Improving services and support for older people with mental health ...

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This publication may be reproduced free of charge for research, private study or for internal circulation within an organisation. This is subject to it being reproduced accurately and not used in a misleading context. The material must be acknowledged and the title of the publication specified. This publication may be downloaded from www.mhilli.org Copies are also available from: Age Concern England Policy Unit Astral House 1268 London Road London SW16 4ER Tel: +44 (0) 20 8765 7429 Email: policy@ace.org.uk Written by Michele Lee, Inquiry Project Manager, on behalf of the Inquiry Board Published by Age Concern England August 2007 Designed and illustrated by Sim Design (info@sim-design.co.uk) This report has been printed on recycled paper ISBN: 978-1-903629-49-9 £10.00
Contents Foreword.................................................................................................................... 3 Executive summary.................................................................................................... 4 List of recommendations........................................................................................... 9 1. Introduction......................................................................................................... 13 1.1 Why is this important?.............................................................................................. 13 1.2 Call to action............................................................................................................ 14 1.3 Evidence in this report.............................................................................................. 14 2. Facts, figures and policy.................................................................................... 16 2.1 Prevalence............................................................................................................... 16 2.2 Depression .............................................................................................................. 18 2.3 Anxiety..................................................................................................................... 19 2.4 Suicide and self-harm............................................................................................... 20 2.5 Delirium (acute confusion)........................................................................................ 21 2.6 Dementia................................................................................................................. 22 2.7 Schizophrenia and other severe mental health problems.......................................... 23 2.8 Alcohol and drug misuse.......................................................................................... 24 2.9 Services and support............................................................................................... 26 2.10 Policy context........................................................................................................... 29 3. Ending discrimination......................................................................................... 33 3.1 Current perspectives on discrimination..................................................................... 33 3.2 Age discrimination.................................................................................................... 34 3.3 Stigma..................................................................................................................... 41 3.4 Other forms of discrimination.................................................................................... 42 3.5 Layers of invisibility................................................................................................... 43 3.6 Making a difference.................................................................................................. 44 4. Prioritising prevention......................................................................................... 45 4.1 Current perspectives on prevention.......................................................................... 45 4.2 Depression and anxiety............................................................................................ 46 4.3 Suicide..................................................................................................................... 50 4.4 Delirium (acute confusion)........................................................................................ 51 4.5 Dementia................................................................................................................. 53 4.6 Alcohol and drug misuse.......................................................................................... 54 4.7 Making a difference.................................................................................................. 55
Page 1: Improving services and support for
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Page 9 and 10: Executive summary Older people poin
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Page 19 and 20: Chapter 2 Facts, figures and policy
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Chapter 5 Enabling older people to
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Chapter 6 Improving current service
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Chapter 7 Facilitating change Key p
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Chapter 7 Facilitating change Workf
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Chapter 7 Facilitating change compo
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Chapter 7 Facilitating change 7.6 L
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Chapter 8 Conclusions The Inquiry
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Chapter 8 Conclusions The need for
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Chapter 9 Recommendations The Task
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Chapter 9 Recommendations 11. Suppo
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Chapter 9 Recommendations 20. Devel
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Chapter 9 Recommendations 30. Devel
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Notes 1 UK Inquiry into Mental Heal
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Notes 73 Hawton, K. and Harriss, L.
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Notes 171 Scottish Executive (2007)
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Notes 267 Response to call for evid
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Notes 367 Health and Social Care Ad
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References The Bamford Review of Me
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References Government Actuary’s D
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References McMurdo, M.E.T. and With
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References Ross, R.K. et al. (1990)
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Acknowledgements Thanks to all thos
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Acknowledgements Mary Norowzian Roy
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