National Trends and Local Delivery in Old Age Mental Health Services: Towards an Evidence Base

This 40-month programme of work was commissioned by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research scheme (RP-PG-0606-1109) and was designed to explore the most appropriate and cost-effective ways of organising and delivering services for older people with mental health problems through a series of distinct, but interlinked, projects.  There were three main objectives:

  • To identify key patterns of national variation in the range, delivery and organisation of mental health services for older people;
  • To identify whether, how, and at what cost the mix of institutional and community-based services could be more optimally developed in Manchester; and
  • To explore the costs and benefits of different models of community mental health teams for older people (CMHTsOP)

Project Outline

Full Programme Project Outline

Final Report

Challis, D., Tucker, S., Wilberforce, M., Brand, C., Abendstern, M., Stewart, K., Jasper, R., Harrington, V., Verbeek, H., Jolley, D., Fernandez, J-L, Dunn, G, Knapp, M. and Bowns, I. National trends and local delivery in old age mental health services: Towards an evidence base. A mixed-methodology study of the balance of care approach, community mental health teams and specialist mental health outreach to care homes. Programme Grant for Applied Research, 2(4).

Publications

Wilberforce, M., Harrington, V., Brand, C., Tucker, S., Abendstern, M. and Challis, D. (2011) Towards integrated community mental health teams for older people in England: Progress and new insights.  International Journal of Geriatric Psychiatry, 26(3), 221-228.

Abendstern, M., Harrington, V., Brand, C., Tucker, S., Wilberforce, M. and Challis, D. (2012) Variations in structures, processes and outcomes of community mental health teams for older people: a systematic review of the literature.  Aging and Mental Health, 16(7), 861-873.

Tucker, S., Brand, C., Wilberforce, M. and Challis, D. (2013).  The balance of care approach to health and social care planning: Lessons from a systematic literature review. Health Services Management Research, 26(1), 18-28.

Wilberforce, M., Tucker, S., Abendstern, M., Brand, C., Giebel, C.M. and Challis, D. (2013) Membership and management: structures of inter-professional working in community mental health teams for older people in England.  International Psychogeriatrics, 25(9), 1485-92.

Tucker, S., Brand, C., Wilberforce, M., & Challis, D. (2014). Optimising Health and Social Services for Older People. The Balance of Care Approach to Strateic Planning: A Handbook for Service Planners, Providers and Commissioners. Manchester: PSSRU.

Tucker S, Wilberforce M, Brand C, Abendstern, M and Challis D (2014).  All things to all people? The provision of outreach by Community Mental Health Teams for Older People in England: Findings from a national survey. International Journal of Geriatric Psychiatry, 29(5), 489-496.

Abendstern, M., Brand, C., Harrington, V., Jasper, R., Tucker, S., Wilberforce, M., Challis, D. (2014) CMHTs for older people: team managers' views surveyed. Journal of Integrated Care. 22(5/6), 229-240.

Abendstern, M., Tucker, S., Wilberforce, M., Jasper, R., Brand, C., Challis, D. (2014). Social Workers as members of community mental health teams for older people: What is the added value? British Journal of Social Work (advanced access: doi: 10.1093/bjsw/bcu122).

Tucker, S., Wilberforce, M., Brand, C., Abendstern, M., Crook, A., Jasper, R., Stewart, K., & Challis, D. (2015). Community mental health teams for older people: variations in case mix and service receipt (I). International Journal of Geriatric Psychiatry, 30(6), 595-604.

Wilberforce, M., Tucker, S., Brand, C., Abendstern, M., Jasper, R. Stewart, K., & Challis, D. (2015). Community mental health teams for older people: variations in case mix and service receipt (II). International Journal of Geriatric Psychiatry, 30(6), 605-613.

Tucker, S., Brand, C., Wilberforce, M., Abendstern, M. and Challis, D. (2015) Identifying alternatives to old age psychiatry inpatient admission: an application of the balance of care approach to health and social care planning.  BMC Health Services Research, 15(1), 1

Wilberforce, M., Tucker, S., Brand, C., Abendstern, M., Jasper, R., Challis, C. (2016). Is integrated care associated with service costs and admission rates to institutional settings? An observational study of community mental health teams for older people in England. International Journal of Geriatric Psychiatry (advanced access: doi: 10.1002/gps.4424)

 

PSSRU Project Team

David Challis, Professor of Community Care Research (Principal Investigator); Mark Wilberforce, Research Fellow; Sue Tucker, Research Fellow; Karen Stewart, Research Fellow; Dr Dave Jolley, Honorary Reader; Dr Michele Abendstern, Research Associate; Dr Christian Brand, Research Associate; Rowan Jasper, Research Assistant and Dr Ian Bowns, Honorary Research Fellow.