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Journal articles on the topic 'Older people Mental health services Victoria'

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Published: 10 December 2022

Last updated: 28 January 2023

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1

Bigby, Christine. "A demographic analysis of older people with intellectual disability registered with Community Services Victoria." Australia and New Zealand Journal of Developmental Disabilities 19, no. 1 (January 1994): 1–10. http://dx.doi.org/10.1080/07263869400035061.

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Atwell, R., I. Correa‐Velez, and S. Gifford. "Ageing Out of Place: Health and Well‐Being Needs and Access to Home and Aged Care Services for Recently Arrived Older Refugees in Melbourne, Australia." International Journal of Migration, Health and Social Care 3, no. 1 (July 1, 2007): 4–14. http://dx.doi.org/10.1108/17479894200700002.

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Recently arrived older refugees in resettlement countries are a particularly vulnerable population who face many risks to their health and well‐being, and many challenges in accessing services. This paper reports on a project undertaken in Victoria, Australia to explore the needs of older people from 14 recently arrived refugee communities, and the barriers to their receiving health and aged care. Findings from consultations with community workers and service providers highlight the key issues of isolation, family conflict and mental illness affecting older refugees, and point to ways in which policy‐makers and service providers can better respond to these small but deserving communities.

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3

Draper, Brian M., and Annette Koschera. "Do Older People Receive Equitable Private Psychiatric Service Provision Under Medicare?" Australian & New Zealand Journal of Psychiatry 35, no. 5 (October 2001): 626–30. http://dx.doi.org/10.1080/0004867010060511.

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Objective: The objective of this study is to determine the 1998 rates, types, regional variation and Medicare expenditure of private psychiatry services for older people in Australia, as compared with younger adults and with 1985–1986 data. Method: Medicare Benefits Schedule Item Statistics for the psychiatric item numbers 300–352 and item 14224 were obtained from the Health Insurance Commission for each State and Territory. The items were examined in the age groups 15–64 years, 65 years and over and 75 years and over. Main outcome measures were per capita service provision by age group, State and Territory and Medicare expenditure by age group. Results: During 1998, 6.4% (5765.6 per 100 000) of private psychiatric services were to patients aged > 64 years. Patients aged 15–64 received 2.7 times the number of psychiatric services per capita than patients > 64 and 3.6 times that of patients aged > 74 years. Patients aged > 64 received more hospital and nursing home consultations, home visits and electroconvulsive therapy per capita, while younger adults used more office-based consultations, longer consultations, and group therapy. Victoria had the highest per capita rate (7659.2 per 100 000) and the Northern Territory the lowest (540.4 per 100 000), although the highest proportion of services to older patients was in Western Australia. Per capita the proportion of Medicare expenditure allocated to adults aged less than 65 years was 4.1 times that for adults over 64 years. Conclusions: Private psychiatric service provision to older people is inequitable when compared with younger adults. The proportion of Medicare private psychiatry expenditure on older adults has declined since 1985–1986.

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Dow, Briony, Marcia Fearn, Betty Haralambous, Jean Tinney, Keith Hill, and Stephen Gibson. "Development and initial testing of the Person-Centred Health Care for Older Adults Survey." International Psychogeriatrics 25, no. 7 (April 29, 2013): 1065–76. http://dx.doi.org/10.1017/s1041610213000471.

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ABSTRACTBackground: Health services are encouraged to adopt a strong person-centered approach to the provision of care and services for older people. The aim of this project was to establish a user-friendly, psychometrically valid, and reliable measure of healthcare staff's practice, attitudes, and beliefs regarding person-centered healthcare.Methods: Item reduction (factor analysis) of a previously developed “benchmarking person-centred care” survey, followed by psychometric evaluations of the internal consistency reliability and construct validity, was conducted. The initial survey was completed by 1,428 healthcare staff from 17 health services across Victoria, Australia.Results: After removing 17 items from the previously developed “benchmarking person-centred care” survey, the revised 31-item survey (Person-Centred Health Care for Older Adults Survey) attained eight factors that explain 62.7% of the total variance with a Cronbach's α coefficient of 0.91, indicating excellent internal consistency. Expert consultation confirmed that the revised survey had content validity.Conclusions: The results indicated that the Person-Centred Health Care for Older Adults Survey is a user-friendly, psychometrically valid, and reliable measure of staff perceptions of person-centered healthcare for use in hospital settings.

