Better mental health care for older people in general hospitals
Award Number
08/1809/227Programme
Health and Social Care Delivery ResearchStatus / Stage
CompletedDates
2 September 2008 -1 September 2011
Duration (calculated)
02 years 11 monthsFunder(s)
NIHRFunding Amount
£425,077.52Funder/Grant study page
NIHRContracted Centre
The University of NottinghamPrincipal Investigator
Professor John GladmanPI Contact
John.Gladman1@nottingham.ac.ukPI ORCID
0000-0002-8506-7786WHO Catergories
Methodologies and approaches for risk reduction researchModels across the continuum of care
Disease Type
Dementia (Unspecified)CPEC Review Info
| Reference ID | 179 |
|---|---|
| Researcher | Reside Team |
| Published | 12/06/2023 |
Data
| Award Number | 08/1809/227 |
|---|---|
| Status / Stage | Completed |
| Start Date | 20080902 |
| End Date | 20110901 |
| Duration (calculated) | 02 years 11 months |
| Funder/Grant study page | NIHR |
| Contracted Centre | The University of Nottingham |
| Funding Amount | £425,077.52 |
Abstract
The double disadvantage of being old and mentally ill represents an important inequity that this work will seek to reduce. The overall aim of this project is to facilitate the design of an effective and acceptable general hospital service for physically ill older people who also have mental health conditions. We plan a 3 year study. During the first two years we will undertake: – A review of the literature. – A series of case studies of patients in general hospital who also have mental health problems, their carers and advocates, and the staff looking after them. – An interview study of general hospital staff’s confidence, competence and training and of the organisational and system factors that affect their ability to provide care for older people with mental problems. During the final year: A research synthesis will be performed. During this phase we will analyse the findings from the above studies. We also draw upon our literature review, and the findings emerging from our two related projects (our SDO-funded study into the care of people with dementia in specialist hospital settings, and our NIHR-funded prevalence and cohort study of patients admitted to general hospitals who also have mental health problems). We will make recommendations for changes to training, practice and management to improve the care of our target group of patients. Dissemination of the findings will be undertaken. The outputs of our synthesis will be locally implemented as we develop and evaluate a specialist unit for such patients. Understanding the extent and precise nature of their health care needs, and the impact that combined physical and mental health problems have on both outcomes and costs, should inform best practice, and support the business case for developing and commissioning better services. The perceptions and views of staff, and understanding the organisational culture, will be vital in determining how a successful service can be developed, commissioned, trained for, and sustained.
Aims
The overall aim of this project is to facilitate the design of an effective and acceptable general hospital service for physically ill older people who also have mental health conditions.