scholarly journals A survey of academic provision for old age psychiatry in the UK and Ireland

2002 ◽  
Vol 26 (3) ◽  
pp. 92-95 ◽  
Author(s):  
J. Lindesay ◽  
C. Katona ◽  
R. Prettyman ◽  
J. Warner
Keyword(s):  
Old Age ◽  
Teaching Methods ◽  
Academic Development ◽  
Subject Area ◽  
Undergraduate Teaching ◽  
Clinical Implications ◽  
Senior Lecturer ◽  
Medical Undergraduates ◽  
Old Age Psychiatry ◽  
The Uk

Aims and MethodThis paper reports the findings of a 1999 survey of academic old age psychiatry staffing and teaching in UK and Irish medical schools.ResultsJust over half had staff established at the level of senior lecturer or above. These schools devoted more time to undergraduate teaching, covered more topics and used a wider range of teaching methods.Clinical ImplicationsThere is a need for further academic development in old age psychiatry to drive the development of the speciality, and to ensure that all medical undergraduates receive an adequate training in this subject area.

scholarly journals Teaching provision for old age psychiatry in medical schools in the UK and Ireland: a survey

2017 ◽  
Vol 41 (5) ◽  
pp. 287-293 ◽  
Author(s):  
Sophia Bennett ◽  
Poppy Ilderton ◽  
John T. O'Brien ◽  
John-Paul Taylor ◽  
Andrew Teodorczuk
Keyword(s):  
Old Age ◽  
Teaching Methods ◽  
Online Survey ◽  
Response Rate ◽  
Medical Schools ◽  
Clinical Implications ◽  
Old Age Psychiatry ◽  
Original Survey ◽  
The Uk ◽  
School Curricula

Aims and methodThis work builds on a survey first done in 1999 to understand how old age psychiatry teaching is embedded in undergraduate medical schools in the UK and Ireland and the influence of academic old age psychiatrists on teaching processes. We invited deans of 31 medical schools in the UK and Ireland in 2015 to complete an online survey to reassess the situation 16 years later.ResultsResponse rate was 74%. As found in the original survey, there was variation across medical schools in how old age psychiatry is taught. Half of schools stated there was not enough space in the curriculum dedicated to old age psychiatry, and not all medical school curricula offered a clinical attachment. Medical schools that involved academic old age psychiatrists in teaching (59%) showed a greater diversity of teaching methods.Clinical implicationsThere is a need to recognise the importance of old age psychiatry teaching, with the consensus of opinion continuing to be that more curriculum space needs to be given to old age psychiatry. To achieve this we advocate increasing the number of old age psychiatrists with teaching roles, as relying on academics to teach and lead on curriculum development is challenging given their greater research pressures.

scholarly journals Trainees' attitudes to single and dual training in old age psychiatry

2001 ◽  
Vol 25 (12) ◽  
pp. 471-472 ◽  
Author(s):  
Ruth Allen ◽  
Rob Butler
Keyword(s):  
Old Age ◽  
Nationwide Survey ◽  
Clinical Implications ◽  
Flexible System ◽  
Old Age Psychiatry ◽  
Training Schemes ◽  
The Uk ◽  
Consistent Approach

AIMS AND METHODSTo undertake a nationwide survey to find out the attitudes of old age specialist registrars (SpRs) towards single and dual training. A questionnaire was sent to all old age SpRs in the UK.ResultsTwo-thirds of SpRs were undergoing dual training. Most trainees favoured a flexible system that offers the choice of single or dual accreditation. Many trainees had concerns about single accreditation. Schemes vary in whether they encourage one type of training or another.Clinical ImplicationsTraining schemes appear to vary unacceptably in their attitudes to training. There needs to be a more consistent approach nationally. Clearer guidance from the College may help.

scholarly journals Old age psychiatry: a speciality in transition

1999 ◽  
Vol 23 (6) ◽  
pp. 331-335 ◽  
Author(s):  
John Wattis ◽  
Andrew MacDonald ◽  
Paul Newton
Keyword(s):  
Old Age ◽  
Response Rate ◽  
Academic Development ◽  
Postal Survey ◽  
Psychiatric Services ◽  
Clinical Implications ◽  
Early Onset Dementia ◽  
Catchment Areas ◽  
Old Age Psychiatry

Aims and methodsWe aimed to update Information on the development of old age psychiatric services using a postal survey of consultants.ResultsThe response rate (51%) was lower than previous surveys in the 1980s. Senior academic appointments showed little increase and academic posts were largely National Health Service (NHS) funded. Services had smaller catchment areas and increased numbers of staff in medicine, nursing and social work, but not in occupational therapy, physiotherapy and psychology. Relative workload was increasing and most services included early-onset dementia. There was a decrease in provision of NHS long-stay beds with only marginal changes in other facilities.Clinical implicationsServices were offering more to patients than previously. Weakness in academic development may cause problems for the future; the results suggested that recruitment in some disciplines may already be problematical. There is a need to develop the role of NHS long-stay facilities.

scholarly journals The interface between old age psychiatry and the law

2002 ◽  
Vol 8 (4) ◽  
pp. 271-278 ◽  
Author(s):  
Brian Murray ◽  
Robin Jacoby
Keyword(s):  
Old Age ◽  
Psychiatric Care ◽  
Common Law ◽  
Civil Law ◽  
The Elderly ◽  
Legal Aspects ◽  
Northern Irish ◽  
Care For The Elderly ◽  
Old Age Psychiatry ◽  
The Uk

This article aims to provide a practical overview concentrating on civil legal aspects of psychiatric care for the elderly. We limit ourselves to English law (which also has jurisdiction in Wales; Scottish and Northern Irish law may be similar, but not identical). Civil law can, in turn, be divided into statute law (legislation provided by Parliament) and common law (the UK, unlike some European countries, has a strong tradition of law based on previous rulings by judges).