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Nikhil, U. G., T. P. Sumesh, G. Anoop, and K. S. Shaji. "Mental Health Services for Older People." Indian Journal of Psychological Medicine 36, no. 4 (October 2014): 449–50. http://dx.doi.org/10.4103/0253-7176.140764.

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6

The Lancet. "Mental health services for older people." Lancet 374, no. 9699 (October 2009): 1394. http://dx.doi.org/10.1016/s0140-6736(09)61841-9.

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7

Dinshaw, Carole. "Evaluating Mental Health Services for Older People." Nursing Older People 17, no. 5 (July 1, 2005): 37. http://dx.doi.org/10.7748/nop.17.5.37.s18.

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8

Hall, John, Helen Waldock, and Chris Harvey. "Improving Mental Health Services for Older People." Mental Health Review Journal 11, no. 4 (December 2006): 7–13. http://dx.doi.org/10.1108/13619322200600035.

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9

Draper, Brian, Tanya Jochelson, David Kitching, John Snowdon, Henry Brodaty, and Bob Russell. "Mental Health Service Delivery to Older People in New South Wales: Perceptions of Aged Care, Adult Mental Health and Mental Health Services for Older People." Australian & New Zealand Journal of Psychiatry 37, no. 6 (December 2003): 735–40. http://dx.doi.org/10.1080/j.1440-1614.2003.01259.x.

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Objective: To compare the perceptions of aged care services, adult mental health services and mental health services for older people regarding aspects of mental health service delivery for older people in New South Wales, Australia. Method: The NSW Branch of the Faculty of Psychiatry of Old Age in association with the NSW Centre for Mental Health, sent a postal survey to all aged care services, adult mental health services and mental health services for older people in NSW. The survey canvassed issues ranging across service profiles, regional variations, availability of resources, processes of care, views on working relationships between services, difficulties and gaps experienced, and ways to improve co-ordination and service delivery. Clinical issues such as the management and practice of psychiatric disorders of old age, educational/training requirements and skill and experience in working with older people were explored. Results: An overall response rate of 86% was achieved, including 95% from aged care services (n = 58), 74% from adult mental health services (n = 62) and 90% from mental health services for older people (n = 20). Only 59% of aged care services and adult mental health services considered that their local mental health services for older people provided an adequate service; resource and budget limitations were portrayed as the main constraint. Mental health services for older people varied widely in structure, settings and activities undertaken. Access to mental health beds for older people was also variable, and alongside staffing levels was considered problematic. Lack of staff training and/or inexperience in psychogeriatrics posed a challenge for aged care services and adult mental health services. Conclusion: Relationships between aged care services, adult mental health services and mental health services for older people are affected by lack of access to psychogeriatric staff, resource limitations of mental health services for older people, and inadequate liaison and support between the service types. Joint case conferences, education, increased funding of mental health services for older people, and cross referrals were considered ways to address these issues.

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Anderson, David, Peter Connelly, Richard Meier, and Cherie McCracken. "Mental health service discrimination against older people." Psychiatrist 37, no. 3 (March 2013): 98–103. http://dx.doi.org/10.1192/pb.bp.112.040097.

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Aims and methodTo provide a picture of availability and equality of access to mental health services for older people prior to the Equality Act. In 2010, a questionnaire was sent to health commissioners in England, Scotland and Wales under a Freedom of Information request.ResultsOverall, 132 (76%) replied. Of 11 services, 7 were either unavailable or did not provide equality of access to older people in more than a third of commissioning areas. When provided by specialist older people's mental health, services were more often considered to ensure equality.Clinical implicationsIncreasing need resulting from an ageing population is unlikely to be met in the face of current inequality. Inequality on the basis of age is the result of government policy and not the existence of specialist services for older people. Single age-inclusive services may create indirect age discrimination. Availability alone is insufficient to demonstrate equality of access. Monitoring the effects of legislation must take this into account.

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Bowers, Helen. "Developing Inclusive Mental Health Services for Older People." Mental Health Review Journal 6, no. 2 (June 2001): 6–13. http://dx.doi.org/10.1108/13619322200100013.

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Natarajan, Muthusamy, and Sophie Mulvana. "New horizons: Forensic mental health services for older people." BJPsych Advances 23, no. 1 (January 2017): 44–53. http://dx.doi.org/10.1192/apt.bp.113.012021.

