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Survey of the provision of psychological therapies for older people
- Authors:
- EVANS Ceri, REYNOLDS Paul
- Journal article citation:
- Psychiatric Bulletin, 30(1), January 2006, pp.10-13.
- Publisher:
- Royal College of Psychiatrists
The aim of the present study was to assess the current state of provision of psychological therapies for older people in Wales. A postal questionnaire was sent to all consultant old age psychiatrists in Wales, requesting information regarding the consultant’s community mental health team (CMHT) and access to psychological therapies. A response rate of 85% was achieved: 45% of CMHTs had team members providing psychological therapy; 31% of CMHTs had access to psychological therapy via the team and also generic services. The estimated average wait for generic services was 29 weeks. There was no access to psychological therapies for 17% of CMHTs. In some areas of Wales there is limited or no access to psychological therapies via mental health services for older people. This may represent an important unmet need. Long-term strategies, taking into account recruitment and retention, training and new ways of working, need to be implemented.
Service innovation: an old age liaison psychiatry service
- Authors:
- WHELAN Paul, LAWSON Kirsten, BURTON Stephen W.
- Journal article citation:
- Psychiatric Bulletin, 31(4), April 2007, pp.145-147.
- Publisher:
- Royal College of Psychiatrists
Service models differ for the provision of mental healthcare for elderly medical in-patients. Input by the general adult liaison psychiatry service with no age cutoff and sector-based old age community mental health teams (CMHTs) have been described, as well as a consultation-liaison model. Old age psychiatrists favoured a liaison rather than a consultation model.
An outreach support team for older people with mental illness: crisis intervention
- Authors:
- RICHMAN Anna, et al
- Journal article citation:
- Psychiatric Bulletin, 27(9), September 2003, pp.348-351.
- Publisher:
- Royal College of Psychiatrists
The authors describe activity and outcome concerning a consecutive series of older community patients referred to an outreach support team while waiting for acute psychiatric admission. Forty patients on an admissions waiting list who were referred to the outreach support team were followed up. Each patient was reassessed for admission by the responsible medical officer when an in-patient bed became available. Thirty patients who would have been admitted (if a bed had been available at the time of the first assessment) remained at home and did not need hospitalisation. This study suggests that intensive domiciliary support might offer an acceptable form of crisis intervention for older people with mental illness. Further research is needed before generalisation of these findings can be recommended.
Can multidisciplinary teams carry out competent and safe psychogeriatric assessments in the community?
- Author:
- HERZBERG Joe
- Journal article citation:
- International Journal of Geriatric Psychiatry, 10(3), March 1995, pp.173-177.
- Publisher:
- Wiley
Looks at the development of specialist psychiatric services for older people in the UK. Focuses in particular on: the Lewisham and Guy's Mental Health NHS Trust model in which the first assessment of elderly mentally ill patients is performed by a keyworker who can be a professional from any mental health discipline; the question of who should make the initial assessment; medicolegal aspects of clinical responsibility; and the question of whether community teams are acceptable to GPs. Concludes that there should be research into consumer views of multidisciplinary services.
A slow train coming: bringing the mental health revolution to Scotland
- Editor:
- DEAN Christine
- Publisher:
- Greater Glasgow Community and Mental Health Services NHS Trust
- Publication year:
- 1994
- Pagination:
- 232p.,tables,bibliogs.
- Place of publication:
- Glasgow
Papers from the Scottish Conference on Mental Health held in Glasgow on 21 and 22 October 1993. Speakers included representatives from America and Australia and provided an international debate on community orientated mental health services, as well as focusing on innovations taking place in Glasgow. Includes a paper on forensic psychiatry.