Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 35
Multidisciplinary team perspectives on older adult hoarding and mental illness
- Authors:
- KOENIG Terry L., et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 25(1), 2013, pp.56-75.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Hoarding, characterised as animal or inanimate object hoarding, can have debilitating consequences for older adults who hoard, as well as for their families and communities. Because of the complex nature of hoarding, many believe that a multidisciplinary approach is needed to respond to hoarding. The purpose of this qualitative study was to examine multidisciplinary team perspectives on their involvement in older adult hoarding cases. Fifteen informants, as members of 4 hoarding teams and representing multiple agencies (e.g. adult protective services, mental health services, and animal control), were specifically asked to describe cases in which their team did or did not work well together to resolve a case. In doing so, the informants described: their team’s characteristics (e.g. team composition, and processes for working together); the need for team members’ increased awareness of hoarding as a mental illness; barriers to providing mental health services for older adults who hoard; and components of successful teamwork within the team and with the older adult as hoarder. Implications include research to better guide interventions, team training to develop common perspectives, and policy development that supports mental health representation on teams and in-home mental health treatment.
Multidisciplinary team care of the elderly: the role of the psychiatrist
- Author:
- GAITZ C.M.
- Journal article citation:
- Gerontologist, 27(5), 1987, pp.553-564.
- Publisher:
- Oxford University Press
-
Multidisciplinary teams’ practice strategies with older adult clients who hoard
- Authors:
- KOENIG Terry L., et al
- Journal article citation:
- Social Work in Mental Health, 12(1), 2014, pp.81-97.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Social workers are integral members of multidisciplinary teams designed to address older adults’ hoarding behaviours. However, few studies have examined practice strategies used by these teams. This qualitative study examined multidisciplinary teams’ use of a political approach that involved bargaining and coercion as practice strategies. Ten informants, as members of four multidisciplinary teams, described their practice strategies and client outcomes regarding older adult hoarding cases. Outcomes of these strategies resulted in a majority of elders being removed from their home. Implications include the need for teams to increase understanding of their roles in service delivery; and additions to the political approach for addressing hoarding behaviours (Publisher abstract)
Practical management of affective disorders in older people: a multi-professional approach
- Editors:
- CURRAN Stephen, WATTIS John P., (eds.)
- Publisher:
- Radcliffe
- Publication year:
- 2008
- Pagination:
- 272p.
- Place of publication:
- Oxford
This book looks at affective disorders from a variety of perspectives. It includes expert contributions on areas such as aetiology, diagnosis and psychological and pharmacological treatment. It also focuses on a contextual approach to the management of affective disorders in areas like primary care and geriatric medicine, as well as the specific contributions of disciplines such as nursing, social work and occupational therapy. User and carer viewpoints are also included, along with the often neglected spiritual aspects of managing these conditions. This practical approach makes it ideal for all members of the multi-disciplinary team involved in the management of affective disorders in older people.
A national look at elder abuse multidisciplinary teams
- Authors:
- TEASTER Pamela B., NERENBERG Lisa, STANSBURY Kim L.
- Journal article citation:
- Journal of Elder Abuse and Neglect, 15(3/4), 2003, pp.91-107.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Elder abuse multidisciplinary teams (MDTs) include professionals from diverse disciplines who work together to review cases of elder abuse and address systemic problems. Using an e-mail survey format, the authors received information from 31 MDT coordinators across the country representing fatality review teams, financial abuse specialist teams, medically oriented teams, and “traditional” teams. The coordinators provided information on the functions their teams perform, the importance of specific functions, cases reviewed, composition of teams, policies and procedures, administration, funding, and challenges to effective functioning. Teams expressed only mild concern for breaches in confidentiality. MDTs stressed the importance of input by professionals from the legal community for successful team functioning. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
An evaluation of a multidisciplinary team for intermediate care at home
- Authors:
- BEECH Roger, et al
- Journal article citation:
- International Journal of Integrated Care, 4(4), 2004, Online only
- Publisher:
- International Foundation for Integrated Care
This paper describes an evaluation of a multidisciplinary Rapid Response Team (RRT). This service aimed to provide a home based alternative to care previously provided in an acute hospital bed which was acceptable to patients and carers and which maintained clinical care standards. The service was provided for the population of Hereford, a rural town in the middle of England. A mixed-method descriptive design using quantitative and qualitative techniques was used to monitor: the characteristics of service users, the types and amounts of care received, any ‘adverse’ events arising from that care, and the acceptability of the service to patients and carers. A collaborative approach involving key stakeholders allowed appropriate data to be gathered from patient case notes, RRT staff, local health and social care providers, and patients and their carers. A suite of self-completed questionnaires was, therefore, designed to capture study data on patients and activities of care, and workshops and semi-structured interview schedules used to obtain feedback from users and stakeholders. Service users (231) were elderly (mean age 75.9), from three main diagnostic categories (respiratory conditions 19.0%, heart/stroke 16.2%, falls 13.4%), with the majority (57.0%) having both medical and social care needs. All patients received care at home (mean duration 5.6 days) with only 5.7% of patients having to be re-admitted to acute care. Overall, patients and carers had positive attitudes to the new service but some expressed concerns about their ability to influence the choice of care option (24.1% and 25.0% of patients and carers, respectively), whilst 22.7% of carers were concerned about the quality of information about care. The findings of this evaluation suggest that the Rapid Response Team provided an ‘acceptable’ alternative to an extended period of care in an acute setting. Such schemes may have relevance beyond the NHS of the UK as a means of providing a more appropriate and cost efficient match between patients' needs for care, the types of care provided, and the place in which care is provided.