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SummaryAlthough the older adult population makes up only a small percentage of mentally disordered offenders, there is a clear need for forensic mental health services for older people. However, these services to date have developed ad hoc and with no coordination. In this article we discuss the evolution, current provision, future direction and therapeutic implications of such services. Although the epidemiology, criminology and clinical characteristics of older people are sufficiently different from those of younger people to warrant such service specificity, we suggest that the provision of care should be geared to services based on older people's multiple and complex needs, rather than on arbitrary age cut-offs.Learning Objectives• Be able to use an understanding of epidemiology, criminology and clinical characteristics of older people in the provision of forensic mental healthcare• Understand the forensic mental healthcare needs of older people• Be able to develop forensic mental health services for older people

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Benbow, Susan M., and Sean P. Lennon. "Forget Me Not: Mental Health Services for Older People." Psychiatric Bulletin 24, no. 11 (November 2000): 403–4. http://dx.doi.org/10.1192/pb.24.11.403.

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The exclusion of services for older people from the Mental Health National Service Framework and the delays in publication of the National Service Framework for the elderly have caused many old age psychiatrists to be concerned that, as in many other areas of health service planning and provision, the needs of older people are not being adequately addressed by Government and health service planners. The recent Audit Commission Report, entitled Forget Me Not: Mental Health Services for Older People†, gives us much encouragement that the needs of older adults have not been forgotten. Its recent publication should provide an authoritative focus, which will help old age psychiatrists, their multi-disciplinary and management colleagues and commissioners of services to push forward improvements in services for older people with mental illnesses.

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Dewing, Jan. "Forget me not: Mental health services for older people." Mental Health Practice 3, no. 7 (April 1, 2000): 25. http://dx.doi.org/10.7748/mhp.3.7.25.s8.

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Murphy, Elaine. "Mental Health Services for Older People: Time for Change." Mental Health Review Journal 6, no. 2 (June 2001): 3–5. http://dx.doi.org/10.1108/13619322200100012.

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Castle, David J. "Letter from Australia: mental healthcare in Victoria." Advances in Psychiatric Treatment 17, no. 1 (January 2011): 2–4. http://dx.doi.org/10.1192/apt.bp.110.008375.

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SummaryMental health services in the state of Victoria, Australia, have undergone enormous change over the past 15 years, with the closure of all stand-alone psychiatric hospitals and a shift of resources and services into the community. Although successful overall, various areas cause concern, including pressure on acute beds, a paucity of alternative residential options, and suboptimal integration of government and non-government agencies concerned with the care of people with mental illnesses. Certain groups, notably those with complex symptom sets such as substance use and mental illness, intellectual disability and forensic problems, remain poorly catered for by the system. Finally, community stigma and lack of work inclusion for mentally ill individuals are ongoing challenges.

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Merizzi, Alessandra. "Clinical supervision in older adult mental health services." Working with Older People 23, no. 4 (November 28, 2019): 241–50. http://dx.doi.org/10.1108/wwop-09-2019-0024.

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Purpose The purpose of this paper is to explore how supervision is applied in the context of National Health Service services for older adults, with particular regard to the profession of clinical psychology and psychotherapy. Design/methodology/approach The clinical supervision theories that are considered in this exploration are the Seven-Eyed Model (Hawkins and Shohet, 2012) and the Cyclical Model (Page and Wosket, 2015). The discussion also integrates an overview of psychological dynamics as presented by the existing literature with the author’s reflections on the influence of ageing stereotypes in the therapeutic work with older adults. Findings The theoretical models of clinical supervision considered can offer a robust framework and pathway for supervisory work in psychology and psychotherapy for older people. However, this alone seems insufficient and needs to be combined with the supervisor’s knowledge on psychology of ageing as well as their own self-reflection on internalised ageing stereotypes. Practical implications The paper suggests a need for health care professionals, providing clinical supervision on older adult therapeutic work, to be familiar with the aspects analysed. Originality/value Clinical supervision handbooks overlook aspects related to age as an issue of difference. This paper adds value to the clinical work with older people through a novel attempt to link implications of ageing stereotypes with the therapeutic and supervisory practice.

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McCrae, Niall, and Sube Banerjee. "Modernizing mental health services for older people: a case study." International Psychogeriatrics 23, no. 1 (July 21, 2010): 10–19. http://dx.doi.org/10.1017/s1041610210001407.

