Pub Date : 2023-04-01DOI: 10.53841/bpsfpop.2023.1.162.55
Sophie Rosati, M. Mustoe, Christy Allen
Housebound individuals with long term conditions (LTCs) face difficulties accessing services. This is compounded for those also experiencing psychological difficulties. Integrating community and mental services can facilitate access to appropriate services. Transdiagnostic Cognitive Behaviour Therapy (tCBT) is an effective intervention in supporting older individuals with LTCs presenting with physical and psychological difficulties. The Psychological Interventions in Nursing and Community (PINC) West service aimed to replicate a tCBT model developed in East Berkshire. Pre-and-post-intervention outcome measures demonstrated promising results, with reductions in depression and anxiety scores, improvements in quality of life scores and reduced use of NHS services. Suggestions are made for others planning to deliver similar services.
{"title":"Elevating community mental health for those with long term conditions: Expanding a transdiagnostic cognitive therapy service from East Berkshire to West Berkshire","authors":"Sophie Rosati, M. Mustoe, Christy Allen","doi":"10.53841/bpsfpop.2023.1.162.55","DOIUrl":"https://doi.org/10.53841/bpsfpop.2023.1.162.55","url":null,"abstract":"Housebound individuals with long term conditions (LTCs) face difficulties accessing services. This is compounded for those also experiencing psychological difficulties. Integrating community and mental services can facilitate access to appropriate services. Transdiagnostic Cognitive Behaviour Therapy (tCBT) is an effective intervention in supporting older individuals with LTCs presenting with physical and psychological difficulties. The Psychological Interventions in Nursing and Community (PINC) West service aimed to replicate a tCBT model developed in East Berkshire. Pre-and-post-intervention outcome measures demonstrated promising results, with reductions in depression and anxiety scores, improvements in quality of life scores and reduced use of NHS services. Suggestions are made for others planning to deliver similar services.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114779003","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}
Pub Date : 2023-04-01DOI: 10.53841/bpsfpop.2023.1.162.17
A. Storey, C. Gaskell, Daniel Blake, Eamonn Lynott
Nine participants attended focus groups to explore their experience of Community Mental Health Teams (CMHT). Semi-structured interviews were conducted, and questions explored four themes: beginnings, experience, treatment and endings. Five themes arose from these interviews which included managing expectations, promoting recovery, shared experience, qualities enabling empowerment and working together and partnership working. Study limitations and future clinical service implications are discussed.
{"title":"An exploration of how patients experience the care they receive from an older persons community mental health team","authors":"A. Storey, C. Gaskell, Daniel Blake, Eamonn Lynott","doi":"10.53841/bpsfpop.2023.1.162.17","DOIUrl":"https://doi.org/10.53841/bpsfpop.2023.1.162.17","url":null,"abstract":"Nine participants attended focus groups to explore their experience of Community Mental Health Teams (CMHT). Semi-structured interviews were conducted, and questions explored four themes: beginnings, experience, treatment and endings. Five themes arose from these interviews which included managing expectations, promoting recovery, shared experience, qualities enabling empowerment and working together and partnership working. Study limitations and future clinical service implications are discussed.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"353 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122790001","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}
Pub Date : 2023-04-01DOI: 10.53841/bpsfpop.2023.1.162.48
Lauren Cash, C. Craig
Mixed older peoples’ inpatient wards can be challenging environments for patients and staff alike. The Newcastle Model was introduced as part of a weekly staff formulation session, for both organic and functional presentations. The aim of this service evaluation project was to evaluate its impact on staff. Staff were given questionnaires to fill out at the end of four formulation sessions. All staff found the formulation group to be helpful, particularly in developing a shared understanding of the patient, gathering all relevant information in one place, developing a better understanding of the patient, generating new ideas and understanding the patient’s potential thoughts and needs. Limitations and clinical implications are discussed.
