Primary Health Care service

63 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

64 Psychiatric And Mental Health Services Operational Policy a Comprehensive • The services should take into account all aspects of the patient’s physical, psychological and social needs and wishes and be patient-centered. b Accessible • The service is user friendly and readily available, minimizing the geographical, cultural, inancial, political and linguistic obstacles to obtain care. c Responsive • The service is one that listens and understands the problems brought to its attention and acts promptly and appropriately. d Individualized • The service focuses on each person with a mental health problem in his her family and community context. The planning of care must be tailored for and acceptable to the individual and family, and aim wherever possible to maintain and support the person within his her home environment. e Trans-disciplinary • The approach goes beyond traditional professional boundaries to optimize the contributions of people with a range of personal and professional skills. This approach facilitates collaboration with voluntary and other agencies to provide a comprehensive range of community orientated services. f Accountable • The service accepts responsibility for assuring the quality of service it delivers and monitors this in partnership with patients and families. The service should be ethically and culturally sensitive. g Systemic • The approach is lexible and integrates with all available services to ensure continuity of care and coordinates all levels of service providers including local, state and national governments and community organizations.