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Older Adult Mental Health Longer Term Support

The long-term care pathway for older adults provides services for those whose needs cannot be met within their local community and require ongoing hospital-based care.

Our person-centred approach enables us to fully utilise the skills of a team of multidisciplinary professionals and include family and friends to develop an understanding of a person’s unique needs. We place the relationship between the patient and their named-clinicians as being essential to improving the quality and experience of care. We place a high regard on the long-term consistency of that relationship. Many people also have physical health needs that benefit from our care delivery. We offer specialist management of complex cases.

Our assessment of needs and implementation of treatment plans are delivered by a multidisciplinary team, including a Consultant Psychiatrist, qualified nurses with specialist therapeutic skills, skilled and experienced support workers, a Clinical Psychologist and assistant psychologist, an Occupational Therapist, Social Worker, Dietitian, GP and Physiotherapist. Advocacy and involvement services also contribute.  We have access to more specialist services such as Tissue Viability Nurses and Macmillan nurses.

Our service offers support to family and friends through our Friends, Family and Carers’ Forum.

Through the process of formulation and life story work we aim to understand a person in more depth using information based on:

  • Personal identity and personality.
  • Life experiences.
  • Occupational and social histories and support networks.
  • An understanding of coexisting problems and how that may impact upon thoughts, emotions and behaviours.
  • An understanding of physical health history and any impact this may have upon their presentation.

Interventions that may be provided

  • Occupational Therapy
  • Psychological formulation
  • Cognitive Analytic Informed Therapy and a focus on relationships
  • Skilled nursing and psychological interventions
  • Social work interventions
  • Life story work
  • Creative therapies, including music, reminiscence, art therapy, pet therapy and horticulture
  • Social inclusion
  • Collaborative involvement work with the person, their family and friends
  • Concordance therapy
  • Dietetics
  • Physiotherapy
  • Physical health care

Outcomes

  • Personally identified goals that are most meaningful to each person and their family.
  • Improved quality of life.
  • Reduced reliance on medication.
  • Improvement/stability of emotional and behavioural symptoms.
  • Reduced level of risk.
  • Ability to live within the least restrictive environment.
  • Increased ability to cope using cognitive, behavioural and motor skills and emotional stability.
  • Increased ability to be involved in the community.
  • Application of personal history to develop person centred interventions.
  • Supporting people to maintain family and social relationships.

Eligibility Criteria

Eligibility

  • Adults aged 50 or above.
  • Patients aged under 50 can be considered if their needs can be met.
  • We can accept patients detained under the Mental Health Act including those under Part 3 (forensic).
  • Those who lack mental capacity and those under the Deprivation of Liberty Safeguards can also be accommodated.
  • Complex needs where co-existing behavioural, psychological and physical health needs require specialist care.
  • Patients on this pathway may have complex needs and present with a level of risk that cannot be managed in alternative settings.
  • Patients may have dementia, or a long-term mental health condition such as a psychotic illnesses, personality disorder and mood disorder.

Useful Documents