Taking a step in the right direction
- Author:
- BEAVIS Diane
- Journal article citation:
- Journal of Dementia Care, 10(3), May 2002, p.12.
- Publisher:
- Hawker
Describes the first steps in setting up a Practice Development Unit to integrate teams within the elderly mental health service to provide quality care.
Teamwork to serve the elderly
- Authors:
- RIORDAN J., et al
- Journal article citation:
- Health Service Journal, 19.5.88, 1988, pp.564-566.
- Publisher:
- Emap Healthcare
A multi-disciplinary team set up in Eccles by the Salford Joint Care Planning Team (Elderly) is helping the elderly to achieve greater independence in the community.
Rehabilitation in dementia care
- Authors:
- CATIONS Monica, et al
- Journal article citation:
- Age and Ageing, 47(2), 2018, pp.171-174.
- Publisher:
- Oxford University Press
Multidisciplinary rehabilitation is increasingly accepted as valuable in the management of chronic disease. Whereas traditional rehabilitation models focused on recovery, maintaining independence and delaying functional decline are now considered worthwhile aims even where full recovery is not feasible. Despite this, rehabilitation is notably absent from dementia care literature and practice. People with dementia report frustration with the lack of availability of structured post-diagnosis pathways like those offered for other conditions. Alternative terms such as ‘re-ablement’ are used to refer to rehabilitation-like services, but lack an evidence-base to guide care. This commentary will discuss possible reasons for the resistance to accept multidisciplinary rehabilitation as part of dementia care, and identifies the value of doing so for people with dementia, their families, and for health professionals. (Publisher abstract)
Interdisciplinary development of manual and automated product usability assessments for older adults with dementia: lessons learned
- Authors:
- BOGER Jennifer, TAATI Babak, MIHAILIDIS Alex
- Journal article citation:
- Disability and Rehabilitation: Assistive Technology, 11(7), 2016, pp.581-587.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The changes in cognitive abilities that accompany dementia can make it difficult to use everyday products that are required to complete activities of daily living. Products that are inherently more usable for people with dementia could facilitate independent activity completion, thus reducing the need for caregiver assistance. The objectives of this research were to: (1) gain an understanding of how water tap design impacted tap usability and (2) create an automated computerised tool that could assess tap usability. 27 older adults, who ranged from cognitively intact to advanced dementia, completed 1309 trials on five tap designs. Data were manually analysed to investigate tap usability as well as used to develop an automated usability analysis tool. Researchers collaborated to modify existing techniques and to create novel ones to accomplish both goals. This paper presents lessons learned through the course of this research, which could be applicable in the development of other usability studies, automated vision-based assessments and the development of assistive technologies for cognitively impaired older adults. Collaborative interdisciplinary teamwork, which included older adult with dementia participants, was key to enabling innovative advances that achieved the projects' research goals. Implications for Rehabilitation: a) Products that are implicitly familiar and usable by older adults could foster independent activity completion, potentially reducing reliance on a caregiver; b) The computer-based automated tool can significantly reduce the time and effort required to perform product usability analysis, making this type of analysis more feasible; c) Interdisciplinary collaboration can result in a more holistic understanding of assistive technology research challenges and enable innovative solutions. (Edited publisher abstract)