{"title":"Evaluating a staff formulation group on an older adult inpatient ward","authors":"Lauren Cash, C. Craig","doi":"10.53841/bpsfpop.2023.1.162.48","DOIUrl":"https://doi.org/10.53841/bpsfpop.2023.1.162.48","url":null,"abstract":"Mixed older peoples’ inpatient wards can be challenging environments for patients and staff alike. The Newcastle Model was introduced as part of a weekly staff formulation session, for both organic and functional presentations. The aim of this service evaluation project was to evaluate its impact on staff. Staff were given questionnaires to fill out at the end of four formulation sessions. All staff found the formulation group to be helpful, particularly in developing a shared understanding of the patient, gathering all relevant information in one place, developing a better understanding of the patient, generating new ideas and understanding the patient’s potential thoughts and needs. Limitations and clinical implications are discussed.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117104235","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}
Pub Date : 2023-04-01DOI: 10.53841/bpsfpop.2023.1.162.61
Jacqueline Sweet
The aim of this case study was to describe the cognitive profile of a gentleman who was assessed at an NHS Memory Service with a complex presentation of transient global amnesia, dementia worry and a preoccupation with his health.A 63 year old intelligent gentleman was referred to the Memory Service following two episodes of transient global amnesia resulting in residual mild cognitive symptoms which resolved after six months. A clinical interview and neuropsychological assessment battery were conducted via video conferencing due to Covid-19 restrictions.There was no clear pattern of objective cognitive impairments to indicate that Mr X was suffering from a neurodegenerative disease.Discussions were held regarding managing Mr X’s preoccupation with his health whilst following NICE guidelines of further investigating the potential causes for the episodes of transient global amnesia.Mr X was provided with an information sheet detailing the purpose for his participation in this case study. He kindly provided informed written consent for the case study to be published within an academic journal. Some demographic details have been amended to protect his identity.
{"title":"Transient global amnesia: A case summary","authors":"Jacqueline Sweet","doi":"10.53841/bpsfpop.2023.1.162.61","DOIUrl":"https://doi.org/10.53841/bpsfpop.2023.1.162.61","url":null,"abstract":"The aim of this case study was to describe the cognitive profile of a gentleman who was assessed at an NHS Memory Service with a complex presentation of transient global amnesia, dementia worry and a preoccupation with his health.A 63 year old intelligent gentleman was referred to the Memory Service following two episodes of transient global amnesia resulting in residual mild cognitive symptoms which resolved after six months. A clinical interview and neuropsychological assessment battery were conducted via video conferencing due to Covid-19 restrictions.There was no clear pattern of objective cognitive impairments to indicate that Mr X was suffering from a neurodegenerative disease.Discussions were held regarding managing Mr X’s preoccupation with his health whilst following NICE guidelines of further investigating the potential causes for the episodes of transient global amnesia.Mr X was provided with an information sheet detailing the purpose for his participation in this case study. He kindly provided informed written consent for the case study to be published within an academic journal. Some demographic details have been amended to protect his identity.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121701490","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}
Pub Date : 2023-04-01DOI: 10.53841/bpsfpop.2023.1.162.40
Christopher W. N. Saville, C. Patterson, Rhian Russell Owen, Joanne Kelly-Rhind
Bilingualism has been proposed as a protective factor against dementia, putatively delaying onset by several years. However, evidence is equivocal. One possibility is that the pattern of confounding varies across contexts, with confounders such as socioeconomic status, rurality, and migrant status being positively associated with bilingualism in some settings and negatively in others. The present study examines this in Welsh-speaking Wales, where the confounding structure differs from much of the literature.Routine clinical data from the Memory Clinic service covering the counties of Gwynedd and Ynys Môn were used to examine the ecological correlation between Welsh-speaking rates and dementia diagnosis rates by lower super output area. Analyses were conducted using Poisson generalised linear mixed effects models with spatial auto-correlation terms.A total of 404 cases were identified. No overall association was observed between dementia diagnosis rates and Welsh-speaking rates, but the association was moderated by age band, such that Welsh-speaking rates were protective in 65–74 year-olds but a risk factor in 75+ year olds (rate ratio=.71, .53-.94). This was robust to adjustment for area-level poverty.Although causation cannot be inferred, the findings are consistent with bilingualism delaying dementia onset. Welsh-English bilingualism provides a useful complement to research on this topic elsewhere in the world, as the confounding structure is unusual.
