By the same authors

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From the same journal

Community mental health teams for older people in England: Variations in ways of working

Research output: Contribution to journalArticlepeer-review

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Community mental health teams for older people in England : Variations in ways of working. / Verbeek, Hilde; Worden, Angela; Wilberforce, Mark; Brand, Christian; Tucker, Susan; Abendstern, Michele; Challis, David.

In: International journal of geriatric psychiatry, Vol. 33, No. 3, 03.2018, p. 475-481.

Research output: Contribution to journalArticlepeer-review

Harvard

Verbeek, H, Worden, A, Wilberforce, M, Brand, C, Tucker, S, Abendstern, M & Challis, D 2018, 'Community mental health teams for older people in England: Variations in ways of working', International journal of geriatric psychiatry, vol. 33, no. 3, pp. 475-481. https://doi.org/10.1002/gps.4775

APA

Verbeek, H., Worden, A., Wilberforce, M., Brand, C., Tucker, S., Abendstern, M., & Challis, D. (2018). Community mental health teams for older people in England: Variations in ways of working. International journal of geriatric psychiatry, 33(3), 475-481. https://doi.org/10.1002/gps.4775

Vancouver

Verbeek H, Worden A, Wilberforce M, Brand C, Tucker S, Abendstern M et al. Community mental health teams for older people in England: Variations in ways of working. International journal of geriatric psychiatry. 2018 Mar;33(3):475-481. https://doi.org/10.1002/gps.4775

Author

Verbeek, Hilde ; Worden, Angela ; Wilberforce, Mark ; Brand, Christian ; Tucker, Susan ; Abendstern, Michele ; Challis, David. / Community mental health teams for older people in England : Variations in ways of working. In: International journal of geriatric psychiatry. 2018 ; Vol. 33, No. 3. pp. 475-481.

Bibtex - Download

@article{5bb17131f8b44217a855304cef67ca83,
title = "Community mental health teams for older people in England: Variations in ways of working",
abstract = "Objective: Integrated community mental health teams (CMHTs) are a key component of specialist old age psychiatry services internationally. However, in England, significant shifts in policy, including a focus on dementia and age inclusive services, have influenced provision. This study portrays teams in 2009 against which subsequent service provision may be compared. Methods: A bespoke national postal survey of CMHT managers collected data on teams' structure, composition, organisation, working practices, case management, and liaison activities. Results: A total of 376 CMHTs (88%) responded. Teams comprised a widespread of disciplines. However, just 28% contained the full complement of professionals recommended by government policy. Over 93% of teams had a single point of access, but some GPs bypassed this, and 40% of teams did not accept direct referrals from care homes. Initial assessments were undertaken by multiple disciplines, and 71% of teams used common assessment documentation. Nevertheless, many social workers maintained both NHS and local authority records. In 92% of teams, nominated care coordinators oversaw the support provided by other team members. However, inter-agency care coordination was less prevalent. Few teams offered the range of outreach/liaison activities anticipated in the national dementia strategy. Conclusions: Compared with previous studies, teams had grown and changed, with a clear increase in non-medical practitioners, particularly support workers. Measures to facilitate integrated care within CMHTs (eg, common access and documentation) were widespread, but integration across health and social care/primary and secondary services was less developed. Consideration of barriers to further integration, and the impact of current reforms is potentially fruitful.",
keywords = "community mental health teams, consultant psychiatrists, integration, older people",
author = "Hilde Verbeek and Angela Worden and Mark Wilberforce and Christian Brand and Susan Tucker and Michele Abendstern and David Challis",
year = "2018",
month = mar,
doi = "10.1002/gps.4775",
language = "English",
volume = "33",
pages = "475--481",
journal = "International journal of geriatric psychiatry",
issn = "0885-6230",
publisher = "John Wiley and Sons Ltd",
number = "3",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Community mental health teams for older people in England

T2 - Variations in ways of working

AU - Verbeek, Hilde

AU - Worden, Angela

AU - Wilberforce, Mark

AU - Brand, Christian

AU - Tucker, Susan

AU - Abendstern, Michele

AU - Challis, David

PY - 2018/3

Y1 - 2018/3

N2 - Objective: Integrated community mental health teams (CMHTs) are a key component of specialist old age psychiatry services internationally. However, in England, significant shifts in policy, including a focus on dementia and age inclusive services, have influenced provision. This study portrays teams in 2009 against which subsequent service provision may be compared. Methods: A bespoke national postal survey of CMHT managers collected data on teams' structure, composition, organisation, working practices, case management, and liaison activities. Results: A total of 376 CMHTs (88%) responded. Teams comprised a widespread of disciplines. However, just 28% contained the full complement of professionals recommended by government policy. Over 93% of teams had a single point of access, but some GPs bypassed this, and 40% of teams did not accept direct referrals from care homes. Initial assessments were undertaken by multiple disciplines, and 71% of teams used common assessment documentation. Nevertheless, many social workers maintained both NHS and local authority records. In 92% of teams, nominated care coordinators oversaw the support provided by other team members. However, inter-agency care coordination was less prevalent. Few teams offered the range of outreach/liaison activities anticipated in the national dementia strategy. Conclusions: Compared with previous studies, teams had grown and changed, with a clear increase in non-medical practitioners, particularly support workers. Measures to facilitate integrated care within CMHTs (eg, common access and documentation) were widespread, but integration across health and social care/primary and secondary services was less developed. Consideration of barriers to further integration, and the impact of current reforms is potentially fruitful.

AB - Objective: Integrated community mental health teams (CMHTs) are a key component of specialist old age psychiatry services internationally. However, in England, significant shifts in policy, including a focus on dementia and age inclusive services, have influenced provision. This study portrays teams in 2009 against which subsequent service provision may be compared. Methods: A bespoke national postal survey of CMHT managers collected data on teams' structure, composition, organisation, working practices, case management, and liaison activities. Results: A total of 376 CMHTs (88%) responded. Teams comprised a widespread of disciplines. However, just 28% contained the full complement of professionals recommended by government policy. Over 93% of teams had a single point of access, but some GPs bypassed this, and 40% of teams did not accept direct referrals from care homes. Initial assessments were undertaken by multiple disciplines, and 71% of teams used common assessment documentation. Nevertheless, many social workers maintained both NHS and local authority records. In 92% of teams, nominated care coordinators oversaw the support provided by other team members. However, inter-agency care coordination was less prevalent. Few teams offered the range of outreach/liaison activities anticipated in the national dementia strategy. Conclusions: Compared with previous studies, teams had grown and changed, with a clear increase in non-medical practitioners, particularly support workers. Measures to facilitate integrated care within CMHTs (eg, common access and documentation) were widespread, but integration across health and social care/primary and secondary services was less developed. Consideration of barriers to further integration, and the impact of current reforms is potentially fruitful.

KW - community mental health teams

KW - consultant psychiatrists

KW - integration

KW - older people

UR - http://www.scopus.com/inward/record.url?scp=85027834300&partnerID=8YFLogxK

U2 - 10.1002/gps.4775

DO - 10.1002/gps.4775

M3 - Article

AN - SCOPUS:85027834300

VL - 33

SP - 475

EP - 481

JO - International journal of geriatric psychiatry

JF - International journal of geriatric psychiatry

SN - 0885-6230

IS - 3

ER -