scholarly journals Should old age psychiatry develop memory clinics? A comparison with domiciliary work

2004 ◽  
Vol 28 (3) ◽  
pp. 78-82 ◽  
Author(s):  
S. Simpson ◽  
D. Beavis ◽  
J. Dyer ◽  
S. Ball
Keyword(s):  
Old Age ◽  
Clinical Implications ◽  
Memory Clinic ◽  
Retrospective Case ◽  
Memory Clinics ◽  
Old Age Psychiatry ◽  
Psychiatric Complications ◽  
To Receive ◽  
Case Note Review

Aims and MethodMemory clinics have become very popular in old age psychiatry and there is some pressure for them to be developed in old age services. However, there is little evidence to suggest that they are more advantageous over the traditional domiciliary visits or who should be seen in clinic. This was a naturalistic comparison of 76 consecutive new referrals to a memory clinic, with 74 consecutive new domiciliary requests within the same service over the same period of time. A retrospective case note review collected the clinical features and an 18-month prospective follow-up examined the subsequent clinical management.Clinical ImplicationsThe two groups were characterised more by their similarities than their differences. However, the domiciliary group had greater behavioural and psychological complications. The memory clinic patients were less likely to receive psychotropic medication and here more likely to be followed up.ResultsWe conclude that memory clinics might be less suitable for patients with prominent psychiatric complications. Memory clinics could complement the domiciliary model by providing early psychosocial/neuropsychiatric approaches, although this is likely to lead to an increased clinical case-load.

scholarly journals Liaison Old Age Psychiatry Service in a Medical Setting: Description of the Newcastle Clinical Service

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
E. B. Mukaetova-Ladinska ◽  
G. Cosker ◽  
M. Coppock ◽  
M. Henderson ◽  
Y. Ali Ashgar ◽  
...  
Keyword(s):  
Old Age ◽  
Clinical Activity ◽  
Medical Setting ◽  
Qualitative And Quantitative ◽  
Quantitative Studies ◽  
Old Age Psychiatry ◽  
The Uk ◽  
Multidisciplinary Model ◽  
Further Development

Liaison Old Age Psychiatry services (LOAP) have begun to emerge in the UK and further development of the service is supported by the latest health policies. Since qualitative and quantitative studies in this area are lacking, we have undertaken a detailed quantitative prospective review of referrals to the Newcastle LOAP to evaluate the clinical activity of the service. We report high referral rates and turnover for the LOAP service. Reasons for referral are diverse, ranging from requests for level of care and capacity assessments and transfer to other clinical services to management of behaviour, diagnosis, and treatment. We outline the value of a multidisciplinary model of LOAP activity, including the important role of the liaison nursing team, in providing a rapid response, screening, and followup of high number of clinical referrals to the service.

scholarly journals Old age psychiatry services: long-stay care facilities in Australia and the UK

2002 ◽  
Vol 26 (1) ◽  
pp. 24-26 ◽  
Author(s):  
John Snowdon ◽  
Tom Arie
Keyword(s):  
Old Age ◽  
Long Term Care ◽  
Focus Attention ◽  
Old People ◽  
Term Care ◽  
What Works ◽  
Care Facilities ◽  
Old Age Psychiatry ◽  
The Uk

We are old age psychiatrists; T.A. based in Britain, J.S. in Australia. A return visit by T.A. to Australia allowed us to focus attention on differences between the two countries in their provision of long-term care for old people with mental disabilities. What works well? What constrains development?

scholarly journals Recruitment into old age psychiatry

2019 ◽  
Vol 43 (3) ◽  
pp. 131-135 ◽  
Author(s):  
Lynsey McAlpine ◽  
Alex Bailey ◽  
Kate Milward ◽  
Charlotte Blewett
Keyword(s):  
Physical Health ◽  
Old Age ◽  
Thematic Analysis ◽  
Social Care ◽  
Health Needs ◽  
Recruitment Strategy ◽  
Factors Affecting ◽  
Qualitative Survey ◽  
Old Age Psychiatry ◽  
The Uk

This research aimed to explore the trainee perspective on factors affecting recruitment into old age psychiatry higher training in the UK. A qualitative survey was created by the Faculty of Old Age Psychiatry and distributed to current higher trainees in all psychiatric subspecialties. A total of 324 higher trainees responded to the survey, representing a broad demographic range. Thematic analysis was carried out, with sufficient responses to achieve saturation. Key themes included concerns about the future of the specialty, issues with social care, lack of support with patients’ physical health needs, issues with training posts, and workload. The need to improve core trainees’ experience of the specialty was highlighted. Many positive themes arose from the data; however, a number of barriers to recruitment were also identified. The findings have implications for recruitment to the specialty and should be used to inform recruitment strategy moving forward.Declaration of interestNone.

scholarly journals Psychotherapy and old age psychiatry

1999 ◽  
Vol 23 (3) ◽  
pp. 149-153 ◽  
Author(s):  
Jane Garner
Keyword(s):  
Older People ◽  
Old Age ◽  
Older Patients ◽  
Psychological Intervention ◽  
Clinical Implications ◽  
Emotional Life ◽  
The Future ◽  
Old Age Psychiatry

Aims and MethodsThis report was prepared as the basis for wider consultation within the Old Age Faculty and the College. Some literature and practice is reviewed and practical suggestions made for the future in this area.ResultsAlthough older patients are less likely to be refused for psychological intervention attitudes are slowly changing.Clinical implicationsThe clinical implications of this development include a greater consideration of the unique emotional life of each of our patients and an improved understanding of our reluctance to engage in psychotherapeutic work with older people.

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