{"title":"Ecological evidence for later dementia diagnosis in areas with higher rates of bilingualism: Evidence fromY Fro Gymraegin Wales","authors":"Christopher W. N. Saville, C. Patterson, Rhian Russell Owen, Joanne Kelly-Rhind","doi":"10.53841/bpsfpop.2023.1.162.40","DOIUrl":"https://doi.org/10.53841/bpsfpop.2023.1.162.40","url":null,"abstract":"Bilingualism has been proposed as a protective factor against dementia, putatively delaying onset by several years. However, evidence is equivocal. One possibility is that the pattern of confounding varies across contexts, with confounders such as socioeconomic status, rurality, and migrant status being positively associated with bilingualism in some settings and negatively in others. The present study examines this in Welsh-speaking Wales, where the confounding structure differs from much of the literature.Routine clinical data from the Memory Clinic service covering the counties of Gwynedd and Ynys Môn were used to examine the ecological correlation between Welsh-speaking rates and dementia diagnosis rates by lower super output area. Analyses were conducted using Poisson generalised linear mixed effects models with spatial auto-correlation terms.A total of 404 cases were identified. No overall association was observed between dementia diagnosis rates and Welsh-speaking rates, but the association was moderated by age band, such that Welsh-speaking rates were protective in 65–74 year-olds but a risk factor in 75+ year olds (rate ratio=.71, .53-.94). This was robust to adjustment for area-level poverty.Although causation cannot be inferred, the findings are consistent with bilingualism delaying dementia onset. Welsh-English bilingualism provides a useful complement to research on this topic elsewhere in the world, as the confounding structure is unusual.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130278634","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}
Pub Date : 2023-02-01DOI: 10.53841/bpsfpop.2023.1.161.11
C. Rowley, Julia cook, L. Blatchford
Mild Cognitive Impairment (MCI) is a common outcome following assessment of suspected dementia. However, it is unclear whether service-users perceive that being made aware is beneficial. The term itself is nebulous in terms of prognostic certainty and its utility for guiding interventions. This article summarises the systematic review conducted by Blatchford and Cook (2020) exploring research focused on service-users experiences of receiving the outcome of MCI and the impact of this upon them and their care partners. Service-user and care partner perspectives were shaped by the quality of information and support provided, and several factors shaped their experiences of being informed, including: personal perceptions and experiences, coping styles and living circumstance. The results suggested that clear information and quality support, tailored to service-user needs may improve the utility of the MCI outcome for service-users. The summary concludes by providing suggestions for enhancing service provision.
{"title":"Do service-users find the outcome of Mild Cognitive Impairment useful? A summary of Blatchford & Cook’s (2020) systematic review","authors":"C. Rowley, Julia cook, L. Blatchford","doi":"10.53841/bpsfpop.2023.1.161.11","DOIUrl":"https://doi.org/10.53841/bpsfpop.2023.1.161.11","url":null,"abstract":"Mild Cognitive Impairment (MCI) is a common outcome following assessment of suspected dementia. However, it is unclear whether service-users perceive that being made aware is beneficial. The term itself is nebulous in terms of prognostic certainty and its utility for guiding interventions. This article summarises the systematic review conducted by Blatchford and Cook (2020) exploring research focused on service-users experiences of receiving the outcome of MCI and the impact of this upon them and their care partners. Service-user and care partner perspectives were shaped by the quality of information and support provided, and several factors shaped their experiences of being informed, including: personal perceptions and experiences, coping styles and living circumstance. The results suggested that clear information and quality support, tailored to service-user needs may improve the utility of the MCI outcome for service-users. The summary concludes by providing suggestions for enhancing service provision.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123085503","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}
Pub Date : 2023-02-01DOI: 10.53841/bpsfpop.2023.1.161.36
Remco Tuijt, Ronja Kuhn, G. Charlesworth
Mild Cognitive Impairment is a diagnosis of uncertainty. Although some people with MCI may go on to receive a dementia diagnosis, others do not. In the absence of national guidelines for MCI assessment and support, there is considerable variation in practice. In this paper we provide a description of the approach taken by one Memory Service to recalling people given an MCI diagnosis, including consumer feedback.
