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Guide 03 ADULTS ? SERVICES SCIE GUIDE Assessing the mental health needs of older people CThe Social Care Institute for Excellence SCIE was established by Government in to improve social care services for adults and children in the United Kingdom We achiev

ADULTS ? SERVICES SCIE GUIDE Assessing the mental health needs of older people CThe Social Care Institute for Excellence SCIE was established by Government in to improve social care services for adults and children in the United Kingdom We achieve this by identifying good practice and helping to embed it in everyday social care provision SCIE works to disseminate knowledge-based good practice guidance involve service users carers practitioners providers and policy makers in advancing and promoting good practice in social care enhance the skills and professionalism of social care workers through our tailored targeted and userfriendly resources ii CADULTS ? SERVICES Assessing the mental health needs of older people Angela Nicholls Assessing the mental health needs of older people iii CFirst published in Great Britain in April by the Social Care Institute for Excellence ? SCIE All rights reserved Written by Angela Nicholls This PDF document was created in April and will not re ect any changes made since that date Please visit our website for the latest version www scie org uk Social Care Institute for Excellence Goldings House Hay ? s Lane London SE HB tel fax textphone www scie org uk iv CADULTS ? SERVICES Contents Introduction Author and acknowledgements About this guide Who the guide is for Aims of the guide Section A framework for wellbeing The National Service Framework Mental health and wellbeing Section The main problems Depression Dementia Other psychiatric illnesses Drug and alcohol problems Treatment and recovery What you can do Section The assessment process Key research ?ndings The Single Assessment Process Hospital discharge Communication skills Understanding dementia Mental capacity Assessing risk Gathering information Assessment tools Specialist assessment What you can do top tips Section Meeting needs What you can do top tips Key research ?ndings Information advice and planning Specialist or mainstream Widening choice and access Assistive technology Financial entitlements Assessing the mental health needs of older people v CRisk taking Continued contact Case study Case study Section Carers Key research ?ndings Special problems What you can do Section Black and minority ethnic communities Key research ?ndings Needs and barriers What you can do Section Abuse Key research ?ndings What you can do Institutional abuse Section Law and policy The broader context Assessment of need Mental health legislation Mental capacity Protecting vulnerable adults Advocacy Care standards Policy on carers Equal opportunities Further information References vi CIntroduction The Social Care Institute for Excellence SCIE aims to improve the experience of people who use social care by developing and promoting knowledge about good practice Using knowledge gathered from diverse sources and a broad range of people and organisations SCIE develops resources that it shares freely supporting those working in social care and empowering service users This is an updated edition of SCIE ? s online practice guide to assessing older people with mental health needs It has been revised for ?rst-line assessors who require accessible and accurate information and knowledge about mental illness in older people to ensure that they and their carers get