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

Tucker, Sue; Baldwin, Robert C.; Hughes, Jane; Benbow, Susan M.; Barker, Andrew; Burns, Alistair; Challis, David

doi:10.1002/gps.1662

Cited by 44 publications

(59 citation statements)

References 24 publications

(29 reference statements)

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“…While some services had extensive integrated multidisciplinary teams, more than a third of teams had no ring-fenced social work time and several lacked consistent arrangements to co-ordinate the care of even their most needy clients. 34 The service in North West England in which the study reported in this paper was undertaken appeared typical of services nationwide. Serving a population of about 56 000 people aged 65 and over, small CMHTs, primarily staffed by qualified nurses and support staff, were based in each of the area' s main towns and worked a traditional Monday-Friday, 9am to 5pm pattern, complemented by day hospital provision, outreach services and inpatient beds.…”

Section: Characteristics Of Intensive Care Managementmentioning

confidence: 92%

“…12,21,31,32 However, like many others, 34 the area in which this study was undertaken had neither an intensive care management service, nor multi-agency CMHTs. In order to meet the standards in Box 2 therefore, not only would qualified social work practitioners need to be integrated within existing CMHTs, but the community mental health nurses' remit would need to expand to incorporate the role of care manager in those cases where their specific expertise made them the most appropriate personnel to undertake this function.…”

Section: Care Management Should Be Provided By Members Of a Multidiscmentioning

confidence: 99%

“…Caution should be exercised in generalising the study's findings therefore, although, interestingly, the results are not greatly different from those reported in other work that has utilised a similar classification, [39][40][41][42]76 while the mix of services for older people with mental Models of Care health problems in the study area appeared typical of services nationwide. 34 At least some data were recorded retrospectively, as the pressures of work obliged busy practitioners to wait until the day' s end before completing schedules. The accuracy of the data is thus subject to recall bias, and no attempt was made to check the veracity of recording.…”

Section: Limitationsmentioning

confidence: 99%

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Care management for older people with mental health problems: from evidence to practice

Tucker¹,

Hughes²,

Sutcliffe³

et al. 2008

Aust. Health Review

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Aim: To explore the implications of providing intensive care management in a typical old age mental health service in North West England. Methods:The time spent by core groups of specialist mental health and social services staff on a range of activities deemed central to the provision of intensive care management was explored by means of a diary exercise. The difference between what is actually being done and what evidence suggests is needed was examined.Results: More than 1500 hours of activity were appraised. Assessment and care managementrelated tasks accounted for more than 40% and 30% of social work and nursing staff's time, respectively. However, several fundamental features of intensive care management were lacking, including health staff's adoption of the care manager role, arrangements to facilitate appropriate information sharing and sufficient time for practitioners to provide the necessary careful assessment of needs, liaison with other agencies, and close and regular contact with the elderly person and their care network.

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Section: Characteristics Of Intensive Care Managementmentioning

confidence: 92%

Section: Care Management Should Be Provided By Members Of a Multidiscmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

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Care management for older people with mental health problems: from evidence to practice

Tucker¹,

Hughes²,

Sutcliffe³

et al. 2008

Aust. Health Review

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“…A postal survey of older adult psychiatrists demonstrated significant gaps in these ser vices. 11 For instance, nearly a third of respondents reported a lack of access to separate wards for organic and functional illness and less than a quarter considered community care adequate. Psychosocial input was one resource identified as being in high demand.…”

Section: The Need For Crht Services For Older Peoplementioning

confidence: 99%

Crisis resolution in older people's mental healthcare

Obinwa¹,

Goel²,

Sule³

2010

Prog Neurol Psychiatry

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The Crisis Resolution and Home Treatment (CRHT) team's role in acute mental healthcare services for working age adults is well established throughout England, but this is less so for older adults despite government policy and initiatives promoting equality of care. The authors highlight the need to extend this care model to older people's mental healthcare and suggest some possible ways of achieving this. Copyright © 2010 Wiley Interface Ltd

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“…Many studies describe the biological as well as social and psychological characteristics of older people. In terms of function, there is great variety among older adults [3]. Proper nutrition, lifestyle, sport activities, and a calm emotional state are resilience factors for everybody, but they are more critical for older adults and thus influence the aging process [4].…”

Section: Introductionmentioning

confidence: 99%

Can Older People See Something Apart from Themselves?

Pearlman-Avnion¹,

Lazar²,

Muschinsky³

2016

IJSSH

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Abstract-Some cognitive as well as physical functions are reduced as a function of age due to aging of the body and the brain. On the other hand, older people have broad life experiences that may serve as a resilience factor to help their abilities. The literature presents two opposite kinds of findings about cognitive ability. The main purpose of the present study is to determine whether theory of mind (ToM) ability and short-term memory are reduced or enhanced across the lifespan. A second purpose is to test gender differences. A study was conducted with 73 participants, 37 females and 36 males, whose ages ranged from 50 to 92 years. Participants were presented with a Reading the Mind in the Eyes test and a free recall task. The results suggest that the older the person, the lower his or her ToM and short-term memory abilities. Males' ToM ability was found to be more impaired than that of females, whereas no difference was found in short-memory ability. Furthermore, aging and gender were found to be significant predictors of ToM ability. The present study is one of few that have been conducted to understand the ToM ability of older people. The findings support the claim that, like some other cognitive abilities, ToM ability is reduced during the aging process. These findings should be replicated by using other tools in order to strengthen the ecological validity of the results.Index Terms-Old age, memory, theory of mind (ToM), gender, cognitive function, reading the mind eyes test, short-term memory, free recall task.

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

Abstract: Three years after the publication of the NSFOP there remained significant gaps in services for older people with mental health problems and substantial variation in provision between districts.

Cited by 44 publications

References 24 publications

Care management for older people with mental health problems: from evidence to practice

Care management for older people with mental health problems: from evidence to practice

Crisis resolution in older people's mental healthcare

Can Older People See Something Apart from Themselves?

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