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ABSTRACTBackground: This paper describes an evaluation of a redevelopment program in a mental health service for older people, stimulated by U.K. Department of Health policy. IQCOL (Improving Quality of Care for Older People in Lambeth) was a two-year program to modernize and expand an inner-city service, with objectives to improve access, embed new functions, and tune the service towards the needs of the local community. The program evaluation aimed to contribute to knowledge on service planning and methodology for evaluating complex interventions.Methods: The study evaluated the progress and outcomes of this multifaceted program. The realist model of evaluation was followed, with a dual emphasis on utility and generalizability. With an iterative approach, the pragmatic, longitudinal design comprised a combination of qualitative and quantitative methods to explain the process of change and to measure achievement of objectives.Results: A high level of participation in evaluation activities was achieved. The workforce generally responded well to the program. However, progress in one team was hindered by understaffing and resistance to change, emphasizing that while localized provision may be desirable, team viability requires adequate resources and professional support. Improved access was indicated by a 13% increase of referrals. Data suggested earlier referral of dementia cases. Carer support was implemented, but assertive outreach was impeded by professional boundary issues. Ethnicity data showed that the service was responding to demographic trends. Positive views towards the program were associated with team resources and recent professional training.Conclusions: This case study demonstrates how whole system change can be achieved if sufficient attention is given to the needs of staff implementing the program. The evaluation emphasizes the importance of context in producing generalizable evidence on service development, and contributes useful methodological insights.

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Oyebode, Jan R. "Carers as partners in mental health services for older people." Advances in Psychiatric Treatment 11, no. 4 (July 2005): 297–304. http://dx.doi.org/10.1192/apt.11.4.297.

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The role that carers play in supporting older people with mental health needs in the community is well recognised by professionals and in current government policy. This article promotes the view that a systematic planned approach that engages the carer as an integral part of the system of care has potential benefits for patients, carers and services. Ways of working in partnership are outlined and evidence that psychosocial interventions with carers are effective is briefly reviewed. Examples of individual and group interventions for dementia carers are given, drawing on clinical experience and research literature. Areas for further development are highlighted, including greater partnerships with carers in primary and continuing care, as well as at the level of planning and service development.

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Mountain, Gail. "The Delivery of Community Mental Health Services to Older People." Mental Health Review Journal 3, no. 1 (March 1998): 7–15. http://dx.doi.org/10.1108/13619322199800003.

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Middleton, Tony. "Mental Health Services for Older People ‐ Towards an Integrated Approach." Mental Health Review Journal 6, no. 2 (June 2001): 22–24. http://dx.doi.org/10.1108/13619322200100016.

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McCrae, Niall, and Sube Banerjee. "The challenge of evaluating mental health services for older people." International Journal of Geriatric Psychiatry 26, no. 6 (April 7, 2011): 551–57. http://dx.doi.org/10.1002/gps.2576.

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Livingston, Gill, Monica Manela, and Cornelius Katona. "Cost of community care for older people." British Journal of Psychiatry 171, no. 1 (July 1997): 56–59. http://dx.doi.org/10.1192/bjp.171.1.56.

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BackgroundThere has been no published study that considers actual costs in a representative sample of people aged ???? 65 years. The present study describes the financial cost of formal community services for elderly people with dementia, depression, anxiety disorders or physical disability.MethodPsychiatric morbidity, physical disability and services received were assessed by standardised questionnaire in randomly selected Islington enumeration districts. Subjects were interviewed at home (.=700).ResultsDementia was the most expensive disorder per sufferer in terms of formal services. Those with depression were also high users of health services. Despite presenting to health services, 90% were not treated with appropriate drugs. In contrast, social services were received by people who were activity-limited or with dementia. The highest service cost for the population as a whole was for the physically disabled. In multivariate analysis the significant predictors of high service costs were living alone, being physically ill, depression, dementia and increasing age.ConclusionsFailure to detect and treat depression and the anxiety disorders in older people, despite their presentation to medical services, may have major economic consequences as well as contributing to individual suffering.

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Maidment, Jane, Ronnie Egan, and Jane Wexler. "Social work with older people from culturally and linguistically diverse backgrounds: Using research to inform practice." Aotearoa New Zealand Social Work 23, no. 3 (July 8, 2016): 3–15. http://dx.doi.org/10.11157/anzswj-vol23iss3id156.

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This research investigated the views of older culturally and linguistically diverse (CALD) people, their families and paid workers about experiences of giving and receiving care services in the Barwon region of Victoria, Australia. The project was conducted in collaboration with Diversitat, Geelong. While the research process incorporated a range of qualitative techniques this article is confined to reporting selected findings from the individual interviews and a focus group discussion. These findings demonstrated that particular caregiver personal attributes strengthened the relationship between older people and caregivers; differing interpretations were offered up about the use of time; multiple barriers for older CALD people using health and social services were identified; and that experiences of ageism within the health services were reported along with infrequent use of interpreter services. The article concludes with a discussion about the implications for social work practice and education with older CALD people.

