View the main College resources on COVID-19.
COVID-19 planning for Old Age Psychiatrists: statement from the Faculty, 20 March 2020
The role of integrated mental and community physical healthcare trusts in responding to the COVID-19 pandemic in the UK: article by Derek Tracy, Anna Forest and Benjamin R Underwood, Cambridge University Press, 1 June 2020
COVID-19 in older adults infographic: produced by NHS Greater Glasgow and Clyde, May 2020
Longer incubation periodof coronavirus disease 2019 (COVID-19) in older adults. article by Hong T-K. Aging Med. 2020;00:1–8. https://doi.org/10.1002/agm2.12114 , 22 May 2020
Memory service assessments: a new way of working: NHSE and NHSI, 27 May 2020
Guidance on remote working for memory services during COVID-19, produced by NHS London Clinical Networks, 11 May 2020
Meeting the Needs of People with Dementia Living in Care Homes during COVID-19: video produced by Ian Andrew James, Trustwide Pathway Lead for Psychological Intervention at CNTW to support care homes, 1 May 2020
COVID-19 Care home FAQs: North East & North Cumbria ICS, 3 April 2020
Dementia leaflet: How to stay well during the Coronavirus outbreak - 5 key messages for people living with dementia: Alzheimer's Society and University of Exeter
Impact of COVID 19 on the older persons in Northern Ireland: Dr Joseph Kane ST6 in Psychiatry of Old Age and Dr Claire Potter ST4 in Psychiatry of Old Age, April 2020
Flowchart on prioritising and planning clinical care: Tees, Esk and Wear Valleys NHSFT, 20 March 2020
Prompt sheet for phone check-ins for older patients, carers, family members: produced by Nick Bass, Associate Professor of Psychiatry , Tower Hamlets Diagnostic Memory Clinic, March 2020
Flowchart Pharmacological Management of behavioural and psychological symptoms of dementia (BPSD): by Cornwall Partnership NHS Foundation Trust, March 2020
Delirium management advice for patients with confirmed or suspected COVID-19 in acute trust setting: produced by Dr Josie Jenkinson, Consultant Psychiatrist for older people, ASPH Psychiatric Liaison services, 28 March 2020 (PDF). Adapted for older adults from original guidance compiled by Prof Tayyeb Tahir, Dr Mehrul Hasnain, Dr Ankit Saxena, Dr Radhika Oruganti at University of Wales with reference to the Liverpool Drug Interactions Group.
COVID-19 resources from the Regional Geratric Program of Toronto: Clinical guidance, tools, and links for health providers caring for older adults during the COVID-19 Pandemic
Faculty of Old Age Psychiatry live update session: Transforming community mental health care provision for older people – 23 June 2020: This video features the following speakers:
- Dr Mani Krishnan welcomes and introduces the speakers
- Dr Amanda Thompsell explains the background to the Community Mental Health Transformation Programme (England) in the current context
Dr Fiona Goudie and James Sutherland from Sheffield Health and Social Care NHS FT, one of the early implementer sites, tell us how they put their proposal together and how it is on the ground.
- Viral Kantaria, Programme Manager NHSE&I for Adult Mental Health (Community) gives a summary of his insights on what local communities should consider in their proposals
- Dr Josie Jenkinson hosts a Q & A session with our speakers
The slides from this event are available to download.
Faculty of Old Age Psychiatry – live update session and memory service guidance - 15 May 2020: This video features the following speakers:
- Dr Amanda Thompsell explains the new national guidance on memory clinics, along with a faculty update
- Dr Venkat Muthukrishnan shows how his services have set out to do memory clinic assessments in the current COVID situation
- Dr Juliette Brown & Dr Cate Bailey host an interactive case-based discussion of a patient with a combination of functional and organic presentation - how we assess and manage in COVID social distancing situations
- Dr Mani Krishnan and Dr Josie Jenkinson host a Q & A session with our speakers
The slides from this event are available to download.
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The epidemiology and presentation of mental illness in older people is different to younger adults, and older people with mental illness often have a unique and complex set of physical, psychological and social factors complicating their care. For these reasons older people need dedicated inpatient and community mental health teams to look after them.
There is a global history of ageism in the funding and delivery of mental health services for older people. The UK has led the way in developing age-specific services which research has shown improve care in this group. These services are now under threat in the UK by the move to "ageless services". Commissioners and trusts have various reasons to consider this including a misguided belief it may save money or misinterpretation of the Equalities Acts around the UK.
The College is clear that older people need dedicated age-specific mental health services. We have assembled a compendium of evidence to support this below.
If your services are under threat, please look at and use this evidence. Many people have already found it helpful to rebut the move to ageless services.
- 'Ageless' dementia services are an insult to the elderly - The Telegraph
- Development of ageless mental health services - letter
- Criteria for Old Age psychiatry services in the UK
- IPG guest editorial: Wither old age psychiatry?
- JCPMH: Guidance for commissioners of older people’s mental health services
- Letter in The Lancet: Psychiatry for the elderly in the UK
- IJGP letter: Redefining old age psychiatry - a pragmatic approach
- The Times Letter to the Editor: Mental health and how the other half lives
- RCPsych letter to Jeremy Hunt - Ageless services
- BJPsych editorial: Old age psychiatry in the modern age
- JGCR: Ageless mental health services and the future of old age psychiatry in the UK.
