Eluned Woodford-Williams

2018 ◽  
pp. 202-204
Author(s):  
Itunuayo V. Ayeni
Keyword(s):  
Mental Health ◽  
Elderly Patients ◽  
Older People ◽  
Social Workers ◽  
Old Age ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Geriatric Medicine ◽  
Holistic Approach ◽  
Old Age Psychiatry

This chapter presents a profile of Eluned Woodford-Williams. Dr Woodford-Williams pioneered a holistic approach to caring for older people, and worked at the interface of geriatric medicine and old age psychiatry. She implemented age-based admittance of all patients over 65 years, irrespective of needs, for comprehensive geriatric assessment, and taught that the reintegration of mental health social workers into healthcare was crucial for elderly patients.

Principles of service provision in old age psychiatry

2020 ◽  
pp. 281-306
Author(s):  
Tom Dening ◽  
Kuruvilla George
Keyword(s):  
Mental Health ◽  
Older People ◽  
Old Age ◽  
Religion And Spirituality ◽  
Liaison Psychiatry ◽  
Memory Assessment ◽  
Challenges And Opportunities ◽  
Recent Developments ◽  
Old Age Psychiatry ◽  
Consultation Liaison Psychiatry

Globally increasing numbers of older people bring both challenges and opportunities for old age psychiatry services. This chapter outlines the history, underlying principles, and policy context for contemporary mental health services for older people. It discusses components of services, including community health teams, memory assessment services, consultation-liaison psychiatry, and in-patient mental health care, as well as newer types of service, such as crisis teams and outreach to care homes. Other recent developments include various models of case management and emphasis on post-diagnostic support. Equally important are issues of equality and access, and the chapter covers several key areas, such as age, gender, sexual orientation, religion and spirituality, and rurality. Major challenges to old age psychiatry come from limited resources and non-recognition of the distinct needs of older adults, as well as the demands of the growing older population, advances in science and technology, and the need to attract talented psychiatrists into this field.

Clinicians' attitudes to spirituality in old age psychiatry

2006 ◽  
Vol 19 (5) ◽  
pp. 962-973 ◽  
Author(s):  
Robert M. Lawrence ◽  
Julia Head ◽  
Georgina Christodoulou ◽  
Biljana Andonovska ◽  
Samina Karamat ◽  
...  
Keyword(s):  
Mental Health ◽  
Older People ◽  
Old Age ◽  
Spiritual Care ◽  
Health Needs ◽  
Mental Health Needs ◽  
Care Services ◽  
The United Kingdom ◽  
Old Age Psychiatry ◽  
Chaplaincy Service

Background: The aim of this survey is to investigate professional attitudes to the presence and value of spiritual care from Old Age Psychiatrists.Method: All registered members of the Faculty of the Psychiatry of Old Age in the United Kingdom were asked to complete a 21-question semi-structured questionnaire. The first mail shot took place in 2002 and the second mail shot to non-respondents in 2003. Quantitative and qualitative analyses were carried out on the answers received.Results: The response rate was 46%. The majority of respondents (92%) recognize the importance of spiritual dimensions of care for older people with mental health needs and about a quarter of respondents appear to consider referring patients to the chaplaincy service. In contrast, integration of spiritual advisors within the assessment and management of individual cases is rare.Conclusions: Opinions vary as to whether provision of spiritual care should become widely available to older people with mental health needs who are admitted to hospital. Old age psychiatrists recognize that awareness of spiritual dimensions may be important for their patients. They seem less clear about the role of spiritual advisors and how NHS multidisciplinary clinical teams and spiritual and pastoral care services can be best integrated. Much work needs to be done on developing effective training and operational policies in this area.

scholarly journals Old age psychiatry and geriatric medicine admissions and elderly suicide rates in England

2010 ◽  
Vol 22 (3) ◽  
pp. 502-504 ◽  
Author(s):  
Ajit Shah
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
General Practitioner ◽  
Old Age ◽  
Geriatric Medicine ◽  
Healthcare Services ◽  
Suicide Rates ◽  
Old Age Psychiatry ◽  
Elderly Suicide ◽  
Almost All

Almost all elderly suicide victims have mental illness, and up to 90% have depression (Shah and De, 1998). A significant number of elderly suicide victims in Western countries consult their general practitioner or psychiatrist or contact mental health services between one week and six months prior to the suicide (Catell, 1988; Conwell et al., 1990; 1991; Catell and Jolley, 1995; Vassilas and Morgan, 1993; 1994). This offers an opportunity for identification and treatment of the mental illness. Thus, the availability of appropriate healthcare services may be an important factor associated with elderly suicide rates.

scholarly journals Home assessments in old age psychiatry

2002 ◽  
Vol 8 (1) ◽  
pp. 59-65 ◽  
Author(s):  
Barbora Richardson ◽  
Martin Orrell
Keyword(s):  
Mental Health ◽  
Older People ◽  
Old Age ◽  
Good Practice ◽  
Fire Hazards ◽  
Adequate Food ◽  
Audit Commission ◽  
Accurate Picture ◽  
Old Age Psychiatry ◽  
At Home

“For people to be successfully supported at home, a comprehensive assessment is an essential first step.” (Audit Commission, 2000: p. 43.)Home visits by old age psychiatrists remain popular with elderly patients, their carers and general practitioners (GPs). Home assessments by various disciplines working with older people have been endorsed as a sign of good practice by the Audit Commission (2000) in their recent national report on mental health services for older people: “Assessment at home is often better as people are most likely to behave and communicate in their normal way in familiar surroundings. Staff can also build a more accurate picture of people's needs and learn the views of their carers. Professionals can observe whether there is adequate food in the house, whether people can make themselves a hot drink, and whether there are any likely risks from poor hygiene or fire hazards.” (Audit Commission, 2000: p. 43.)

