{"title":"The development of a delirium and dementia outreach team in a district general hospital","authors":"Becci Dow, Emma Jones, Keira Cox","doi":"10.53841/bpsfpop.2024.1.166.42","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.166.42","url":null,"abstract":"The structure of NHS services nationally means that there is enormous variation in the availability and content of specialist dementia and delirium services to patients in acute hospitals. The Dementia Action Alliance estimate that over 25% of beds in acute hospitals are occupied by people with dementia and their stays are longer with difficulties discharging in a timely way. 42% of unplanned admissions are people over 70 with dementia and there are high re-admission rates. The NIHR report by Gwernan-Jones et al. (2020) emphasises the need for a transformation of organisational and ward culture to improve the experience of people with dementia in hospital. For Warwick Hospital, a district general in the South Warwickshire NHS Foundation Trust (SWFT) there is enormous pressure for beds and an emphasis on flow through the hospital, including a need to reduce acute admissions and shorten length of stay. A pilot project was developed to seek to review the current data on patients with dementia in hospital, consider the assessment and interventions for delirium and advise on interventions that could both improve patient care and influence discharge. The initial findings for the project are shared alongside a review of the psychology role and challenges faced.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"35 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140356777","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}
R. Cheston, Ffion Reilly, Nikoleta Topalova, Natasha S. Woodstoke, E. Dodd
{"title":"The LivDem 2023 survey: Facilitator views on benefits and the more active involvement of carers in the Living well with Dementia (LivDem) course","authors":"R. Cheston, Ffion Reilly, Nikoleta Topalova, Natasha S. Woodstoke, E. Dodd","doi":"10.53841/bpsfpop.2024.1.166.48","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.166.48","url":null,"abstract":"The Living Well with Dementia (LivDem) intervention is an eight-week, group based post-diagnostic course for people living with dementia that aims to facilitate adjustment to the diagnosis. We set out to establish the views of course facilitators in two areas: first, the benefits of LivDem for participants, their families and for facilitators; and second whether carers can be more actively involved in the course.An online survey was distributed to health and social care workers in the UK and overseas who were delivering the LivDem course. The survey explored LivDem facilitators’ opinions about the benefits of LivDem and whether families could be involved more actively in the course.Twenty-eight facilitators completed the survey, with an average course completion rate of 2.43. One participant worked in Italy and another in Ireland, with the remainder working in the UK. All respondents agreed that LivDem was of benefit to participants with dementia (e.g. by enabling them to talk more openly about their dementia) and that it also strengthened participants’ relationships with their partner. Many facilitators also felt that they had learnt new skills that they used outside the course. While respondents largely agreed that carers should be more actively involved there were strong concerns that this should not impact on participants’ ability to express themselves within sessions.This study is consistent with research elsewhere suggesting that attending the LivDem course facilitates a greater ability to talk openly about dementia. The more active involvement of carers in LivDem needs to be balanced against risks that people with dementia may be inhibited from discussing their dementia. Accordingly, the study team have begun to explore ways to deliver LivDem directly to family units.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140356803","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":"Scanning the horizon: How might the psychological needs of the older adult population change in the recovery stage of the Covid-19 pandemic? Part two: Covid-19 and PTSD","authors":"Christopher Wynne Patterson, Kristina Cole","doi":"10.53841/bpsfpop.2024.1.166.13","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.166.13","url":null,"abstract":"This document was developed by clinical psychologists working in community older adult mental health services during Covid-19. Born out of discussions about what the profession should expect during the recovery phase, the present authors decided to write a document to inform and guide those working in psychological services on identifying and working with changes in the population’s mental health needs. This document focuses on the likely role of clinical psychology and is structured in two parts. The second part addresses the potential for patients to experience post-traumatic stress disorder (PTSD) and how we can assess and treat PTSD in these populations.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"7 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140352719","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":"Scanning the horizon: How might the psychological needs of the older adult population change in the recovery stage of the Covid-19 pandemic? Part one: Covid-19 and complicated grief","authors":"Christopher Wynne Patterson, Kristina Cole","doi":"10.53841/bpsfpop.2024.1.166.6","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.166.6","url":null,"abstract":"This document was developed by clinical psychologists working in community older adult mental health services during Covid-19. Born out of discussions about what the profession should expect during the recovery phase, the present authors decided to write a document to inform and guide those working in psychological services on identifying and working with changes in the population’s mental health needs. This document focuses on the likely role of clinical psychology and is structured in two parts. The first part highlights the possibility of an increase in the prevalence of complicated grief before outlining how to work psychologically with it.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"15 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140353963","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":"Complex emotional needs, overcontrol and death by suicide in older adults","authors":"Luke Jordan","doi":"10.53841/bpsfpop.2024.1.166.33","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.166.33","url":null,"abstract":"Globally, older people are frequently at consistently greater risk of dying by suicide than those belonging to any other age group. In countries that report low or moderate rates of suicide in older people, under recognition, under reporting, and under responsiveness may be factors that impact the statistics collected. In countries like the UK, where suicide rates in older people have fallen in line with the national average, suicide in older people occurs ambiguously, may be hidden, or not considered a deliberate act. The introduction of specialist older adult teams and legal restrictions around access to firearms, has likely had some positive impact on the reduction in suicide rate in some older people since the 1980s in the UK. However, these factors may also mean that suicide in older people occurs in individuals who do not access mental health services, or who now use methods that do not appear to be deliberate attempts to die. Psycho-social differences in suicidal older adults are outlined. Older people with complex emotional needs are at greater risk of death by suicide, if they have been given a diagnosis of ‘avoidant’ or ‘obsessive compulsive personality disorder’. It is suggested that ‘overcontrol’ is an underlying psychological need that greatly increases the risk of death by suicide in older people. Identification and treatment of overcontrol is briefly discussed.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140354474","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}