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Jolley, D. J. "Care of older people with mental illness." Psychiatric Bulletin 23, no. 2 (February 1999): 117–20. http://dx.doi.org/10.1192/pb.23.2.117.

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Older people comprise an increasingly significant proportion of the population of the UK and other developed countries. Most remain fit and able to make continuing contributions to their families and society, but they are at risks of periods of ill health and other stresses. Dementia, especially Alzheimer's disease, is one of the major health problems of our times and particularly affects older people. Mental ill health, physical ill health and social difficulties are often intertwined, calling for close working between health and social services to provide appropriate help for patients and their carers.

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Teresa Dawson, Maria, Paul Grech, Brendan Hyland, Fiona Judd, John Lloyd, Anne M. Mijch, Jennifer Hoy, and Alan C Street. "A Qualitative Approach to the Mental Health Care Needs of People Living with HIV/AIDS in Victoria." Australian Journal of Primary Health 8, no. 3 (2002): 30. http://dx.doi.org/10.1071/py02041.

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This article reports on the findings of the qualitative stage of a larger project on the mental care needs of people with HIV/AIDS and mental illness (Tender T1176 Department of Human Services, Mental Health Branch, Victoria - Research on the Mental Health Care Needs of People with HIV/AIDS and Mental Illness). The purpose of the larger research was to evaluate the needs and treatment requirements of persons with HIV/AIDS, who also suffer from mental health problems, with a view to developing proposals for improving existing service delivery in Victoria, Australia. The qualitative stage was designed to complement and elucidate data obtained through the quantitative stages of the project. Thirty in-depth open-ended interviews were carried out with service providers including HIV physicians, general practitioners, psychiatrists, clinical and managerial staff of Area Mental Health Services, Contact Tracers and forensic mental health services staff, as well as representatives of community groups such as People Living with HIV/AIDS and Positive Women and carers. The interviews explored the perspective of both service providers and users of such services with respect to needs for psychiatric care and service delivery, ease of access or barriers to mental health services, and the perceived strengths and weaknesses in current service provision. This paper presents the main findings and recommendations submitted to the funding body.

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O'Callaghan, Charlotte E., Anna V. Richman, and Biswadeep Majumdar. "Violence in older people with mental illness." Advances in Psychiatric Treatment 16, no. 5 (September 2010): 339–48. http://dx.doi.org/10.1192/apt.bp.108.006288.

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SummaryAggression is common in older people with mental illness, with 15–43% of community referrals to old age psychiatry services and 44–65% of older people with Alzheimer's disease living in the community exhibiting such behaviour. In psychiatric in-patient units, assaults on staff are most common on wards for elderly people with organic mental illness. There is little high-quality research into the management of aggressive behaviour in dementia. We consider the available literature, which has shown certain behavioural measures and different classes of medication to be of benefit. We discuss factors associated with violence in elderly people with mental illness and potential management options.

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Brooker, D. J., and C. J. Dinshaw. "Staff and patient feedback in mental health services for older people." Quality and Safety in Health Care 7, no. 2 (June 1, 1998): 70–76. http://dx.doi.org/10.1136/qshc.7.2.70.

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Kaufman, Allan V., Forrest R. Scogin, Louis D. Burgio, Martin P. Morthland, and Bryan K. Ford. "Providing Mental Health Services to Older People Living in Rural Communities." Journal of Gerontological Social Work 48, no. 3-4 (December 29, 2006): 349–65. http://dx.doi.org/10.1300/j083v48n03_05.

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Spear, Jonathan, Leanne Wood, Sudarshan Chawla, Antony Devis, and Jim Nelson. "Job Satisfaction and Burnout in Mental Health Services for Older People." Australasian Psychiatry 12, no. 1 (March 2004): 58–61. http://dx.doi.org/10.1046/j.1039-8562.2003.02061.x.

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van Zyl, M., G. Wieczorek, and J. Reilly. "Awareness of venous thromboembolism in mental health services for older people." Journal of Psychiatric and Mental Health Nursing 21, no. 4 (September 2, 2013): 375–78. http://dx.doi.org/10.1111/jpm.12082.

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Minshull, Phil. "Age equality – what does it mean for older people’s mental health services?" FPOP Bulletin: Psychology of Older People 1, no. 103 (April 2008): 3–5. http://dx.doi.org/10.53841/bpsfpop.2008.1.103.3.

