scholarly journals Care pathway clustering: issues for older adult mental health services

2011 ◽  
Vol 15 (4) ◽  
pp. 6-9 ◽  
Author(s):  
Paul Whelan ◽  
Mo Zoha ◽  
Kristal Ramcharitar ◽  
Tresa Andrews
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Older Adult ◽  
Care Pathway ◽  
Adult Mental Health

Novel research on transition from child to adult mental health services in Europe: The MILESTONE project

2016 ◽  
Vol 33 (S1) ◽  
pp. S58-S59 ◽  
Author(s):  
H. Tuomainen ◽  
S.P. Singh ◽  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Service Providers ◽  
Care Pathway ◽  
Controlled Trial ◽  
Ethical Challenges ◽  
Adult Mental Health ◽  
Related Service ◽  
Competing Interest

IntroductionCurrent service configuration of distinct Child and Adolescent Mental Health (CAMHS) and Adult Mental Health Services (AMHS) is considered the weakest link where the care pathway should be most robust. Transition-related discontinuity of care is a major health, socioeconomic and societal challenge for the EU.ObjectivesThe overall objective of the MILESTONE project is to improve transition from CAMHS to AMHS in diverse healthcare settings in Europe.AimsTo improve the understanding of current transition-related service characteristics, and processes, outcomes and experiences of transition from CAMHS to AMHS using a bespoke suite of measures; to explore the ethical challenges of providing appropriate care to young people as they move to adulthood; to test a model of managed transition in a cluster randomized controlled trial (cRCT) for improving health, social outcomes and transition to adult roles; and to develop training modules for clinicians and policy guidelines.MethodsData will be collected via systematic literature reviews; bespoke surveys to CAMHS professionals, experts and other stakeholders; focus groups with service providers and users and members of youth and mental health advocacy groups; and a longitudinal cohort study with a nested cRCT in eight EU countries (Belgium, Croatia, France, Germany, Ireland, Italy, Netherlands, UK) involving over 1000 CAMHS service users, their parents/carers, and clinicians, with assessments at baseline, 9, 18 and 27 months.ResultsFirst results are expected in 2016 with further major findings following in 2019.ConclusionsThe MILESTONE project will provide unprecedented information on the nature and magnitude of problems at the CAMHS-AMHS interface, and potential solutions to overcome these.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Clinical dashboard: use in older adult mental health wards

2013 ◽  
Vol 37 (3) ◽  
pp. 85-88 ◽  
Author(s):  
Kate Daley ◽  
Jonathan Richardson ◽  
Ian James ◽  
Annette Chambers ◽  
David Corbett
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Data Quality ◽  
Older Adult ◽  
Mental Health Professionals ◽  
Elderly Care ◽  
Data Availability ◽  
Access To Information ◽  
Adult Mental Health

Aims and methodTo explore the experiences and attitudes of mental health professionals working in acute elderly care to a new clinical dashboard system. Metrics were identified from the Royal College of Psychiatrists' Accreditation for Inpatient Mental Health Services – Older People (AIMS-OP); these were tracked from baseline to 6 months. A questionnaire was developed and distributed across the three clinical areas involved in the clinical dashboard mental health pilot.ResultsStaff completed the questionnaire 3 months after the initial implementation. At this point the benefits of the introduction of the dashboard were suggested as: improved access to information, increased communication and information-sharing, increased staff awareness, and data quality.Clinical implicationsThe introduction of the clinical dashboard in older adult mental health services allowed for better data availability and resulted in better data quality.

Transition from child to adult mental health services: a French retrospective survey

2016 ◽  
Vol 11 (5) ◽  
pp. 286-293 ◽  
Author(s):  
Aurélie Schandrin ◽  
Delphine Capdevielle ◽  
Jean-Philippe Boulenger ◽  
Monique Batlaj-Lovichi ◽  
Frédérick Russet ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Problems ◽  
Care Pathway ◽  
Small Sample ◽  
University Hospital ◽  
Retrospective Survey ◽  
Content Type ◽  
Adult Mental Health

Purpose Adolescents and young adults’ mental health problems are an important health issue. However, the current organisation of the care pathway is not robust enough and transition between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) has been identified as a period of risk. The paper aims to discuss these issues. Design/methodology/approach A retrospective survey was conducted in Montpellier University Hospital concerning transitions organised between CAMHS and AMHS between 2008 and 2009. The aim was to assess if transitions met four criteria identified in literature as warranting an optimal transition. Findings In total, 31 transitions were included. Transition was accepted by AMHS in 90 per cent of cases but its organisation was rarely optimal. Relational continuity and transition planning were absent in 80 per cent of cases. The age boundary of 16 often justified the triggering of the transition regardless of patient’s needs. Discontinuity was observed in 48 per cent of transition cases, with an average gap of three months without care. Psychiatrists reported difficulties in working together. Finally, at the moment of the survey (one to three years later), 55 per cent of patients were lost to follow-up. Research limitations/implications This is a retrospective study on a small sample but it reveals important data about transition in France. Practical implications Transition process should include collaborative working between CAMHS and AMHS, with cross-agency working and periods of parallel care. Social implications Transition-related discontinuity of care is a major socioeconomic and societal challenge for the EU. Originality/value Data related to the collaboration between CAMHS and AMHS services are scarce, especially regarding the transition in France.

Expanding arts therapies provision: a pilot project in Older Adult Mental Health Services, Aneurin Bevan University Health Board

Public Health ◽  
2021 ◽  
Vol 194 ◽  
pp. 270-273
Author(s):  
M. Elliott ◽  
Jimmy Jones ◽  
Melissa Elliott ◽  
Sarah Challenger ◽  
Lynnsey Coull Gwynedd ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Older Adult ◽  
Pilot Project ◽  
Health Board ◽  
Adult Mental Health

scholarly journals Autoimmune encephalitis in the elderly: who to test and what to test for

2019 ◽  
Vol 22 (4) ◽  
pp. 172-176 ◽  
Author(s):  
Sophie Behrman ◽  
Belinda Lennox
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Older Adult ◽  
Management Strategies ◽  
Autoimmune Encephalitis ◽  
The Elderly ◽  
Adult Mental Health ◽  
Managing Complexity ◽  
Unusual Symptoms

The awareness and understanding of autoimmune encephalitis are blossoming in neurology, and patients are being diagnosed and successfully treated with immunotherapy. The diverse symptomatology associated with autoimmune encephalitis means that patients may present initially to mental health services, which are, as yet, less well equipped to identify and investigate such phenomena. Older adult mental health services are used to managing complexity, but the range of pathologies presenting with unusual symptoms that may mimic autoimmune encephalitis is wide and there is no clear guidance as to when and how to investigate for possible autoimmune encephalitis. This paper examines the evidence supporting investigation and management strategies for patients with possible autoimmune encephalitis presenting to older adult psychiatrists.

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