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The Royal College of Psychiatrists Improving the lives of people with mental illness

CR153. Links Not Boundaries: Service Transitions for People Growing Older with Enduring or Relapsing Mental Illness

Price: £0.00

Approved: Oct 2008

Published: Jan 2009

Status: current

Number of pages: 24

Review by: 2010

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The Report makes a series of recommendations aimed at improving the care of people who are growing old with enduring or relapsing mental illness and who face the possibility of moving between psychiatric services, most commonly from general and community (or rehabilitation) psychiatry to the psychiatry of old age.


The recommendations fall into six main areas:

  • The use of transition protocols
  • Assessment
  • The process of transition
  • The care plan
  • Monitoring
  • Commissioning

Making the transition between services can be a difficult and worrying time for users and their families. Organisations are advised to consider these recommendations, which have been produced after wide debate to which many people have contributed, and to review their policies and procedures in order to try to improve the experiences of families using their service.


This document updates Council Report CR110: Caring for People who enter Old Age with Enduring or Relapsing Mental Illness (‘Graduates’). It has been produced by a working party including representatives from the Faculties of Old Age Psychiatry, General and Community Psychiatry, and Rehabilitation Psychiatry, from the Faculty of Old Age Psychiatry Consumer Group and a Mental Health Nurse.


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