scholarly journals Old age psychiatry: a speciality in transition

1999 ◽  
Vol 23 (6) ◽  
pp. 331-335 ◽  
Author(s):  
John Wattis ◽  
Andrew MacDonald ◽  
Paul Newton
Keyword(s):  
Old Age ◽  
Response Rate ◽  
Academic Development ◽  
Postal Survey ◽  
Psychiatric Services ◽  
Clinical Implications ◽  
Early Onset Dementia ◽  
Catchment Areas ◽  
Old Age Psychiatry

Aims and methodsWe aimed to update Information on the development of old age psychiatric services using a postal survey of consultants.ResultsThe response rate (51%) was lower than previous surveys in the 1980s. Senior academic appointments showed little increase and academic posts were largely National Health Service (NHS) funded. Services had smaller catchment areas and increased numbers of staff in medicine, nursing and social work, but not in occupational therapy, physiotherapy and psychology. Relative workload was increasing and most services included early-onset dementia. There was a decrease in provision of NHS long-stay beds with only marginal changes in other facilities.Clinical implicationsServices were offering more to patients than previously. Weakness in academic development may cause problems for the future; the results suggested that recruitment in some disciplines may already be problematical. There is a need to develop the role of NHS long-stay facilities.

scholarly journals Irish Psychiatric Association survey of psychiatric services in Ireland

2004 ◽  
Vol 28 (10) ◽  
pp. 364-367 ◽  
Author(s):  
V. O'Keane ◽  
A. Jeffers ◽  
E. Moloney ◽  
S. Barry
Keyword(s):  
Mental Health ◽  
Catchment Area ◽  
Response Rate ◽  
Negative Relationship ◽  
Postal Survey ◽  
Psychiatric Services ◽  
Clinical Implications ◽  
Consultant Psychiatrist ◽  
Survey Form ◽  
Catchment Areas

Aims and MethodThe Irish Psychiatric Association conducted a national survey of psychiatric services in Ireland to examine clinical resources in relation to the relative affluence of catchment areas. A consultant psychiatrist from each catchment area was sent a postal survey form (August 2002) and the data received were cross-referenced with measures of relative affluence.ResultsThere was a 72% response rate. A negative relationship emerged between indices of need and both the number of acute beds and the number of consultant psychiatrists per head of the population.Clinical ImplicationsThe results of this survey indicate that clinical resources in mental health in Ireland are not concentrated in areas of greatest need, but paradoxically have been best developed in areas of greatest affluence.

scholarly journals Role and responsibility of the speciality tutor

1999 ◽  
Vol 23 (3) ◽  
pp. 170-172
Author(s):  
Jane Garner ◽  
Yong Lock Ong
Keyword(s):  
Old Age ◽  
Clinical Implications ◽  
Job Description ◽  
Old Age Psychiatry ◽  
Training Programmes

Aims and methodIn order to identify the role and responsibility of the speciality tutor, the tutors' post in old age psychiatry was compared across two regions.ResultsThe role was narrow; but different in the two regions depending on training programmes.Clinical implicationsTutors in all faculties should have an expanded and standardised job description, separate from the role of the regional representative, in order to strengthen the input of the specialisms to training at all levels.

scholarly journals Effectiveness of the research day in psychiatric training: survey of consultant psychiatrists

2006 ◽  
Vol 30 (7) ◽  
pp. 275-277 ◽  
Author(s):  
Dennis Okolo ◽  
Laofe O. Ogundipe
Keyword(s):  
Old Age ◽  
Response Rate ◽  
Psychiatric Training ◽  
Clinical Implications ◽  
The West ◽  
Positive View ◽  
West Midlands ◽  
Old Age Psychiatry

Aims and MethodWe explored the views of consultant psychiatrists (trainers and non-trainers) on the effectiveness of the research day. We sent out postal questionnaires to consultant psychiatrists in general adult and old age psychiatry in the West Midlands to evaluate their own experience of the research day and how useful they felt it was.ResultsThe survey had a response rate of 72% (88 out of 122) and the majority of respondents had a positive view of their experience (31 trainers, 60%; 25 non-trainers, 69%). However, more consultant trainers (37, 71%) compared with non-trainers (15, 42%) felt that the research day in its current format should be modified.Clinical ImplicationsThe research day is useful for the training of specialist registrars and our study confirms this view from the consultants surveyed. Some improvement is required in order for specialist registrars to obtain optimal benefit. We make some suggestions for improving the day's effectiveness.