Loveday Newman, Roopal Desai, Louise Lafortune, Alistair Gaskell, Robbie Duschinsky
{"title":"Working with social isolation and loneliness in older people’s mental health services","authors":"Loveday Newman, Roopal Desai, Louise Lafortune, Alistair Gaskell, Robbie Duschinsky","doi":"10.53841/bpsfpop.2024.1.166.20","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.166.20","url":null,"abstract":"Isolation and loneliness are common problems in both older people and individuals with mental health problems. However, little research has focused on how these issues might be addressed in clinical practice with older adults with complex mental health problems. Here we set out to understand how social isolation and loneliness present and how they could be better addressed from the perspective of older adults with complex mental health problems and the clinicians working with them. Semi-structured interviews were conducted with nine healthcare professionals and 11 service-users from an older people’s mental health team and analysed using reflexive-thematic analysis. Results showed that professionals found social isolation easier to understand and work with than loneliness and tended to address both issues by targeting behaviours (i.e. what service-users could do differently). The psychological dimensions of loneliness (i.e. service users’ thoughts and feelings) received less attention, although service-users emphasised these aspects. Other themes included the challenges faced by professionals in fostering social connections because of limited resources. We conclude that a greater awareness of the psychological dimensions of loneliness in older people with complex mental health problems is needed, as well as the resource challenges faced in creating social connections beyond mental health services.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140356202","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":"Trauma-informed ideas and trauma interventions when working with older people","authors":"Alice Plummer, Julie Griffin, Carolien Lamers","doi":"10.53841/bpsfpop.2024.1.165.77","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.165.77","url":null,"abstract":"Trauma and traumatic experiences can have a negative impact on people’s wellbeing, quality of life, their social interactions and feelings of connectedness. This paper introduces the Trauma-Informed Wales Framework (2022), highlight some of the opportunities and barriers in embedding trauma interventions and trauma-informed ways of thinking and acting when working with older people in mental health services, and, to stimulate further discussion.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"454 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139877862","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}
Heather Eason, Mark Judd, Rebecca Judd, Sally Stapleton
{"title":"When words matter: Building on the DEEP guidance for Dementia-friendly documents","authors":"Heather Eason, Mark Judd, Rebecca Judd, Sally Stapleton","doi":"10.53841/bpsfpop.2024.1.165.28","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.165.28","url":null,"abstract":"People living with dementia have the right to access dementia-friendly information about issues that concern them. This article builds on prior work by organisations such as the Dementia Engagement and Empowerment Project (DEEP), the Alzheimer’s Society, and AbilityNet. The article includes insights from people living with dementia. We have grouped findings into three categories explaining how to plan, design, and write dementia-friendly documents in English. We discuss using technology to access information and how adapting academic, corporate, and language norms can enhance accessibility. The article also higldiglds the need for further work on UK indigenous and community languages to provide a comprehensive approach to dementia-friendly information.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"84 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139872739","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":"An update on the mild cognitive impairment (MCI) workshop and the future of the MCI workstream","authors":"Anna Crabtree, Angela Smith, Natasha Lord","doi":"10.53841/bpsfpop.2024.1.165.19","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.165.19","url":null,"abstract":"Representatives from the MCI workstream convened a ?workshop at the FPOP 2023 conference online, with over 20 conference delegates attending. Our aim was multifaceted: to present the work carried out by the workstream thus far, to consult with other FPOP members around how MCI is used in services nationally, and to canvas ideas around ‘what happens next’ with the workstream. This article summarises and reflects on the themes emerging from the workshop, and outlines the future for the MCI workslream.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"24 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139873888","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":"Still here: Doing things differently, working with a VCSE partner, primary care service, library and La Trobe University Australia to pilot and establish a service for people with Mild Cognitive Impairment (MCI)","authors":"Chris Allen, Katie Simpson, Nicky Smith","doi":"10.53841/bpsfpop.2024.1.165.11","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.165.11","url":null,"abstract":"A Dementia strategy group met regularly over a year, comprising carers, professionals and voluntary, community and social enterprise (VCSE) groups, and gathered views of patients which led to the identification of gaps in service provision. People with MCI described feeling lost in a system between primary care, memory clinic and VCSE and felt that once they had been diagnosed that they were ‘abandoned’ as there was not a pathway for people with their diagnosis. A pilot was established to run a group for people with MCI by psychology, primary care and Age UK Berkshire and with the intention of the VCSE group running the group in the future if the pilot was successful. The six session MCI group used material developed and evaluated in Australia, the La Trobe and Caulfield Hospital Memory group programme (LaTCH memory group) which was supplemented with lifestyle change advice. Results showed significantly greater use of memory strategies post group, and the groups were liked and valued by participants. The pilot showed the benefit of working across agencies and with carers and patients to both identify and meet gaps in service provision.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139890188","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}