Integrating mental health services for older people in England - From rhetoric to reality

被引:14
作者
Tucker, Sue [1 ]
Baldwin, Robert [2 ]
Hughes, Jane [1 ]
Benbow, Susan M. [3 ]
Barker, Andrew [3 ]
Burns, Alistair [2 ]
Challis, David [1 ]
机构
[1] Univ Manchester, Manchester M13 9PL, Lancs, England
[2] Manchester Mental Hlth & Social Care Trust, Manchester, Lancs, England
[3] Royal Coll Psychiatrists, London SW1X 8PG, England
关键词
Integration; policy implementation; mental health; older people; SPECIALIST CLINICAL-ASSESSMENT; AGE PSYCHIATRY; CARE SERVICES;
D O I
10.1080/13561820902739833
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The provision of integrated, person-centred care is particularly important for older people with mental health problems. Nevertheless, a series of reports at the end of the last century highlighted unacceptable differences in collaborative working practices in England, variations that a national service framework specifically aimed to address. This study utilized a cross-sectional survey of old age psychiatrists to explore the extent to which, some three years after the publication of this guidance, structures to deliver integrated care across the interfaces between specialist old age mental health and primary, acute and social care services were in place. Three hundred and eighteen (72%) consultants responded. Measures to facilitate integrated practice were generally poorly developed: many areas missed targets to agree protocols for the management of older people with mental health problems with primary care; more than 45% of respondents reported the presence of fewer than two of four indicators of integration with the acute sector; and approaching 30% of respondents reported the presence of fewer than four of 13 markers of integration with social care. The implications of these findings and the challenges inherent in providing integrated care for this client group are discussed.
引用
收藏
页码:341 / 354
页数:14
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