scholarly journals Forget Me Not: Mental Health Services for Older People

2000 ◽  
Vol 24 (11) ◽  
pp. 403-404
Author(s):  
Susan M. Benbow ◽  
Sean P. Lennon
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Older People ◽  
Old Age ◽  
Service Planning ◽  
National Service ◽  
National Service Framework ◽  
Service Framework

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.

Old age mental health services in England: implementing the National Service Framework for Older People

2007 ◽  
Vol 22 (3) ◽  
pp. 211-217 ◽  
Author(s):  
Sue Tucker ◽  
Robert Baldwin ◽  
Jane Hughes ◽  
Susan Benbow ◽  
Andrew Barker ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Older People ◽  
Old Age ◽  
National Service ◽  
National Service Framework ◽  
Service Framework

scholarly journals Commentary

2000 ◽  
Vol 6 (3) ◽  
pp. 235-237
Author(s):  
Robert Hale ◽  
Sebastian Kraemer
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Clinical Governance ◽  
National Service ◽  
Staff Support ◽  
National Service Framework ◽  
Service Framework

This is a timely and useful start to a major debate that should now be taking place in mental health services. The authors have successfully woven the need for staff support into the themes of clinical governance and the national service framework for mental health and other Government initiatives. While concentrating on the particular stresses of consultants, they recognise that other grades and other disciplines in the field also suffer.

scholarly journals The development and implementation of a peer support model for a specialist mental health service for older people: lessons learned

2018 ◽  
Vol 23 (2) ◽  
pp. 73-85
Author(s):  
Dominiek Coates ◽  
Patrick Livermore ◽  
Raichel Green
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Older People ◽  
Implementation Barriers ◽  
Content Type ◽  
Specialist Mental Health Service ◽  
Work Model

Purpose There has been a significant growth in the employment of peer workers over the past decade in youth and adult mental health settings. Peer work in mental health services for older people is less developed, and there are no existing peer work models for specialist mental health services for older people in Australia. The authors developed and implemented a peer work model for older consumers and carers of a specialist mental health service. The purpose of this paper is to describe the model, outline the implementation barriers experienced and lesson learned and comment on the acceptability of the model from the perspective of stakeholders. Design/methodology/approach To ensure the development of the peer work model met the needs of key stakeholders, the authors adopted an evaluation process that occurred alongside the development of the model, informed by action research principles. To identify stakeholder preferences, implementation barriers and potential solutions, and gain insight into the acceptability and perceived effectiveness of the model, a range of methods were used, including focus groups with the peer workers, clinicians and steering committee, consumer and carer surveys, field notes and examination of project documentation. Findings While the model was overall well received by stakeholders, the authors experienced a range of challenges and implementation barriers, in particular around governance, integrating the model into existing systems, and initial resistance to peer work from clinical staff. Originality/value Older peer workers provide a valuable contribution to the mental health sector through the unique combination of lived experience and ageing. The authors recommend that models of care are developed prior to implementation so that there is clarity around governance, management, reporting lines and management of confidentiality issues.

A Health Service and Aboriginal & Torres Strait Islander Partnership to Develop and Plan Mental Health Services

1998 ◽  
Vol 4 (4) ◽  
pp. 18 ◽  
Author(s):  
Christine Salisbury
Keyword(s):  
Mental Health ◽  
Action Research ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Torres Strait Islander ◽  
Service Planning ◽  
Medical Setting ◽  
Service Utilisation ◽  
Torres Strait

The aim of this study was to examine the effects of an action research partnership between the Tweed Valley Health Service (TVHS) and the Aboriginal & Torres Strait Islander community for the development and delivery of Aboriginal & Torres Strait Islander Mental Health Services. This partnership was based upon Labonte's (1989) view of empowerment where it is suggested that to be empowered means to have increased capacity to define, analyse and act upon one's problems. It was proposed that the establishment of a 'partnership' based upon these principles would assist in operationalising Indigenous community participation in TVHS planning. To achieve this type of 'partnership', the health service had to be willing to enter the partnership and to give the authority to the Aboriginal & Torres Strait Islander Health Outcome Council to seek and trial solutions on Aboriginal & Torres Strait Islander Mental Health matters. Key outcomes were defined as the extent to which the re-organised services proved to be acceptable and utilised by the local Aboriginal & Torres Strait Islander population. Outcomes were operationalised through measures of service utilisation and consumer satisfaction with accessibility, process and outcomes. The study trialed participatory action research as a method for Indigenous participation in Mental Health Service planning and development and concludes that it is a valid model for cross cultural research and health service development in a complex medical setting.