scholarly journals Survey of clozapine use by consultant old age psychiatrists

2006 ◽  
Vol 30 (11) ◽  
pp. 410-412 ◽  
Author(s):  
Raghupathy Paranthaman ◽  
Robert C. Baldwin
Keyword(s):  
Elderly Patients ◽  
Old Age ◽  
Random Sample ◽  
Older Patients ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Published Data ◽  
Clinical Implications ◽  
Old Age Psychiatry

Aims and MethodThe aim of the survey was to assess the attitudes of specialists in old age psychiatry towards the use of clozapine in elderly patients. A postal questionnaire was sent to a random sample of 155 consultant old age psychiatrists in England.ResultsThe response rate was 87%. A majority of respondents felt that clozapine had a useful place in the treatment of elderly patients, although they expressed concerns about the lack of published data and about safety and practical difficulties in monitoring. Prescribers of clozapine (n=45) were significantly more positive about its role in treating older patients than those who had not used it.Clinical ImplicationsThe findings suggest that familiarity with and confidence in clozapine and practical difficulties in monitoring are important determinants of its use in older patients.

scholarly journals Interface between general adult and old age psychiatry

2018 ◽  
Vol 24 (3) ◽  
pp. 188-194 ◽  
Author(s):  
Oleksandr Khrypunov ◽  
Raheel Aziz ◽  
Ban Al-Kaissy ◽  
Ketan Jethwa ◽  
Verghese Joseph
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Old Age ◽  
Mental Health Problems ◽  
Psychiatric Services ◽  
List Type ◽  
Late Life Depression ◽  
Early Onset Dementia ◽  
Old Age Psychiatry ◽  
The Uk

SUMMARYOlder people with mental health problems are entitled to the same level and quality of care as younger people. Several factors continue to influence policy and delivery of older adults' mental health services in the UK. Following the introduction of the Equality Act 2010, there has been a drive to create an ‘ageless’ National Health Service. This has opened up the debate about whether such a service is best equipped to meet the specific needs of older adults. In this contribution we consider the concepts of ‘old age’ and ‘frailty’ and their clinical and service provision implications in psychiatry. The management of late-life depression and early-onset dementia, advance care planning and palliation in dementia are also considered.LEARNING OBJECTIVES•Appreciate how old age psychiatric services and the concept of ‘old age’ have evolved over time•Gain an understanding of issues at the interface between old age and general adult psychiatry and those specific to old age psychiatry•Gain an overview of procedures involved in transferring care between general adult and old age psychiatric services and the need for a separate old age psychiatry subspecialtyDECLARATION OF INTERESTNone.

scholarly journals A national survey of old age psychiatry services in Wales

2002 ◽  
Vol 26 (1) ◽  
pp. 18-20
Author(s):  
Alison Napier
Keyword(s):  
Service Quality ◽  
Old Age ◽  
National Survey ◽  
Royal College ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
Service Levels ◽  
Provision Of Services ◽  
Old Age Psychiatry

Aims and MethodA postal questionnaire was circulated to all consultants in old age psychiatry in Wales, examining provision of services with reference to the indicative service levels defined by the Royal College of Psychiatrists and Royal College of Physicians.ResultsThe response rate was 100%. Levels of staffing and resources overall fell well below recommendations and varied widely between services. The average population over 65 served by a whole time consultant was 22 995; more than twice that recommended. No association was found between morale or how well population needs were perceived as being met, and the size of the population served.Clinical ImplicationsConsiderable investment in staff and other resources is needed for the recommendations made by the royal Colleges concerning service levels and, by implication, service quality to be met.

scholarly journals A survey of academic provision for old age psychiatry in the UK and Ireland

2002 ◽  
Vol 26 (3) ◽  
pp. 92-95 ◽  
Author(s):  
J. Lindesay ◽  
C. Katona ◽  
R. Prettyman ◽  
J. Warner
Keyword(s):  
Old Age ◽  
Teaching Methods ◽  
Academic Development ◽  
Subject Area ◽  
Undergraduate Teaching ◽  
Clinical Implications ◽  
Senior Lecturer ◽  
Medical Undergraduates ◽  
Old Age Psychiatry ◽  
The Uk