- Nilforooshan R et al (2016) Comparison of service utilisation and costs of working age adults and older adults receiving treatment for psychosis and severe non‐psychotic conditions in England: implications for commissioning. International Journal of Geriatric Psychiatry, 32:110-115.
- Abdul-Hamid WK, Lewis-Cole K, Holloway F, Silverman AM. Comparison of how old age psychiatry and general adult psychiatry services meet the needs of elderly people with functional mental illness: cross-sectional survey. Br J Psychiatry 2015; 207: 440–3.
Please give us any feedback as to whether these resources help or not in your fight to preserve your services.
- Coronavirus: managing delirium in confirmed and suspected cases - joint report with the BGS and European Delirium Association, 19 March 2020
- Position statement on frailty: ensuring the best outcomes for frail older people February 2020 (PDF)
- Position statement on loneliness and social isolation - joint report with the BGS, December 2019 (PDF)
- Integrated care and mental health November 2019
- CR222 Caring for the whole person: physical healthcare of older adults with mental illness: integration of care (PDF) May 2019
- PSO2/19: Position statement on the provision of liaison psychiatry services across the lifespan (PDF) May 2019
- CR218: Bridges not walls: good practice guidance for transition and cooperation between mental health services for older patients (PDF) May 2019
- CR221: Suffering in silence: age inequality in older people’s mental health care (PDF)
- CR217: Young-onset dementia in mental health services (PDF)
- CR211: Our Invisible Addicts (PDF)
- Delivering the NHS Long-Term Plan's ambition of ageing well: Old age psychiatry as a vital resource FR/OA/06 (PDF)
- The integration of care and its impact on older people's mental health FR/OA/05 (PDF)
- Criteria for old age psychiatry services in the UK FR/OA/04 (PDF)
- Guidance for job planning FR/OA/03 (PDF)
- Depression in care homes - joint report with the BGS 2018 (PDF)
- Careers leaflet for Foundation Doctors 2018 (PDF)
- Outcomes in older people's mental health service November 2017
Faculty documents and submissions
- Read our 10 recommendations for working with older adults launched at our 2018 International Congress
- Read our submission about the Five Year Forward View to the APPG for Mental Health.
Survey of services results
- See best practice guidance for commissioners and carers. For more information visit the dementia section of the NHS London Clinical Networks website
- Guidance on Neuroimaging for dementia
- Streamlining Memory Service Pathways
- Commissioners’ checklist for dementia
- Guidance on the content of delirium policies
- Guidance on managing pain for people with dementia
- Guidance on using a recognition scheme
- Guide to dementia training for health and social care staff
- Immediate post diagnosis support guide.
- The Young Onset Dementia Pathway gives recommendations for commissioners and practitioners to create the ideal care pathway. It was developed by people affected by young onset dementia and the people who work with and support them
- National Collaborating Centre for Mental Health Dementia Care Pathway full implementation guidance.
- Guidelines for the peri-operative care of people with dementia (Wiley Online Library)
- Older People's Mental Health Competency Framework, by Health Education England, April 2020
- Driving with Dementia or Mild Cognitive Impairment Consensus Guidelines, by Newcastle University and endorsed by the College (2018)
- Hidden in plain sight, by Age UK, examines the unmet mental health needs of older people.
- MindEd is a new educational resource that has been co-produced with older people. It explains a range of mental illnesses/concerns and offers practical advice for dealing with them.
- NHS England's Mental Health in Older People Practice Primer helps improve recognition of mental health issues in older people.
- Physical health drugs start-stop reminder card (Word)
- Brain Health and Mental Well-Being: GCBH Recommendations on Feeling Good and Functioning Well (PDF)
We have curated a selection of videos created by other organisations for sharing and teaching purposes.
The Faculty of Old Age Psychiatry are pleased to announce the launch of “Delivering the NHS Long-Term Plan's ambition of ageing well: Old age psychiatry as a vital resource”.
Successfully delivering the welcome ambitions of the NHS Long Term Plan (LTP) for older people depends on the recognition that specialist OPMH services provide essential expertise. Access to these specialist services must be incorporated at every stage of planning and implementation in all areas to meet the needs of older people.
This report incorporates views from older people, service users, carers and a wide range of health and social care professionals and provides insight into:
- the essential role played by old age psychiatrists, and the Older People’s Mental Health (OPMH) services to whom they provide leadership, in delivering high quality outcomes for the health and wellbeing of the UK’s ageing population;
- the centrality of this to the Ageing Well agenda; and
- how best to support decision-makers responsible for implementing the NHS LTP as it affects older people
This report summarises good practice examples of collaboration and innovations involving old age psychiatrists across different health and social care settings, and especially in care homes.
While the LTP sets out a vision for health services in England this report is also relevant for those involved in the development and commissioning of integrated health and social care services for older people across the UK devolved nations.
Our thanks goes to Dr Mohan Bhat and colleagues for producing this document and to all of you who sent in examples to be included.I urge you to share this report with your local Commissioners and colleagues involved in the Primary Care Networks , Integrated Care Systems and Sustainability and Transformation plans.