{"title":"Following up on mild cognitive impairment: A memory service case study","authors":"Remco Tuijt, Ronja Kuhn, G. Charlesworth","doi":"10.53841/bpsfpop.2023.1.161.36","DOIUrl":"https://doi.org/10.53841/bpsfpop.2023.1.161.36","url":null,"abstract":"Mild Cognitive Impairment is a diagnosis of uncertainty. Although some people with MCI may go on to receive a dementia diagnosis, others do not. In the absence of national guidelines for MCI assessment and support, there is considerable variation in practice. In this paper we provide a description of the approach taken by one Memory Service to recalling people given an MCI diagnosis, including consumer feedback.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127035213","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}
Pub Date : 2023-02-01DOI: 10.53841/bpsfpop.2023.1.161.6
Louise Birkett-Swan, Leah Clatworthy, Katharina Reichelt
The concept of Mild Cognitive Impairment has been evolving over many decades, yet there remains uncertainty of it use, value and consistent application. The current article briefly outlines its historical background before considering its use in clinical practice and potential impact on those given the diagnosis. Finally, a single criteria is proposed which, it is hope, will lead to greater consistency with regards to diagnosis.
{"title":"Mild Cognitive Impairment (MCI) – A brief overview: The history, use and a clear conceptualised approach","authors":"Louise Birkett-Swan, Leah Clatworthy, Katharina Reichelt","doi":"10.53841/bpsfpop.2023.1.161.6","DOIUrl":"https://doi.org/10.53841/bpsfpop.2023.1.161.6","url":null,"abstract":"The concept of Mild Cognitive Impairment has been evolving over many decades, yet there remains uncertainty of it use, value and consistent application. The current article briefly outlines its historical background before considering its use in clinical practice and potential impact on those given the diagnosis. Finally, a single criteria is proposed which, it is hope, will lead to greater consistency with regards to diagnosis.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115155485","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}
Pub Date : 2023-02-01DOI: 10.53841/bpsfpop.2023.1.161.24
Angela Smith, A. Crabtree
Reflections from two clinical psychologists inputting into memory clinics. A key strategy is “getting a seat at the table”; being part of ongoing MDT discussion enables us to demonstrate the value of neuropsychological assessment in informing assessment, formulation and input for those with MCI. Doing so necessitates resilience, persistence and using even minor opportunities to gather space to demonstrate those skills and knowledge.
{"title":"How can clinical psychology influence service provision for those with Mild Cognitive Impairment? Reflections from psychologists in hybrid services","authors":"Angela Smith, A. Crabtree","doi":"10.53841/bpsfpop.2023.1.161.24","DOIUrl":"https://doi.org/10.53841/bpsfpop.2023.1.161.24","url":null,"abstract":"Reflections from two clinical psychologists inputting into memory clinics. A key strategy is “getting a seat at the table”; being part of ongoing MDT discussion enables us to demonstrate the value of neuropsychological assessment in informing assessment, formulation and input for those with MCI. Doing so necessitates resilience, persistence and using even minor opportunities to gather space to demonstrate those skills and knowledge.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125266518","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}
Pub Date : 2023-02-01DOI: 10.53841/bpsfpop.2023.1.161.17
Anna Olsen, G. Charlesworth
It is estimated that just under a third of people with mild cognitive impairment (MCI) also have obstructive sleep apnoea (OSA; a form of sleep disordered breathing distinguished by repeated upper airway collapse during sleep), and disordered sleep is a potential risk factor for dementia. In this paper, we consider the potential role for the old age psychologist in (1) identifying OSA for onward referral and treatment, (2) assessing neurocognitive profiles in people with comorbid OSA and cognitive decline, (3) providing behavioural interventions to improve OSA treatment adherence, and (4) providing health psychology (lifestyle change) interventions relevant to both MCI and OSA.
{"title":"Obstructive Sleep Apnoea (OSA) as a potentially modifiable risk factor for Mild Cognitive Impairment (MCI): A role for old age psychology?","authors":"Anna Olsen, G. Charlesworth","doi":"10.53841/bpsfpop.2023.1.161.17","DOIUrl":"https://doi.org/10.53841/bpsfpop.2023.1.161.17","url":null,"abstract":"It is estimated that just under a third of people with mild cognitive impairment (MCI) also have obstructive sleep apnoea (OSA; a form of sleep disordered breathing distinguished by repeated upper airway collapse during sleep), and disordered sleep is a potential risk factor for dementia. In this paper, we consider the potential role for the old age psychologist in (1) identifying OSA for onward referral and treatment, (2) assessing neurocognitive profiles in people with comorbid OSA and cognitive decline, (3) providing behavioural interventions to improve OSA treatment adherence, and (4) providing health psychology (lifestyle change) interventions relevant to both MCI and OSA.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129229749","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：