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An older people’s mental health is service open to everyone; it responds to people on the basis of need not age and ensures that wherever older people with mental health problems are in the system they are not discriminated against. (Everybody’s Business: Integrated mental health services for older adults: A service development guide, 2005)

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Hilton, Claire. "Psychological therapies, older people and human rights." Psychiatric Bulletin 33, no. 5 (May 2009): 184–86. http://dx.doi.org/10.1192/pb.bp.108.020081.

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SummaryAdditional funding has recently been made available by the government for the treatment of anxiety and depression. However, this is targeted towards people of working age, to reduce expenditure on incapacity benefit. That older people with the same mental illnesses do not receive equitable access to psychological therapies contradicts other recent government recommendations. Economic data appears to hugely influence provision of services for this group of users, but is this appropriate and humane? the Human Rights Act 1998 (Chapter 42) has been largely ignored in the provision of mental health services for older people, and the centrality of this legislation needs further consideration.

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Kenny, Amanda, Susan Kidd, Jenni Tuena, Melanie Jarvis, and Angela Roberston. "Falling Through the Cracks: Supporting Young People with Dual Diagnosis in Rural and Regional Victoria." Australian Journal of Primary Health 12, no. 3 (2006): 12. http://dx.doi.org/10.1071/py06040.

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Research has indicated that people with a dual diagnosis of mental illness and substance abuse are more difficult to manage than any other group of mentally ill clients. For young people with a dual diagnosis, particularly in rural and regional areas, there are significant barriers to the provision of optimal care. Currently, a lack of communication between mental health, drug and alcohol services and consumers results in the inadequate provision of treatment for young people, with a resultant significant service gap. Dual diagnosis programs that focus on both substance abuse and mental health issues demonstrate greatly improved client outcomes. Developing a peer education program provides one constructive way of involving dual diagnosis consumers in developing more responsive health services. It provides a highly structured and supported way of involving consumers who ordinarily find mental health services bewildering and inaccessible. By drawing on the knowledge and skills of young people with dual diagnosis, and involving them as peer educators, the notion of expertise in lived experience is captured and harnessed to provide the establishment of a consumer-focused service that better meets the needs of this complex, often neglected, client group.

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Crotty, Mikaila M., Julie Henderson, Lee Martinez, and Jeffrey D. Fuller. "Barriers to collaboration in mental health services for older people: external agency views." Australian Journal of Primary Health 20, no. 3 (2014): 250. http://dx.doi.org/10.1071/py12144.

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The need for mental health services for older people living in rural areas is increasing in South Australia. Providing such care requires coordination between several types of services across government, hospital and non-government sectors. The purpose of this study was to identify barriers to collaboration from the perspective of external aged care agencies. A total of 42 responses from an online survey were qualitatively analysed. Four categories emerged, within which participants had identified barriers to collaboration: (1) awareness of services and certainty about responsibilities, in particular, a lack of awareness of which services are available; (2) referral criteria and processes, including the specific criteria needed to be eligible for these services; (3) opportunities to collaborate, with a perceived lack of formal opportunities for collaboration between individuals working across agencies; and (4) education of staff, with more joint education between agencies being recognised as having the potential to increase local knowledge and provide an opportunity for networking and relationship building, with greatest barriers experienced between mental health and social care services.

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Shukla, YP. "Dementia and mental health services for older people in the Lancaster district." Morecambe Bay Medical Journal 3, no. 5 (May 1, 1999): 181–84. http://dx.doi.org/10.48037/mbmj.v3i5.587.

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Dening, Tom, and Claire Lawton. "The role of carers in evaluating mental health services for older people." International Journal of Geriatric Psychiatry 13, no. 12 (December 1998): 863–70. http://dx.doi.org/10.1002/(sici)1099-1166(1998120)13:12<863::aid-gps885>3.0.co;2-l.

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Abdul-Hamid, Walid K., Kelly Lewis-Cole, Frank Holloway, and Marisa Silverman. "Older people with enduring mental illness: a needs assessment tool." Psychiatric Bulletin 33, no. 3 (March 2009): 91–95. http://dx.doi.org/10.1192/pb.bp.107.017392.

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Aims and MethodThere is a lack of tools to assess the needs of older people with enduring mental illness who have ‘graduated’ from adult mental health services and little is known about this population. the Elderly Psychiatric Needs Schedule (EPNS) was developed and applied to older people with enduring mental illness in contact with the old age and general adult components of an inner-city mental health service.ResultsThe EPNS proved reliable (mean agreement 96%, mean Kappa κ=0.90). the mean number of needs identified was 7.6, of which 4.3 were unmet and 3.3 were met.Clinical ImplicationsThe EPNS provided a reliable method of needs assessment in this population. the authors offer the EPNS as a tool to assess service needs of older adults with functional psychiatric disorders having ‘graduated’ from adult mental health services.

