{"title":"The ‘Northumberland MDT Hoarding Pathway’ (N-MDT-HP): Developing a community mental health multidisciplinary team approach to working with individuals with hoarding behaviours","authors":"Rowan M. Tinlin, L. Stevenson","doi":"10.53841/bpsfpop.2022.1.159.65","DOIUrl":"https://doi.org/10.53841/bpsfpop.2022.1.159.65","url":null,"abstract":"Mental health professionals report finding clinical work with individuals with hoarding behaviours challenging, due to a lack of experience or training, poor communication with other agencies and a lack of clarity around roles and remits. Within the current scoping study mental health professionals within a multidisciplinary team (MDT) were asked about their specific role in the assessment, formulation, and intervention of older adults with hoarding behaviours. This data was content coded by two researchers, and although finding some overlap between professional groups, they identified distinct tasks carried out by different professionals within the team. This data, alongside recent findings regarding clinicians’ subjective experiences of working with individuals with hoarding (Tinlin, 2022) and a literature review highlighting best practice for working with older adults with hoarding behaviours (Tinlin & Purvis, 2022), informed the development of a hoarding pathway. The pathway guides the treatment of an individual with hoarding difficulties by outlining distinct aspects of an MDT assessment, formulation, and care plan. Finally, recommendations are made for appropriate evidence-based interventions, with acknowledgement of how each professional group within the MDT can work together to support the individual with hoarding difficulties. The pathway was shaped in consultation with clinicians involved in the scoping study, and next steps include piloting the pathway within secondary care mental health services and gaining service user feedback.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115077159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The better mental health project: Orchard House Day Hospital","authors":"Lucy Devine, Lowenna Kemp","doi":"10.53841/bpsfpop.2022.1.159.25","DOIUrl":"https://doi.org/10.53841/bpsfpop.2022.1.159.25","url":null,"abstract":"","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133268446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A model of proactive care by an older people’s mental health care home team during Covid-19","authors":"S. Appleyard","doi":"10.53841/bpsfpop.2022.1.159.7","DOIUrl":"https://doi.org/10.53841/bpsfpop.2022.1.159.7","url":null,"abstract":"In 2020, reports of a novel coronavirus, Covid-19, started to be reported by the global media. When the virus reached Northern Europe it became increasingly apparent that healthcare workers in acute and community facilities were at risk of becoming ill, with staff shortages negatively impacting patient care. In the UK concerns mounted about hospitals becoming overwhelmed, and care homes placed at increased risk due to hospitals discharging into the care home sector. UK Health Trusts were considering how to redeploy staff to best manage the rapidly changing situation. A specialist mental health care home liaison team in the North of England rapidly rolled out a model of proactive support to local residential and nursing care homes, whilst prioritising team cohesion and utilising specialist skills. A tier system was devised to ensure extra support was offered to care homes that had been high users of secondary mental health services, and offered a range of resources to 88 care homes across Kingston-Upon-Hull and the East Riding of Yorkshire. Care homes who received resources rated the resources that were provided to them, including telephone support, clinics, and written handouts, and feedback was positive. Ensuring that services can adapt rapidly to support care homes during a pandemic which disproportionately affected older people with dementia has been important to ensure that carers, as well as healthcare professionals, have access to a range of support structures to enable them to keep providing good quality care.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121946127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"‘The role of encourager’: Exploring the experiences of mental health professionals working with older adults with hoarding disorder","authors":"Rowan M. Tinlin","doi":"10.53841/bpsfpop.2022.1.159.47","DOIUrl":"https://doi.org/10.53841/bpsfpop.2022.1.159.47","url":null,"abstract":"Hoarding disorder affects 2–5 per cent of the population, with older adults making up a substantial proportion of that due to the chronic nature of hoarding behaviours and consequent clutter. Multiagency hoarding frameworks are being developed all over the UK, with mental health services working alongside other agencies to support an individual with hoarding difficulties holistically. Mental health clinicians have previously reported finding their role in this difficult. Therefore, this study recruited 30 clinicians working in an older adult mental health team and explored their experiences through a questionnaire. Thematic analysis identified six key themes detailing the clinicians experiences of working with hoarding: (1) contextual factors (time constraints, scale of clutter, previous negative experiences influencing current treatment, lack of skills); (2) assessment (risk, life story, beliefs and motives, MDT); (3) formulation (co-creation, motives and beliefs, helping staff understanding); (4) treatment (values based, support systems, discarding, meaningful activity, monitoring progress); (5) therapeutic relationship (trust, making the time, reinforcement); (6) multiagency working (skill profile, differing perspectives, coordination). The data highlighted the need for staff training and support, providing the necessary tools to deliver evidence-based assessment, formulation, and intervention. The challenges described suggest better links between different agencies is required. Meaningful interactions and success stories were linked to developing trusting relationships, introducing values and needs based approaches, and making use of the skill mix with the mental health team. Keywords: Hoarding; Older Adults; Multidisciplinary team; Multiagency working.