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Commissioner for Older People in Wales draft regulations
- Author:
- WALES. Welsh Assembly Government
- Publisher:
- Wales. Welsh Assembly Government
- Publication year:
- 2006
- Pagination:
- 2p.
- Place of publication:
- Cardiff
Following its successful passage through Parliament the Commissioner for Older People (Wales) Act 2006 received Royal Assent on 25th July. The Act empowers the Assembly to establish an independent Commissioner with a wide range of powers to help ensure that the interests of older people in Wales, who are aged 60 or over, are safeguarded and promoted and that services are improved to meet their needs. The Commissioner will be able to act as a source of information, advocacy and support for older people, to encourage best practice in their treatment and to examine individual cases (where wider issues of principle are involved.) He or she will also be able to review the effect on older people in Wales of the discharge of, proposed discharge, or failure to discharge, functions by certain public bodies. These bodies will include the Welsh Assembly Government, local authorities, fire and rescue authorities, Local Health Boards, NHS Trusts, and further and higher education corporations. The overall aim is to ensure that the work of public bodies has a positive impact on, and takes account of, the needs of older people.
The relevance of guidelines for treatment mania in old age
- Author:
- SNOWDON John
- Journal article citation:
- International Journal of Geriatric Psychiatry, 15(9), September 2000, pp.779-783.
- Publisher:
- Wiley
Reviews three sets of guidelines for the treatment of patients with bipolar disorder, in order to assess their adequacy in relation to treatment of older persons with mania. One of the three referred to differences encountered when treating elderly people, but none gave adequate attention to age-related changes in pharmacokinetics and whether it is appropriate to prescribe lithium as a first-line mood stabiliser for older persons. Concludes that the guidelines do not give clear guidance on initial management of acutely manic patients who refuse medication. Nor do they give consideration to secondary mania. Recommended that evidence be gathered in order to develop guidelines specifically for management of mental disorders presenting in old age.
Trends in patterns of antidepressant use in older general population between 2006 and 2012 following publication of practice guidelines
- Authors:
- ETCHEPARE Fanny, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 32(8), 2017, pp.849-859.
- Publisher:
- Wiley
Objective: The French regulatory agency published in 2006 practice guidelines related to the management of depressive and anxiety disorders. The main objective of the study was to assess their impact regarding use and monitoring of antidepressant drug treatment in older patients. The secondary objective was to identify factors associated with compliance with practice guidelines. Methods: A historical fixed cohort study with dynamic follow-up time was conducted in 16,144 subjects aged 65 years and over, initiating antidepressant treatment and registered in the National Health Insurance Database between 2006 and 2012. Compliance with guidelines was assessed from year to year using segmented regression analysis. Multiple logistic regressions were used to identify factors associated with compliance with guidelines. Results: Duration of antidepressant treatment was compliant with guidelines in 13.0% of patients aged 65–74 years and 18.5% of patients aged 75 years and over. Biological monitoring was performed in 12.6% of patients aged 65–74 years and 18.5% of patients aged 75 years and over. No significant change of rate of compliance with guidelines was observed over the study period. Compliance of prescriptions with guidelines was associated with patient's age, specialty of the prescriber, presence of chronic disease, year of treatment initiation, and presence of a university hospital in the area of residence. Conclusion: While treatment duration and biological monitoring were often inadequate in older patients, the publication of guidelines by the French health regulatory authorities did not lead to any significant and sustained improvement in their patterns of antidepressant use. (Publisher abstract)
Clinical guidelines in old age psychiatry
- Authors:
- BURNS Alistair, DENING Tom, LAWLOR Brian
- Publisher:
- Martin Dunitz
- Publication year:
- 2002
- Pagination:
- 208p.,bibliog.
- Place of publication:
- London
Clinical guidelines have been defined as systematically developed statements which assist clinicians and patients in making decisions about appropriate treatment for specific conditions. This book aims to bring material together in the field of old age psychiatry in order to form judgements about which guidelines are "better". Topics include, dementia, depression, other disorders.
Framework for a complex response
- Author:
- EASTERBROOK Lorna
- Journal article citation:
- Managing Care, January 1999, pp.10-11.
Argues that the National Service Framework for older people should shun age discrimination and recognise the need for complex responses.
A memory clinic for older people with intellectual disabilities
- Authors:
- HASSIOTIS A., et al
- Journal article citation:
- Aging and Mental Health, 7(6), November 2003, pp.418-423.
- Publisher:
- Taylor and Francis
Cognitive decline in older people with intellectual disabilities (ID) is often under-recognized. Following the publication of the National Service Framework for Older People and the white paper Valuing People, older people with intellectual disabilities of all aetiologies should have access to a systematic assessment of their cognitive function in order to detect decline in cognition and adaptive skills and implement appropriate treatments as early as possible. The development of a memory clinic for older people with ID is described, including instruments used and characteristics of attendees. Such projects are in line with current UK government policies and can contribute to the improvement of standards of care and support research in this vulnerable group of people.
National programme for improving mental health and well-being: action plan 2003-2006
- Author:
- SCOTLAND. Scottish Executive
- Publisher:
- Scotland. Scottish Executive,|Stationery Office
- Publication year:
- 2003
- Pagination:
- 17p.
- Place of publication:
- Edinburgh
The four key aims for National Programme action during 2003-2006 are: raising awareness and promoting mental health and well-being; eliminating stigma and discrimination; preventing suicide; and promoting and supporting recovery. The National Programme aims to work with and through others to achieve these key aims in the following priority areas: improving infant mental health (the early years); improving the mental health of children and young people; improving mental health and well-being in employment and working life ; improving mental health and well-being in later life; improving community mental health and well-being; and improving the ability of public services to act in support of the promotion of mental health and the prevention of mental illness
Moving on from community care: the treatment, care and support of older people in England
- Author:
- EASTERBROOK Lorna
- Publisher:
- Age Concern
- Publication year:
- 2003
- Pagination:
- 260p.,bibliog.
- Place of publication:
- London
This book gives an overview of the wide range of recent changes within the NHS, local government and the independent sector, relating to health, housing and social care for older people in England. It explores the background to the last decade of change; and explains the more important aspects for older people with ongoing care needs: getting access to services; knowing what help is available, and from whom; the standards and quality of services; paying for services; and how organisations should be communicating with users and carers.
Time to design upwards in mental health services for older people
- Author:
- GOSS Tony
- Journal article citation:
- Care Plan, 7(3), March 2001, pp.18-22.
- Publisher:
- Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
Four main areas of working need improvement if services for older people with mental health needs are to match the aspirations of the National Service Framework for Older People and the NHS plan. Describes what needs to be done and says that in the future we should be designing services from the recipient upwards.
Handle with care
- Author:
- SCHWEHR Belinda
- Journal article citation:
- Local Government Chronicle, 14.4.00, 2000, p.10.
- Publisher:
- Emap Business
In part two of her series on human rights and social services, the author warns departments to reform procedures now.