Social Work Mental Health Services and the Long-Term Care Continuum

1989 ◽  
Vol 9 (3) ◽  
pp. 49-60
Author(s):  
Mark G. Battle
2010 ◽  
Vol 22 (7) ◽  
pp. 1023-1024 ◽  
Author(s):  
David Conn ◽  
John Snowdon

The high prevalence of mental disorders among residents of long-term care (LTC) homes is highlighted in the paper by Seitz et al. in this special issue of International Psychogeriatrics. The International Psychogeriatric Association's Task Force on Mental Health Services in LTC Homes was formed in 2005 with two goals: (1) to gather information and share views from diverse countries and settings about how best to restore or ensure good mental health in LTC settings; and (2) to support and strengthen mental health services in the LTC sector. Since its formation, groups of members of the Task Force have visited residential facilities in Stockholm, Lisbon, Istanbul, Osaka, Dublin, Montreal and the Netherlands. Members have also reported on visits to LTC homes in the U.S.A., U.K., Korea, Thailand, South Africa and Nigeria. Further visits have been arranged during the IPA's meeting in Spain in September 2010. Information has also been provided by members in discussion groups and in response to a Task Force survey about facilities in various other countries.


2009 ◽  
Vol 33 (1) ◽  
pp. 13 ◽  
Author(s):  
Liz Prowse ◽  
Tim Coombs

Discharge from public community mental health services has proven difficult for mental health workers and managers. Mental illness can often be long term, with ongoing disability, requiring a need for corresponding long-term care. Community mental health services are now becoming recovery focused and are recognising the need for alternative management arrangements for individuals with long-term care needs. There are, however few tools to assist in the decision making about discharge or transfer of care between community mental health teams. This article describes a quality improvement project to develop a flag for mental health workers to prompt decisions regarding discharge and transfer using the Health of the Nation Outcome Scales (HoNOS). Relevant literature and HoNOS data collected as part of routine clinical practice were reviewed to develop the flag. The implementation process is described along with plans for future developments.


2010 ◽  
Vol 22 (7) ◽  
pp. 1072-1083 ◽  
Author(s):  
Maggie C. Gibson ◽  
Mary W. Carter ◽  
Edward Helmes ◽  
Anna-Karin Edberg

ABSTRACTBackground: The International Psychogeriatric Association Task Force on Mental Health Services in Long-Term Care Facilities aims to support and strengthen mental health services in the long-term care sector. The purpose of this paper is to identify broad principles that may underpin the drive towards meeting the mental health needs of residents of long-term care facilities and their families, as well as to enhance the overall delivery of residential care services.Methods: Principles of good care are extrapolated from an analysis of international consensus documents and existing guidelines and discussed in relation to the research and practice literature.Results: Although the attention to principles is limited, this review reveals an emerging consensus that: (1) residential care should be situated within a continuum of services which are accessible on the basis of need; (2) there should be an explicit focus on quality of care in long-term care facilities; and (3) quality of life for the residents of these facilities should be a primary objective. We take a broad perspective on the challenges associated with actualizing each of these principles, taking into consideration key issues for families, facilities, systems and societies.Conclusions: Recommendations for practice, policy and advocacy to establish an internationally endorsed principles-based framework for the evolution and development of good mental health care within long-term care facilities are provided.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S505-S506
Author(s):  
Manisha Sengupta ◽  
Christine Caffrey

Abstract Assisted living and similar residential care communities (RCCs) are an important source of care for older adults, many of whom have dementia or depression. In 2016, 42% of residents in RCCs were diagnosed with dementia and 31% were diagnosed with depression. About two-thirds of RCCs (63%) provided social work and mental health services and 37% provided neither service. Using the 2016 National Study of Long-Term Care Providers, this study includes bivariate and ANOVA modeling to (1.) examine the variation in dementia and depression between RCCs that provide social work and mental health services and those that do not, and (2.) assess if there is an interaction between provision of services and RCC bed size in their association with dementia and depression. Bivariate results show that the prevalence of dementia does not vary by service provision, but the prevalence of depression does. The percent of residents with depression varied from 34% in RCCs that provided both social work and mental health services to 31% in RCCs that provided only one service to 28% in RCCs that provided neither service. The prevalence of dementia was around 4 in 10 residents, regardless of service provision. Fitting a two-way ANOVA model for dementia indicated that the effect was 4 percentage points higher for RCCs that provided services than those that did not, but only among small RCCs. Findings from this study can inform strategies to care for the needs of residents with dementia and depression across the various sizes of RCCs.


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