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129329587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Creating a psychologically informed group: ‘Listening and joining in and offering little stories’","authors":"P. Mills, J. Dickenson, C. Todd","doi":"10.53841/bpsfpop.2022.1.159.40","DOIUrl":"https://doi.org/10.53841/bpsfpop.2022.1.159.40","url":null,"abstract":"This article outlines the creation and delivery of a six-session psychologically informed group, ‘The Talking Group’, on an older adult inpatient mental health ward. We summarise the content of the sessions and explore the feedback received from people who attended the group. Thematic analysis identified themes from 175 responses which were collected from 93 participants between September 2018 – June 2020. Our findings demonstrated that although the overall feedback was positive and attendees continued to attend the group, there were also areas the group could be improved. We have summarised the improvement suggestions into ‘recommendation’ tables throughout the article, which we hope will provide some guidance for clinicians planning to develop groups in a similar context.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121119922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding complex systems: A reflective account of promoting wellbeing within health and social care","authors":"Philander Smith, Susan Ross","doi":"10.53841/bpsfpop.2022.1.159.17","DOIUrl":"https://doi.org/10.53841/bpsfpop.2022.1.159.17","url":null,"abstract":"This paper offers an insight into the approach utilised by two Clinical Psychologists in the NHS Lanarkshire Psychological Therapies for Older People team, in their attempt to understand, and respond to, resident and staff wellbeing within the complex care home system during the pandemic. We highlight relevant staff wellbeing literature with a focus on those in health and social care. We then describe our approach which has been informed by various theories, such as compassionate leadership, organisational change, and psychological safety. We define our ideas for improving staff and resident wellbeing at a systems level, framed in psychological theory and quality improvement goals. We offer our reflections throughout, which we hope will be useful to others working in similar complex systems.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"165 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122064712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introducing the Newcastle Functional Formulation (NEWc FM) and its use on an inpatient unit","authors":"R. Caiazza, Daniel Thompson, I. James","doi":"10.53841/bpsfpop.2022.1.159.31","DOIUrl":"https://doi.org/10.53841/bpsfpop.2022.1.159.31","url":null,"abstract":"Over the Covid-19 pandemic the number of patients with dementia admitted to our functional units increased, owing to difficulties occurring in the organic/dementia units. For example, there was a reduction in the number of placements (i.e. beds) on the organic units due to the need to quarantine patients, and also because of difficulties discharging patients due to lockdown restrictions in local care homes. Rightly or wrongly, the admissions of patients with dementia were prioritised during this period because they were displaying more challenging presentations, making their current placements in community settings less viable. Hence, the influx of patients with severe dementia into the functional units required a redesigning of the assessment, formulation and care-planning procedures. To this end, a new model was developed called the Newcastle functional model; an adaptation of the well-known Newcastle model for people living with dementia (James & Birtles, 2021). The current article describes both the use of the new model over an 18 month period, and a survey regarding its use on Akenside functional inpatient unit.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129000205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Adapting cognitive stimulation therapy for Bangladeshi people living with dementia: A pilot group","authors":"Ellen Khan","doi":"10.53841/bpsfpop.2022.1.158.68","DOIUrl":"https://doi.org/10.53841/bpsfpop.2022.1.158.68","url":null,"abstract":"Cognitive Stimulation Therapy (CST; Spector et al., 2013) is recommended in the NICE guidelines for people living with mild-moderate dementia (NICE, 2018). One challenge of delivering this is in adapting it for different cultural groups and non-English speakers. This has proven challenging in the Mental Health Care of Older People in Tower Hamlets where, according to the most recent census in 2011, Bangladeshi people make up 32 per cent of the population. This article summarises a joint piece of work between the Tower Hamlets Mental Health Care of Older People and Alzheimer’s Society in 2019 in which the CST materials and group were adapted to be piloted for a Bengali people living with dementia. Outcomes of the group, feedback and reflections are discussed for consideration for the future.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"430 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123410442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Service evaluation of a dementia training and support package into care homes","authors":"L. Reading, S. Appleyard","doi":"10.53841/bpsfpop.2022.1.158.75","DOIUrl":"https://doi.org/10.53841/bpsfpop.2022.1.158.75","url":null,"abstract":"Around half a million people are in residential care in the UK, with estimates suggesting 80 per cent have dementia. Behaviours that challenge which commonly occur in people with dementia are difficult for care home staff, many of whom have no direct career paths and limited training opportunities, to understand and manage. We designed a dementia training package which involved four modules and took two and a half hours to deliver. This training package was trialled into six care homes in Kingston-Upon-Hull who had been regular referrers into secondary mental health care. In total, 123 care home staff attended the training and feedback was very positive with 100 per cent of participants agreeing that the training was useful for their development, they learnt new knowledge and could apply their learning. We additionally collected qualitative data from care home staff on the content of the training. There was a 54 per cent reduction in total referrals to the local community mental health team in the 12-months post-training compared to the 12-months preceding. We discuss challenges to implementing the training during the Covid-19 pandemic as well as consider potential future developments.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"13 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120811237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}