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.

Depression, anxiety and psychoses in later life: more challenges for primary care

2002 ◽  
Vol 12 (4) ◽  
pp. 327-341 ◽  
Author(s):  
Steve Iliffe ◽  
Jill Manthorpe
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Older People ◽  
Mental Health Problems ◽  
Later Life ◽  
Special Consideration ◽  
National Service ◽  
National Service Framework ◽  
Clinical Problems ◽  
Service Framework

The current focus on dementia risks eclipsing other mental health problems of later life. While the National Service Framework for Older People (NSF) has highlighted depression as an important disorder meriting special consideration,1 anxiety and psychoses in older people remain difficult problems for practitioners to manage. This paper reviews the prevalence and impact, recognition, complexity and prognosis and treatment for these three clinical problems, and proposes a framework for ‘good enough practice’

Dignity in health care: reality or rhetoric

2002 ◽  
Vol 12 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Win Tad ◽  
Tony Bayer ◽  
Paul Dieppe
Keyword(s):  
Health Care ◽  
Older People ◽  
Old Age ◽  
National Service ◽  
Death With Dignity ◽  
National Service Framework ◽  
The Uk ◽  
The Right ◽  
Right To Dignity ◽  
Service Framework

Increasingly, the term ‘dignity’ is becoming a part of contemporary discussions of health care. Phrases such as ‘respect for human dignity’, ‘treatment with dignity’, ‘death with dignity’ and the ‘right to dignity’ are so commonplace as to have almost become clichés. This is especially so in the context of older people. In the UK, the NHS Plan uses the term ‘dignity’ on a number of occasions (Chapter 15 is entitled ‘Dignity, security and independence in old age’) and the National Service Framework for Older People explicitly mentions dignity in relation to person-centred care. However, practice has often failed to measure up to this much-cited aspiration.

What Patients and Carers Want to Know: An Exploration of Information and Resource Needs in Adult Mental Health Services

2005 ◽  
Vol 39 (6) ◽  
pp. 507-513 ◽  
Author(s):  
Michelle Cleary ◽  
Adele Freeman ◽  
Glenn E. Hunt ◽  
Garry Walter
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Representative Sample ◽  
Response Rate ◽  
Community Response ◽  
Service Planning ◽  
Baseline Data ◽  
Number Of Patients

Objective: The objectives of this study were to: (i) obtain baseline data on the extent of carer involvement across a representative sample of hospital and community patients within an integrated area health service; and (ii) examine perspectives on discharge planning and community care among patients and their carers to identify information and resources they consider important. Method: Over a 4-month period, inpatients before discharge and patients accessing community mental health services participated in face-to-face interviews. Information was collected about carer involvement and, with the patient's consent, the identified carer was sent a similar survey to determine demographics and information needs. This resulted in a representative sample of patients and carers accessing inpatient and community settings acrossa metropolitan mental health service. Support needs and carerburden were also assessed but are not reported here. Results: A total of 407 interviews were completed, 207 in inpatient settings and 200 in the community. An inpatient response rate of 70% and a community response rate of 75% was achieved. Across both settings, 67% of patients identified a carer and a carer response rate of 28% was then obtained. We found carers and patients have different priorities regarding the information they want and information is often not provided to carers. Furthermore, patients were more confident in their ability to manage their mental health in the community than carers. Conclusions: This study yielded important baseline data about the number of patients who have a carer. We were also able to determine that routine clinical information provided to patients and carers is inadequate from their perspective. It is anticipated that this initiative will assist ongoing service planning and improve partnerships with patients and their carers.

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