-profit and not-for-profit sectors, across almost the full spectrum of provision. These range from large national chains, to small local charities and social enterprises. Understanding how the market in mental health works is critical – both for the development of future national policy, as well as for the implementation of existing policy relating to competition and choice. Ensuring clinical commissioning groups (CCGs) have a clear understanding of the way in which the market currently operates in the mental health sector will be central to developing effective commissioning arrangements. The Department of Health commissioned the NHS Confederation’s Mental Health Network and Mental Health Strategies to produce an analysis of the current landscape for mental health service provision in England. This Briefing summarises the main findings of the report.
SCIE Research briefing 41: factors that promote and hinder joint and integrated working between health and social care services
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, CAMERON Ailsa, LART Rachel, BOSTOCK Lisa, COOMBER Caroline
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2012
- Pagination:
- 24p.
- Place of publication:
- London
The research briefing focuses on jointly-organised services for older people and people with mental health problems in the UK only. It identifies different models of working between health and social care services at the strategic, commissioning and operational levels; evidence of effectiveness and cost-effectiveness; factors promoting and obstacles hindering the success of these models; and the perspectives of people who use services and their carers. The main issues are discussed under themes of: organisational issues; cultural and professional issues; and contextual issues. Gaps in the research evidence and the need to develop high-quality, large-scale research into joint and integrated working are also identified. The briefing updates a previous systematic review and excludes papers published before 2000.
Midlife and older gay men living with HIV/AIDS: the influence of resiliency and psychosocial stress factors on health needs
- Authors:
- KING Shawn D., OREL Nancy
- Journal article citation:
- Journal of Gay and Lesbian Social Services, 24(4), October 2012, pp.346-370.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
HIV/AIDS research has mostly focused on younger gay men. However, the population of older gay men living with HIV/AIDS continues to increase at a rapid rate. The aim of this study was to investigate the physical and mental health outcomes for midlife and older gay men living with HIV/AIDS, and the influence that coping and psychosocial stress factors have on their utilisation of health and social services. This cross-sectional study originated from a larger study of 316 gay men aged 45 years and older and includes a subsample of 38 participants living with HIV/AIDS. An online survey questionnaire explored physical and mental health service utilisation rates, including physical and mental health status. Resiliency, internal health locus of control beliefs, and psychosocial stressors of age and sexual orientation discrimination, stigma, and internalised homophobia were also examined. The findings show that 65.8% of the HIV/AIDS participants had received no mental health services the past year, despite reporting higher mental health distress. Of those reporting an HIV status, 10.5% indicated having no health visits in the preceding year and more delays in seeking care when needed and unmet health needs for which services were not sought. Participants reporting higher resiliency indicated less mental health distress and better health access indicators. Stigma and internalised homophobia negatively affected resiliency. Implications for practitioners working with midlife and older gay men are discussed.