Aims and MethodThis paper reports the findings of a 1999 survey of academic old age psychiatry staffing and teaching in UK and Irish medical schools.ResultsJust over half had staff established at the level of senior lecturer or above. These schools devoted more time to undergraduate teaching, covered more topics and used a wider range of teaching methods.Clinical ImplicationsThere is a need for further academic development in old age psychiatry to drive the development of the speciality, and to ensure that all medical undergraduates receive an adequate training in this subject area.

scholarly journals Teaching provision for old age psychiatry in medical schools in the UK and Ireland: a survey

2017 ◽  
Vol 41 (5) ◽  
pp. 287-293 ◽  
Author(s):  
Sophia Bennett ◽  
Poppy Ilderton ◽  
John T. O'Brien ◽  
John-Paul Taylor ◽  
Andrew Teodorczuk
Keyword(s):  
Old Age ◽  
Teaching Methods ◽  
Online Survey ◽  
Response Rate ◽  
Medical Schools ◽  
Clinical Implications ◽  
Old Age Psychiatry ◽  
Original Survey ◽  
The Uk ◽  
School Curricula

Aims and methodThis work builds on a survey first done in 1999 to understand how old age psychiatry teaching is embedded in undergraduate medical schools in the UK and Ireland and the influence of academic old age psychiatrists on teaching processes. We invited deans of 31 medical schools in the UK and Ireland in 2015 to complete an online survey to reassess the situation 16 years later.ResultsResponse rate was 74%. As found in the original survey, there was variation across medical schools in how old age psychiatry is taught. Half of schools stated there was not enough space in the curriculum dedicated to old age psychiatry, and not all medical school curricula offered a clinical attachment. Medical schools that involved academic old age psychiatrists in teaching (59%) showed a greater diversity of teaching methods.Clinical implicationsThere is a need to recognise the importance of old age psychiatry teaching, with the consensus of opinion continuing to be that more curriculum space needs to be given to old age psychiatry. To achieve this we advocate increasing the number of old age psychiatrists with teaching roles, as relying on academics to teach and lead on curriculum development is challenging given their greater research pressures.

scholarly journals Facilities for carers of in-patients in forensic psychiatric services in England and Wales

2010 ◽  
Vol 34 (9) ◽  
pp. 381-384 ◽  
Author(s):  
Irene Cormac ◽  
Drew Lindon ◽  
Hannah Jones ◽  
Trevor Gedeon ◽  
Michael Ferriter
Keyword(s):  
Mental Health ◽  
Postal Survey ◽  
Psychiatric Services ◽  
Clinical Implications ◽  
England And Wales ◽  
Mental Health Settings ◽  
Forensic Psychiatric ◽  
Minority Ethnic ◽  
Psychiatric Facilities

Aims and methodA postal survey of forensic psychiatric facilities in England and Wales was undertaken to obtain information about the services provided for carers of in-patients within these services.ResultsForensic psychiatric services vary in the support and facilities provided for carers. Many do not comply with current legislation for carers. Most units informed carers of their rights to have an assessment, but only a minority provided facilities for carers from Black and minority ethnic backgrounds.Clinical implicationsForensic psychiatric services should meet standards for the involvement and support of carers in mental health settings, and comply with legislation for carers.

scholarly journals Psychotherapy – a survey of psychiatrists' attitudes, beliefs and practice

1996 ◽  
Vol 20 (1) ◽  
pp. 15-19 ◽  
Author(s):  
Sue Bradbury ◽  
L S. O'Brien ◽  
Michael Göpfert
Keyword(s):  
Treatment Modality ◽  
Response Rate ◽  
Postal Survey ◽  
General Support ◽  
Regional Service ◽  
Beliefs And Practice

A postal survey was conducted among doctors practising psychiatry in the Mersey Region to ascertain attitudes, beliefs and practice with regard to psychotherapy, achieving a response rate of over 60%. There was a surprising absence of very strong feelings for or against psychotherapy which was not seen as a powerful treatment modality. There was little knowledge of the facilities provided by the regional service, and no general support for their expansion. The role of training in psychotherapy and its significance in light of guidelines for general trainees ore discussed. A need is recognised for greater awareness and contact between psychiatrists and the psychotherapy service.

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