Older people with enduring mental illness: a needs assessment tool

Abstract

Aims and MethodThere is a lack of tools to assess the needs of older people with enduring mental illness who have ‘graduated’ from adult mental health services and little is known about this population. the Elderly Psychiatric Needs Schedule (EPNS) was developed and applied to older people with enduring mental illness in contact with the old age and general adult components of an inner-city mental health service.ResultsThe EPNS proved reliable (mean agreement 96%, mean Kappa κ=0.90). the mean number of needs identified was 7.6, of which 4.3 were unmet and 3.3 were met.Clinical ImplicationsThe EPNS provided a reliable method of needs assessment in this population. the authors offer the EPNS as a tool to assess service needs of older adults with functional psychiatric disorders having ‘graduated’ from adult mental health services.

Comparision of how old age psychiatry and general adult psychiatry services meet the needs of elderly people with functional mental illness: Cross-sectional survey

“…The assessment package consisted of the following questionnaires: (a) Mini-Mental State examination; 11 (b) the Brief Psychiatric Rating Scale; 12 (c) the Geriatric Depression Scale; 13 (d) the Clifton Assessment Procedure for the Elderly (CAPE); 14 (e) the Elderly Psychiatric Needs Schedule (EPNS). 9 Statistical analysis included the following statistical methods: producing simple frequencies of study variables in the sample and hypothesis testing using bivariate analysis of crude rates (using the chi-squared test and t-test) generating significance tests in the form of P-values and confidence intervals.…”

“…The assessment package consisted of the following questionnaires: (a) Mini-Mental State examination; 11 (b) the Brief Psychiatric Rating Scale; 12 (c) the Geriatric Depression Scale; 13 (d) the Clifton Assessment Procedure for the Elderly (CAPE); 14 (e) the Elderly Psychiatric Needs Schedule (EPNS). 9…”

“…8 The current study reports a survey using a needs assessment schedule that was developed and validated on older people with functional mental illness. 9 In this study, we assessed the needs of an epidemiologically based sample of elderly people with functional mental illness in contact with old age psychiatry and general adult psychiatry services to explore which of the two services was better in meeting the needs of these patients.…”

Shared decision-making preferences in mental health: does age matter? A systematic review

“…Many factors may account for these differences. One being, there is no consistency in definition of an 'older person', mental ill-health such as depression and anxiety (NHS England, 2017), and that adults over the age of 55 account for over half of total health spending (Sawyer, & Claxton, 2019), coupled with population demographics shifting to older ages (Phelan, & Larson, 2002) as well as calls from the British Psychiatric Society and researchers alike to increase and improve the mental health services available for older adults (Burns, 2015;Abdul-Hamid, Lewis-Cole, Holloway, & Silverman, 2015;Royal College of Psychiatrists, 2018), it is increasingly important to understand the mental health needs of this population, and their desire to be involved with SDM given the benefits that implementing this method could bring (Slade, 2017).…”

Profile of home nursing clients with mental health diagnoses: Epidemiological analysis of Australian community home nursing data

“…sleep or appetite problems) mistaken as part of the ageing process (Australian Institute of Health & Welfare, ). Furthermore, tools to diagnose mental health problems are often not tailored to take into account age‐related morbidity of older individuals that may impact mental health (Abdul‐Hamid, Lewis‐Cole, Holloway, & Silverman, ). Finally, ageism may contribute to under‐diagnosis and differential treatment when mental health issues are assumed to be part of the usual ageing process (Blakemore, ; Robb, Chen, & Haley, ).…”