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Heads in the sand may leave old age psychiatry looking foolish and vulnerable: Commentary on … a memory clinic v. traditional community mental health team service

  • David Jolley (a1)
Summary

Dementia has been recognised as a major challenge to health, social care and economies. Research by Rubinsztein and colleagues, in this issue, has compared the services provided by memory clinics with those of traditional community mental health team services. They conclude that memory clinics offer a more comprehensive and multidisciplinary service at no extra cost. Here I will question some of their findings and highlight the importance of better continuity of care between primary and secondary services.

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Copyright
This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence to David Jolley (David.jolley@manchester.ac.uk)
Footnotes
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Declaration of interest

None.

Footnotes
References
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1 Department of Health. G8 dementia Summit 2013. Department of Health, 2013 (www.gov.uk/government/news/g8-dementia-summit).
2 Guardian. No magic bullet for dementia. Guardian 2013; 13 December: 39.
3 Ashcroft, R. Dementia delusions. Guardian 2013; 13 December: 36.
4 Rubinsztein, R, van Rensburg, M, Al-Salihy, Z, Girling, D, Lafortune, L, Radhakrishnan, M. et al. A memory clinic v traditional community mental health team service: comparison of costs and quality. Psychiatr Bull 2014; doi: 10.1192/pb.bp.114.048215.
5 Department of Health. Living Well with Dementia. Department of Health, 2009.
6 Price, C. Memory clinics under pressure, NHS England dementia lead admits. Pulse 2013; 13 September (www.pulsetoday.co.uk/clinical/therapy-areas/mental-health/memory-clinics-under-pressure-nhsengland-dementia-lead-admits/20004307.article. U3ryh5UU_IU ).
7 Bond, J, Stave, C, Sganga, A, O'Connell, B, Stanley, RL. Inequalities in dementia care across Europe: key finding of the facing Dementia survey. Int J Clin Pract 2005; 59 (supplement 146): 814.
8 Jolley, D, Moniz-Cook, E. Memory clinics in context. Indian J Psychiatry 2009; 51: 70–6.
9 Department of Health. Dementia: A State of the Nation Report on Dementia Care and Support in England. Department of Health, 2013.
10 Allen, D, Duffin, C. Nurse-led clinics set to improve dementia care in England. Nurs Older People 2009; 21: 5.
11 Page, S, Hope, K, Maj, C, Mathew, J, Bee, P. Doing things differently –working towards distributed responsibility within memory assessment services. Int J Geriatr Psychiatry 2012; 27: 280–5.
12 Shaji, KS, Smitha, K, Lal, KP, Prince, P. Caregivers for Alzheimer's disease: a qualitative study from the Indian 10/66 2 Dementia Research Network. Int J Geriatr Psychiatry 2003; 18: 16.
13 The 10/66 Dementia Research Group. Care arrangements for people with dementia in developing countries. Int J Geriatr Psychiatry 2004; 19: 170–7.
14 Lee, L, Hillier, LM, Stolee, P, Heckman, G, Gagnon, M, McAiney, CA, et al. Enhancing dementia care: a primary care-based memory clinic. J Am Geriatr Soc 2010; 58: 2197–204.
15 Meeuwsen, EJ, Melis, RJ, Van Der Aa, GC, Golüke-Willemse, GA, De Leest, BJ, Van Raak, FH, et al. Effectiveness of dementia follow-up by memory clinics or general practitioners: randomized controlled trial. BMJ 2012; 344: e3086.
16 Greening, L, Greaves, I, Greaves, N and Jolley, D. Positive thinking on dementia in primary care: Gnosall Memory Clinic. Community Pract 2009; 82: 20–3.
17 Clark, M, Moreland, N, Greaves, I, Greaves, N, Jolley, D. Putting personalisation and integration into practice in primary care. J Integr Care 2013; 21: 105–20.
18 Spijker, J, MacInnes, J. Population ageing: the time-bomb which isn't. BMJ 2013; 347: f6598.
20 Huhne, C. Someone needs to fight the selfish short-sighted old. Guardian 2013; 23 December.
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BJPsych Bulletin
  • ISSN: 2056-4694
  • EISSN: 2056-4708
  • URL: /core/journals/bjpsych-bulletin
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Heads in the sand may leave old age psychiatry looking foolish and vulnerable: Commentary on … a memory clinic v. traditional community mental health team service

  • David Jolley (a1)
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