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  • Anthony J. Pelosi (a1)
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Abstract
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Cooper, C., Regan, C., Tandy, A. R., et al (2007) Acute mental healthcare for older people by crisis resolution teams in England. International Journal of Geriatric Psychiatry, 22, 263265.
Dibben, C., Saheed, H., Konstantinos, S., et al (2008) Crisis resolution and home treatment teams for older people with mental illness. Psychiatric Bulletin, 32, 268270.
Jha, A. & Boskovic, T. (2008) Crisis resolution and home treatment teams for older people (letter). Psychiatric Bulletin, 33, 75.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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[No Title]

  • Anthony J. Pelosi (a1)
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eLetters

Crisis Team for Older People Mental Health

Sanjay Jain, Locum Consultant OPMH
01 April 2009

I certainly support that home treatment teams appropriately and properly modelled to serve the needs of local catchment area of older people will certainly be a useful asset to older people mental health delivery. There may very well be errors in concluding results, however, let us not either deny the fact that our population is ageing rapidly and this will create further challenges to meet the needs of older people in the community if this is not properly addressed. Home Treatmeent Teams forolder people mental health should be incorporated at every NHS trust locallevel redesigning of services and should as a core component provide a rapid response to crisis. This will not only perhaps will avoid unnecessary admissions but also will play a pivotal role in addressing carer stress. They can certainly also play an important role in addressingneeds led management with emphasis on person centred approach.

Older people mental health has been neglected historically and certainly poor service delivery for the care of elderly patients has led to increase hospital admission rates, bed blocking thus creating yet another costly delayed discharges and finally filtering these to care homeplacement creates major bleed in the financial infrastructure for NHS, local health authority and councils. As mentioned before that as the population is ageing rapidly, so will the psychopathologies including neurodegenerative conditions. National Dementia Strategy certainly is a very welcoming step forward and so is EDI model of care (Early Diagnosis and Intervention). Old Age Psychiatry as a specilaist provider of servicesshould be fully resourced and provision of home treatment teams for the elderly population need to be one of the several components of delivering comprehensive, needs led, crisis focussed and person centred model of caredelivery and particularly during those vital out of hour care.

Declaration of Interest: None

References

Crisis resolution and home treatment teams for older people with mental illness: Psychiatr. Bull., Jul 2008; 32: 268 - 270.

Implementation of crisis resolution/home treatment teams in England: national survey 2005–2006Psychiatr. Bull., Oct 2008; 32: 374 - 377.

National Dementia Strategy
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Conflict of interest: None Declared

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