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Emrich-Mills, Luke, Laura Louise Hammond, Emma Rivett, Tom Rhodes, Peter Richmond, and Juniper West. "Identifying research priorities for older people’s mental health services." Mental Health and Social Inclusion 23, no. 2 (May 15, 2019): 89–100. http://dx.doi.org/10.1108/mhsi-02-2019-0004.

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PurposeIncluding the views of service users, carers and clinical staff when prioritising health research can ensure future projects are meaningful and relevant to key stakeholders. One National Health Service Foundation Trust in England, UK undertook a project to identify the top 10 research priorities according to people with experience using or working in services for dementia and older adult mental health. The paper aims to discuss these issues.Design/methodology/approachService users with dementia and mental health difficulties; informal carers, family and friends of service users; clinical staff working in the Trust. Participants were surveyed for research ideas. Ideas were processed into research questions and checked for evidence. Participants were then asked to prioritise their personal top 10 from a long list of research questions. A shortlist of 26 topics was discussed in a consensus workshop with a sample of participants to decide on the final top 10 research priorities.FindingsA total of 126 participants provided 418 research ideas, leading to 86 unique and unanswered research questions. In total, 58 participants completed interim prioritisation, 11 of whom were invited to the consensus workshop involving service users, carers and clinical staff. The final top 10 priorities were dominated by topics surrounding care, psychosocial support and mental health in dementia.Research limitations/implicationsFuture research from the Trust and collaborating organisations can use these results to develop relevant projects and applications for funding.Originality/valueThis project has demonstrated the possibility of including key stakeholders in older adult mental health research priority setting at the local level.

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GODBER, COLIN, PATRICIA HOLMES, and EDWARD PECK. "THE CONTRIBUTION OF THE CENTRE FOR MENTAL HEALTH SERVICES DEVELOPMENT TO MENTAL HEALTH SERVICES FOR OLDER PEOPLE IN THE UK." International Journal of Geriatric Psychiatry 11, no. 11 (November 1996): 1011–15. http://dx.doi.org/10.1002/(sici)1099-1166(199611)11:11<1011::aid-gps401>3.0.co;2-n.

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Dykes, Kathryn. "Complex emotional needs and older people: Setting standards for inclusion." FPOP Bulletin: Psychology of Older People 1, no. 160 (October 2022): 31–37. http://dx.doi.org/10.53841/bpsfpop.2022.1.160.31.

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Community Mental Health Transformation in England provides an opportunity to change the structure and culture of mental health care delivery in community services. It is vital that the needs of older people are equitably considered and resourced through this work. One of the key strands of community transformation relates to care provision of people with complex emotional needs, an area under-researched and recognised in older adult mental health care. This paper sets out the current landscape within NHS community services in England, the challenges of meeting the needs of this clinical group and the creation of a national document which lays out recommendations for services working to meet clinical needs of older people with complex emotional needs.

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Rao, Rahul. "Cognitive impairment in older people with alcohol use disorders in a UK community mental health service." Advances in Dual Diagnosis 9, no. 4 (November 21, 2016): 154–58. http://dx.doi.org/10.1108/add-06-2016-0014.

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Purpose The assessment of cognitive impairment in community services for older people remains under-explored. The paper aims to discuss this issue. Design/methodology/approach Cognitive impairment was examined in 25 people aged 65 and over with alcohol use disorders, on the caseload of community mental health services over a six-month period. All subjects assessed using Addenbrooke’s Cognitive Assessment (ACE-III). Findings In total, 76 per cent of the group scored below the cut-off point for likely dementia but only 45 per cent of people scored below the cut-off point for tests of language, compared with 68-84 per cent people in other domains. Research limitations/implications This finding has implications for the detection of alcohol-related brain cognitive impairment in clinical settings. Practical implications Standardised cognitive testing is common within mental health services for older people, but may also have utility within addiction services. Social implications The early detection of alcohol-related cognitive impairment can improve social outcomes in both drinking behaviour and the social consequences of alcohol-related dementia. Originality/value This may be the first published study of cognitive impairment in patients under a mental team for older people with alcohol use disorders and offers some unique findings within this sampling frame.

