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e Rehabilitation. f
Education of patients and their carers for older person who is it enough to live in the community and get to and from
the hospital.
6.6.7 Inpatient Services
Inpatient services offer to older person who have acute problem which cannot be managed as outpatient. It is available at all categories of
hospital care.
6.6.7.1 Location
• Non specialist hospital
• Specialist hospital – Geriatric psychiatry ward co-
located at geriatric ward. •
Psychiatric hospital – Geriatric psychiatry ward. The Acute inpatient services provide:
• Specialist assessment and treatment for the full range of mental disorders in older person with acute symptoms
who cannot be cared for in the community or at home. In some cases it includes rehabilitation before returning to the
community or home.
• Function of assessment is to ensure accurate diagnosis when their presentation is more complex or when their symptoms
are creating acute distress or jeopardizing their safety. • Location of in-patent care facilities should be collocated
with general older person health services.
6.6.8 Hospital Based Community Mental Health Teams CMHTs For Older Person
Mental health problem in older person is ideally assessed at their own home. Hospital based Community Mental Health team is beneicial to
help the older person who still can live independently.
6.6.8.1 Teams comprise of:
• Doctors.
• Psychiatric nurses.
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Psychiatric And Mental Health Services Operational Policy
• Clinical psychologists.
• Social workers.
• Occupational therapists.
• Secretaries.
6.6.8.2 Main responsibility of the team:
• Specialist assessment.
• Investigations.
• Treatment of older person in their home setting.
6.6.9 Liaison Services
Consultations and or liaison services should be provided between facilities for the older person with mental disorders and those serving
general and geriatric medicine, general psychiatry, residential facilities and social agencies.
6.6.10 Hospital Respite Care
The hospital bed are use to provide a respite service for chronic and severe mental illness and dificult behavioral problems. This is to give
carers a break and enable care at home to continue as long as possible.
6.6.11 Community And Social Support Services
These services formal or informal enable older person with mental disorders remain at home with the help of voluntary or governmental
social services.
•
Respite facilities o Provide for short term, time limited, in-the home and out-
of the home services. It may be a residential services, other carers or day program day care center
•
Residential care o Require for patients whose physical, psychological
and or social dependencies make living at home no longer possible.
6.6.12 Principles Of Good Quality Care In Geriatric Psychiatry
