Two year outcomes of a multi‐agency elderly mentally ill unit providing intermediate care

Ackermann, Emma; Burnand, Jane; Horton, Cherry; Jenkins, David; Joomraty, Hassen; Pritchard, Dorothy; Rayner, Frances; Wedatilake, Gigurawa; Wilson, Robert R.

doi:10.1002/gps.777

Cited by 6 publications

(5 citation statements)

References 2 publications

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“…Another approach has been the use of less expensive intermediate care, often located in a local authority home, as an alternative to hospitalization or admission to long-term care. One descriptive study provided very limited evidence on the feasibility (Ackermann et al, 2003).…”

Section: The Decision To Admit: Hospital-or Community-based Treatment?mentioning

confidence: 99%

What is the effectiveness of acute hospital treatment of older people with mental disorders?

Draper

Low

2005

Int. Psychogeriatr.

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Section: The Decision To Admit: Hospital-or Community-based Treatment?mentioning

confidence: 99%

What is the effectiveness of acute hospital treatment of older people with mental disorders?

Draper

Low

2005

Int. Psychogeriatr.

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“…The final two studies were by Stewart () of a brain injury identity card and by Ackermann et al . () of an integrated intermediate care service (both assessed as ‘emerging practice’). Five additional reviews were identified: Challis's () expert briefing paper on generic and specialist domiciliary support; a report by Research in Practice for Adults () on social care interventions for acquired brain injury; Rosengard et al .…”

Section: Resultsmentioning

confidence: 99%

Good practice in social care for disabled adults and older people with severe and complex needs: evidence from a scoping review

Gridley

Brooks

Glendinning

2013

Health Soc Care Community

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What is known about this topic• The population of people with severe and complex needs is growing.• Support for these groups comes from a wide range of organisations and is often criticised for being uncoordinated.• The preferred policy in the UK is to issue personal budgets to enable service users to purchase their own support. What this paper adds• There is little evaluation evidence about the costs or outcomes of 'good practice' approaches to UK social care for people with severe and complex needs.• Some promising evidence was identified, indicating the effectiveness of a young adults' multidisciplinary specialist team; intensive case management of people with severe dementia; specialist (psycho-geriatric inpatient) social work; and multidisciplinary training for mental health professionals. AbstractThis article reports findings from a scoping review of the literature on good practice in social care for disabled adults and older people with severe and complex needs. Scoping reviews differ from systematic reviews, in that they aim to rapidly map relevant literature across an area of interest. This review formed part of a larger study to identify social care service models with characteristics desired by people with severe and complex needs and scope the evidence of effectiveness. Systematic database searches were conducted for literature published between January 1997 and February 2011 on good practice in UK social care services for three exemplar groups: young adults with life-limiting conditions; adults who had suffered a brain injury or spinal injury and had severe or complex needs; and older people with dementia and complex needs. Five thousand and ninety-eight potentially relevant records were identified through electronic searching and 51 by hand. Eighty-six papers were selected for inclusion, from which 29 studies of specific services were identified. However, only four of these evaluated a service model against a comparison group and only six reported any evidence of costs. Thirty-five papers advocated person-centred support for people with complex needs, but no well-supported evaluation evidence was found in favour of any particular approach to delivering this. The strongest evaluation evidence indicated the effectiveness of a multidisciplinary specialist team for young adults; intensive case management for older people with advanced dementia; a specialist social worker with a budget for domiciliary care working with psycho-geriatric inpatients; and interprofessional training for community mental health professionals. The dearth of robust evaluation evidence identified through this review points to an urgent need for more rigorous evaluation of models of social care for disabled adults and older people with severe and complex needs.

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“…Ackermann et al. (2003) suggest that intermediate care schemes have focused on medically unwell older people.…”

Section: Resultsmentioning

confidence: 99%

“…To prevent unnecessary admission to hospital or complications, rapid access to nursing and social care was needed and if this was to be achieved, further investment was needed to enable district nurses to deliver intermediate care and meet long-term care needs. Ackermann et al (2003) Fleming et al (2004) suggest that social services departments are financially motivated to reduce the use of long-term institutional care as they are responsible for funding it. Their work evaluated the effect of a residential care home rehabilitation service on institutionalisation, health outcomes and service use by investigating a rehabilitation service based on social services old people's homes, in comparison with usual health and social care provision.…”

Section: Literature Reviewsmentioning

confidence: 99%

A literature review of interprofessional working and intermediate care in the UK

Rout

Ashby

Maslin‐Prothero

et al. 2011

Journal of Clinical Nursing

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Two year outcomes of a multi‐agency elderly mentally ill unit providing intermediate care

Cited by 6 publications

References 2 publications

What is the effectiveness of acute hospital treatment of older people with mental disorders?

What is the effectiveness of acute hospital treatment of older people with mental disorders?

Good practice in social care for disabled adults and older people with severe and complex needs: evidence from a scoping review

A literature review of interprofessional working and intermediate care in the UK

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