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Evans, Ceri, and Paul Reynolds. "Survey of the provision of psychological therapies for older people." Psychiatric Bulletin 30, no. 1 (January 2006): 10–13. http://dx.doi.org/10.1192/pb.30.1.10.

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Aims and MethodThe 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.ResultsA 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.Clinical ImplicationsIn 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.

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Daley, Kate, Jonathan Richardson, Ian James, Annette Chambers, and David Corbett. "Clinical dashboard: use in older adult mental health wards." Psychiatrist 37, no. 3 (March 2013): 85–88. http://dx.doi.org/10.1192/pb.bp.111.035899.

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Aims and methodTo explore the experiences and attitudes of mental health professionals working in acute elderly care to a new clinical dashboard system. Metrics were identified from the Royal College of Psychiatrists' Accreditation for Inpatient Mental Health Services – Older People (AIMS-OP); these were tracked from baseline to 6 months. A questionnaire was developed and distributed across the three clinical areas involved in the clinical dashboard mental health pilot.ResultsStaff completed the questionnaire 3 months after the initial implementation. At this point the benefits of the introduction of the dashboard were suggested as: improved access to information, increased communication and information-sharing, increased staff awareness, and data quality.Clinical implicationsThe introduction of the clinical dashboard in older adult mental health services allowed for better data availability and resulted in better data quality.

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Benbow, Susan M., and Alison Marriott. "Family therapy with elderly people." Advances in Psychiatric Treatment 3, no. 3 (May 1997): 138–45. http://dx.doi.org/10.1192/apt.3.3.138.

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Those who work with older adults will inevitably find themselves working with families. Indeed assessment of an older person is often difficult if members of their family and social network are not involved. Referrals to social and psychiatric services are often precipitated by family changes. Ratna & Davis (1984) described 142 consecutive referrals to a community old age psychiatry service and found retirement, family conflict, departure of or illness of a carer, or bereavement precipitated 60% of referrals. Thus, work with older adults will often necessitate work with families, although it may not be seen in those terms.

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Ashman, Adrian F., and Janene Suttie. "Changing existing services for older people with an intellectual disability." Australia and New Zealand Journal of Developmental Disabilities 20, no. 3 (January 1995): 189–204. http://dx.doi.org/10.1080/07263869500035551.

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Jolley, David, Nick Kosky, and Frank Holloway. "Older people with long-standing mental illness: the graduates." Advances in Psychiatric Treatment 10, no. 1 (January 2004): 27–34. http://dx.doi.org/10.1192/apt.10.1.27.

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People who survive into late life with chronic or relapsing illnesses, which had their onset in youth or middle age, have special needs. In the past, those most severely affected often lived out their lives in mental hospitals. The mental hospital closure programme led to discharges to alternative care, and the successes and failures of these have been monitored by some services. Subsequent generations are at risk of falling between the care of general psychiatry, rehabilitation psychiatry and old age psychiatry. These patients are uniquely disabled by a combination of personal, social, mental and physical health disadvantage. The Royal College of Psychiatrists has produced guidance to highlight the special needs of these ‘graduates', encouraging every locality to investigate its own performance in their care and bring it into line with best practice in the light of local strengths and resources.

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Toms, Nikki D., and Craig W. Ritchie. "Management of self-harm in older people." Psychiatric Bulletin 33, no. 11 (November 2009): 423–25. http://dx.doi.org/10.1192/pb.bp.108.019869.

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Aims and MethodThe epidemiology of self-harm in older people is poorly understood and a low incidence rate hampers research efforts. Regional surveillance for this may assist with research and improve clinical services accordingly. This study involved undertaking a scoping exercise to explore current management of self-harm in elderly people in selected North London hospitals, by interviewing healthcare professionals directly involved in their treatment.ResultsThe study showed varied methods of coding clinical information across trusts, with no consistent method of surveillance.Clinical ImplicationsImplications of this exercise involve generation of a summary document that will educate stage two of the project, which is the convention of a working party to implement a surveillance system across the region.

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Tucker, S., J. Hughes, A. Burns, and D. Challis. "The balance of care: Reconfiguring services for older people with mental health problems." Aging & Mental Health 12, no. 1 (January 2008): 81–91. http://dx.doi.org/10.1080/13607860701366038.

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Clark, Michael, Susan Benbow, Vanessa Scott, Neil Moreland, and David Jolley. "Copying letters to older people in mental health services ‐ policy with unfulfilled potential." Quality in Ageing and Older Adults 9, no. 3 (September 2008): 31–38. http://dx.doi.org/10.1108/14717794200800018.

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