A Woman who Made a Difference: An Interview with Nori Graham

2018 ◽  
pp. 189-201
Author(s):  
Amanda Thompsell
Keyword(s):  
Mental Health ◽  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Mental Health Services ◽  
Health Services ◽  
Older People ◽  
Old Age ◽  
Women Doctors ◽  
Old Age Psychiatry ◽  
Person Account

This chapter describes an interview with Dr Nori Graham, a key figure in older people’s mental health, former Chairman of the Alzheimer’s Society and of Alzheimer’s Disease International, and an inspiration to generations of doctors. This reflective interview provides a first-person account of the development of mental health services for older people over the last 40 years, paying tribute to some of the pioneers and architects of the astonishing growth of old age psychiatry services during this period, and comparing the challenges then and now. Nori Graham also provides insights and advice on how to develop a successful career, and on dealing with the challenges for women doctors with children. Finally, she describes her work in helping to build up the Alzheimer’s Society and Alzheimer’s Disease International, both of which expanded considerably during her period as Chairman.

Supporting Older People with Cancer – Merging Geriatric and Oncological Knowledge

2016 ◽  
Vol 12 (01) ◽  
pp. 23
Author(s):  
Ingalill Rahm Hallberg ◽  
Keyword(s):  
Case Management ◽  
Older People ◽  
Cancer Treatment ◽  
Old Age ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Aging Process ◽  
Health Problems ◽  
Older Patient ◽  
Complex Situation

Cancer in old age means a complex situation that may differ depending on where in the aging process the person is. For the older patient it is a reminder of that life is going to its end. Cancer treatment is to be provided in addition to handling other health problems and the overall frailty that goes with old age. Comprehensive geriatric assessment and case management may be a way to handle the frailty and merging oncology and geriatric knowledge.

Education on Old Age Psychiatry at Europe: Facts and Proposals

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1 ◽  
Author(s):  
H. Firmino ◽  
L. Fernandes
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Older People ◽  
Mental Health Care ◽  
Old Age ◽  
Mental Health Professionals ◽  
Mental Health Problems ◽  
The Elderly ◽  
Educational Training ◽  
Old Age Psychiatry

Old Age Psychiatry is a branch of psychiatry and forms part of the multidisciplinary delivery of mental health care to older people.The specialty of psychiatry of the elderly requires a grounding in general psychiatry and in general medicine as well as training in the specific aspects of both psychiatric and medical conditions as they occur in older people. Psychiatry of the elderly should be taught in the variety of settings in which it is practised.Training in mental health care of older people should be offered at both undergraduate and postgraduate level and also during continuing professional development.It is important to recognise that in some countries, resources, especially in terms of mental health professionals, are very limited. In these countries it will be necessary to establish sensible priorities for mental health problems of the elderly.In this presentation we goes to consider some ideas to develop educational training at European Countries.

scholarly journals Domiciliary visits to the old and the mentally ill: How valuable?

2000 ◽  
Vol 93 (4) ◽  
pp. 187-190 ◽  
Author(s):  
Peter Crome ◽  
Alison Malham ◽  
Dereth Baker ◽  
Allison E Smith ◽  
Roger Bloor
Keyword(s):  
Mental Health ◽  
Old Age ◽  
Mentally Ill ◽  
Elderly Care ◽  
Geriatric Medicine ◽  
Care Services ◽  
Peer Reviewers ◽  
Old Age Psychiatry ◽  
Number Of Visits ◽  
Almost All

Summary In the early days of the British National Health Service, domiciliary visits were a continuation of the tradition whereby general practitioners (GPs) met consultants in the patient's home. The nature of domiciliary visits, which still attract a special fee, has since changed. We analysed the effectiveness of all domiciliary visits undertaken in a NHS trust providing primary care, mental health and elderly care services to a population of 470 000. Data were obtained from domiciliary visit claim forms and from questionnaires completed by the consultant, the referring GP and consultant peer reviewers. The largest number of visits (total 234) was in geriatric medicine 48.9%, followed by old-age psychiatry 44.9%. Geriatric medicine was more likely than psychiatry to admit patients to hospital (19%) after a visit. All domiciliary visits in old-age psychiatry were done during the day (9 am to 5 pm). Only 2% of GPs stated that they attended any of the domiciliary visits; almost all thought that the outcome of domiciliary visits was of value. Old-age-psychiatry peer reviewers believed that all visits in that specialty were appropriate; in geriatric medicine this figure was 77% and in other psychiatric specialties 65%. The findings indicate that domiciliary visits were not being used routinely as a pathway to hospital admission, though they were often used to expedite admission or gain a quick consultant opinion; the visits were valued by GPs. The practice of domiciliary visits differs greatly from the definition in NHS terms and conditions of service. One or other should be altered.

scholarly journals First light: old age psychiatry in Wolverhampton 1995–1996

1997 ◽  
Vol 21 (8) ◽  
pp. 503-505 ◽  
Author(s):  
David Jolley ◽  
Rosie Jenkins ◽  
Simon Dixey
Keyword(s):  
Mental Health ◽  
Older People ◽  
Old Age ◽  
Community Services ◽  
Mental Illnesses ◽  
First Year ◽  
Old Age Psychiatry

In a survey of services conducted by the Section of Old Age Psychiatry in 1993, Wolverhampton was identified as one of 24 Districts with no consultant Old Age Psychiatrist in post (Benbow & Jolley, 1996). This encouraged the newly formed NHS Trust responsible for mental health and other community services to arrange for the secondment of D. J. from South Manchester, for a period of two years, with a view to setting up and running an appropriate service for older people with mental illnesses (Jolley, 1996). We are reporting here some of the changes which have occurred during the first year of this secondment.

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