Liaison mental health services for older people
National service mapping 2006 – stage 1
Please take a few minutes to complete this brief questionnaire
Please provide your details:
Name:
Position:
Contact details:
Tel:
E-mail:
1.
Do you provide a mental health service for general hospital inpatients? (Please tick)
Yes
No (please go to question 7)
2.
Please print the name of the acute trust(s) you provide a service for below
3.
Please state which general hospital(s) within the trust(s) you provide a service for below
4.
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
Which of the following best describes the dominant service model(s) currently operating for older people in the above hospital(s)? Please
also indicate which model you would prefer for this service delivery. (If several different models are used, please tell us about all of them in
the space provided overleaf)
Current
Preferred
model
model
Model of service delivery
Traditional Sector Model (mental health service is provide by psychiatric medical staff from the community mental health
teams)
Enhanced Sector Model (mental health service is provided by psychiatric medical staff working in the community mental
health teams, with additional dedicated time from other community mental health team professionals)
Outreach from Mental Health Wards (mental health nurses based on wards provide input, referring on as necessary)
Liaison Psychiatry Nurse (mental health service is provided through dedicated sessions from liaison psychiatry nurse(s)
based in the general hospital, possibly working across a number of sectors, referring on as necessary)
Liaison Psychiatry Medical team (mental health service is provided through dedicated sessions from a consultant
psychiatrist and other psychiatric medical staff based in the general hospital, working across sectors)
Shared Care (mental health service is provided in a dedicated ward within the general hospital, covering a number of sectors;
staffed jointly by mental health and general nurses, psychiatrists and physicians)
Hospital Mental Health team (mental health service is provided by a dedicated multi-professional team based within the
general hospital, working across sectors)
Other (please specify below)
5.
Have the service model(s) in use changed in the last 3-4 years? (Please tick)
Yes (Please specify changes below)
No (Please go to question 6)
you do not provide a service, please give details of who does below (or indicate that you do not know)
6.
Are there are any imminent plans to change the service in the near future? (Please tick)
Yes (Please specify plans below)
No (Please go to question 7)
7.
If you do not provide a service where you work, please give details of who does below (or indicate that you do not know)
Name:
Position:
Contact details:
Tel:
e-mail:
Don’t know
8.
9.
Please indicate who is the best person(s) to contact for further information about the mental health service(s) provided to the acute trust(s)
in your area
Name:
Name:
Position:
Position:
Contact details:
Contact details:
Tel:
e-mail:
Tel:
e-mail:
Please use the space below for any further comments you would like to make about liaison mental health services for older people in
general hospital settings (continue on a separate sheet if necessary)
If you have any queries about the survey please do not hesitate to contact either:
Dr John Holmes, email: j.d.holmes@leeds.ac.uk, tel: 0113 343 2469 or,
Carolyn Montaňa, e-mail: c.montana@leeds.ac.uk, tel: 0113 343 1964
Academic Unit of Psychiatry and Behavioural Sciences, University of Leeds, 15 Hyde Terrace, Leeds LS2 9LT
Many thanks for your help
Please return via email to: c.montana@leeds.ac.uk or post to the address given above