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Dignity and the mental health of older adults.

. . National Older Peoples Mental Health Programme. Really Pleased to have been invited!. . . . National Older Peoples Mental Health Programme. Some thoughts on dignity and being.The extension of the campaign to mental health.Some resources to support.Some suggestions for next steps..

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Dignity and the mental health of older adults.

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    1. Dignity and the mental health of older adults. Nadine Schofield, National Lead, Older People’s Mental Health. CSIP

    2. Really Pleased to have been invited! This is a big event and more than a little nerve-racking. I’ve put this up for a couple of reasons – firstly to say – this is a bit scary. Secondly don’t shoot the carrier of this message – we work with the dept of health – but we’re not ‘it’. We can really messages back and forth of course and contribute to shaping policy and services. This is a big event and more than a little nerve-racking. I’ve put this up for a couple of reasons – firstly to say – this is a bit scary. Secondly don’t shoot the carrier of this message – we work with the dept of health – but we’re not ‘it’. We can really messages back and forth of course and contribute to shaping policy and services.

    3. Some thoughts on dignity and being. The extension of the campaign to mental health. Some resources to support. Some suggestions for next steps.

    4. Vision, direction and the need for certainty Conceptualisation of dementia as a journey I find really useful. Some of us (and we heard first hand from these people yesterday) are on it – some of get to walk with them as care partners, either as part of a formal relationship or because we are in a relationship with them. My own ‘journey’ with dementia started as a student nurse when my maternal grandmother walked that path back in 1985. Her journey was less than pleasant – it galvanised me for mine.Conceptualisation of dementia as a journey I find really useful. Some of us (and we heard first hand from these people yesterday) are on it – some of get to walk with them as care partners, either as part of a formal relationship or because we are in a relationship with them. My own ‘journey’ with dementia started as a student nurse when my maternal grandmother walked that path back in 1985. Her journey was less than pleasant – it galvanised me for mine.

    5. A Vision “To promote age-equality in mental health and to mainstream mental health issues within generic care & support services”.

    6. We’re on a journey….which way do we go? Danger of seeing dementia as something ‘separate’. All mental health, including health promotion. Strengthening the involvement of people who use our services. Importance of policy ‘ownership’. Younger people with dementia. ‘Older’ people with learning disability. The involvement of the 3rd sector – creating true partnerships.

    7. Dignity. noun (pl. dignities) 1 the state or quality of being worthy of respect. 2 a composed or serious manner. 3 a sense of pride in oneself. PHRASES “stand on one’s dignity” - insist on being treated with respect. ORIGIN Latin dignitas, from dignus ‘worthy’.

    8. A typical general hosp with 500 beds will admit 5000 older people each year 3000 will have a mental illness On average older people will occupy 330 of these beds at any time and 220 of these will have a mental disorder. This means that the ACUTE hospital will have at least 4 times as many older people with mental disorder on it’s wards as the OPMH services have in theirs! The ageing population is growing – and it’s not going to go away! In the UK the number of OP over 65 will rise by nearly 60% from 200 to 2031 with an even greater increase of 79% for those aged 80 and over – an epidemic! Mental Health disorder in this population is an independent predictor of poor outcome. Increased mortality Increased institutionalisation Loss of independent function MH needs lead to increased length of stay – over 200% - so those cost to health and social care is considerable Moreover –there is a human cost - We need to improve the quality of experience for older people and their carers The OPMH programme is not about developing mental health services - it’s about developing services that meet the MH needs of older people whether they are in primary care, ambulance services, nursing and res homes or general hospital. Unless we put MH BACK into general hospital we will not progress and will be doing an injustice to older people now and in the future – and that’s YOU and ME the resource box has been developed to ensure we do RESPECT OP with MH needs so let’s not forget what we are signing up to………. Thank you A typical general hosp with 500 beds will admit 5000 older people each year 3000 will have a mental illness On average older people will occupy 330 of these beds at any time and 220 of these will have a mental disorder. This means that the ACUTE hospital will have at least 4 times as many older people with mental disorder on it’s wards as the OPMH services have in theirs! The ageing population is growing – and it’s not going to go away! In the UK the number of OP over 65 will rise by nearly 60% from 200 to 2031 with an even greater increase of 79% for those aged 80 and over – an epidemic! Mental Health disorder in this population is an independent predictor of poor outcome. Increased mortality Increased institutionalisation Loss of independent function MH needs lead to increased length of stay – over 200% - so those cost to health and social care is considerable Moreover –there is a human cost - We need to improve the quality of experience for older people and their carers The OPMH programme is not about developing mental health services - it’s about developing services that meet the MH needs of older people whether they are in primary care, ambulance services, nursing and res homes or general hospital. Unless we put MH BACK into general hospital we will not progress and will be doing an injustice to older people now and in the future – and that’s YOU and ME the resource box has been developed to ensure we do RESPECT OP with MH needs so let’s not forget what we are signing up to………. Thank you

    12. Resources www.olderpeoplesmentalhealth.csip.org.uk Let’s Respect - DVD, presentation & resource box. Strengthening Involvement Toolkit. Key document downloads – ‘one stop shop’ ‘Meeting Place’ – our live discussion forum. Regular bulletins, news and forthcoming events. Developing and supporting networks. Activity in every Region

    13. Some next steps: Connecting with other people and raising awareness. Sign up and engagement. Influencing education and training. Developing the knowledge base – what works and what doesn’t. Championing dignity for older adults with mental health needs.

    14. Keep In Touch! Nadine Schofield, National Lead, OPMH Programme, National Institute for Mental Health in England,CSIP. www.olderpeoplesmentalhealth.csip.org.uk Admin:0161 351 4938

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