Chapter

Support to care homes

Amanda Thompsell

in Mental Health and Care Homes

Published on behalf of Oxford University Press

Published in print May 2011 | ISBN: 9780199593637
Published online February 2013 | e-ISBN: 9780191754722 | DOI: http://dx.doi.org/10.1093/med/9780199593637.003.0018
Support to care homes

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Care home residents suffer high levels of physical and mental health problems, and there is concern that their needs are often not well met by primary and/or specialist healthcare. General practitioners (GPs) may provide medical services through the ordinary general medical service (GMS) contract or there may be incentivized through contracts with homes or locally enhanced services. Various models of specialist support services have developed recently. These include community pharmacists and specialist mental health and/or nursing support. The latter may take several forms, from specialist outreach clinics to designated care home support teams, of which several examples are provided. In general, care home support teams have been found to be reasonably effective in managing behavioural problems, management of medications, and reduction of need for other specialist care, such as hospital admissions. Despite their likely cost-effectiveness, however, they are often vulnerable to being lost in times of economic stringency.

Chapter.  7973 words. 

Subjects: Psychiatry

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