Wise Connections – Older Adults Primary Care Mental Health

Examples of Practice

Older adults are under-represented in Primary Care Mental Health. Potential barriers include the perception that common mental health problems are an inevitable part of growing old, social isolation preventing older people accessing psychological therapy services, older people’s views, behaviours and attitudes may get in the way of them receiving psychological therapy and health professionals may inadvertently prevent older people from accessing psychological therapy.

Whilst many older people enjoy an active and fulfilling life, many may develop physical and psychological problems. In long term physical conditions, psychological factors have an important role in helping or hindering people’s responses to the treatment of such conditions.

Failure to address psychological elements hinders rehabilitation, leads to unnecessarily poorer outcomes and overloads hospitals and health care systems.

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Carers Support Community Hospital Discharge Team

Examples of Practice

All parts of the patient’s support system (the carer, acute and community care services etc) should work together to achieve the best outcome for both the cared for person and the carer.  Despite the policy and good practice advice which has been developed to guide us across this pathway, carers often report  that they feel ill-informed and that policy is often not reflected in practice.

Establishing Carer Support as a key component of the hospital discharge process addresses the need to identify carers at an early stage and ensure that they are well informed and supported.  It also addresses the need to support carers at key times of transition, eg where the admission meant the carer was no longer able to continue care at home and the person they cared for was being admitted to long term care.

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Care at Home Pharmacy Team

Examples of Practice

The increased number of older people living at home with one or more long term condition means there is increased risk of errors with medication. This has been identified as a risk for emergency admission to hospital. These older people are not a group who would routinely receive a review.   Post Hospital Discharge a ‘transition’ time for many older people was originally targeted with the service now being available for all Care at Home clients.

Additional support to vulnerable older people to manage their medications can avoid emergency admission to hospital.

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Reablement

Examples of Practice

Older people becoming dependent on Care at Home services and losing their independence after a change in circumstances, e.g. hospital admission or period of illness.

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Vitality Programme out with Leisure Settings

Examples of Practice

This programme provides the opportunity for Community Planning Partnership partners to work together to support older people and promote physical activity within a clear inequalities context.

Physical inactivity has been identified as the fourth leading risk factor for global mortality (6% of deaths globally). With the exponential growth in the older population, increasing physical activity and exercise in older people has been identified as a key target by the World Health Organisation (WHO) Active Ageing Framework (2002), to reduce the global burden of non-communicable disease.

Physical activity is beneficial for healthy ageing. There has been increased evidence that physical activity impacts on disease prevention and management, psychosocial benefits and complications of immobility. It also supports the maintenance of independence, improving the quality of life, and ‘successful ageing’ and can provide significant savings to health and social care services

These benefits can be achieved by healthy older people as well as the frail and very old.

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