Brief description of the project
An individual treatment plan is decided based on the patient's problem and declared aims.
A weekly program equal for all consists of PT and relaxation, planning of the day, art class, individual therapy, excursions, massage, therapy group, participation in preparing dinner, evaluation of the week and planning of the activities and the menu for next week, own activities, cleaning their own rooms and lunch together.
Aims of the project
The aims are to relieve the symptoms, increase social contacts and to increase quality of lie. Long-term goals are to prevent relapse into psychiatric illness. Cognitive therapy is applied.
Method of Intervention
Individual sessions twice a week with a typical cognitive approach, home work etc. The intervention includes an individual treatment plan for all participants. Group discussions are carried out. In addition, there is an art class, promotion of social competencies and medical examination and if needed a neu-ropsychological examination.
Duration of the project The programme is in progress.
Target group/Participants
People aged 55 and above with anxiety-depressive difficulties.
Co-operation/Participants’ involvement
There is usual co-operation with the municipalities and psychiatric care. There are 5 patients at a time in the apartment specifically rented for this purpose. They live in these premises day and night, from Monday - Thursday for four weeks.
Outcomes of the project
During the year 2000 the programme had 61 patients (52 women, 9 men). The total number of care days was 896, and the average length of stay was 19.9 days. For 36 of the 61 patients, there are data on CPRS from both admission and discharge. At discharge 92 % had a lower score on the depres-sion scale, and 95 % had a lower score on the anxiety scale. The ambition was to reach at least 90 %.
43 of the 45 patients had a more positive score on the GAF (=96%). The ambition was to reach 98 %.
One aim was to close the files for 45 % of the patients within 6 months after discharge, the result was 46 % - 13 closed cases and 13 transferred to other units in psychiatric care.
Contact:
Ms Britt-Marie Holmberg Ersäng behandlingscenter Ostvägen 21 C
S-906 26 Umeå Sweden
Tel: +46 90 186300, fax: +46 90 188164 http://www.vll.se/umea/psykkliniken
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5.6 ANNEX 2: List of all projects
COUNTRY Name of the practice Objectives
AUSTRIA TRIPS: The Rapid Interactive Psychi-atric Screen
Training of GP's for early detection of depression, anxiety and alcohol disorders
Self-help for relatives of people suf-fering from Alzheimer's disease
Assistance for relatives of persons suffering from Alz-heimer to cope with the problems resulting from caring for this special group of patients
BELGIUM "FORUM" - an art therapy forum as a socialising tool and a way to enhance self-esteem of elderly people
The forum offers a change in the everyday life of the patients; occupational value
Increase of self-esteem, social skills enhancement, stimulation of creativity and self-expression
Training on fighting spirit To choose something to change in life; to evaluate coping skills; inform about depression; relapse prevention of depression
Assistance to the elderly person and his/her surrounding (family, profes-sionals) concerning mental health
Promotion of well-being and good treatment practices for the elderly person, his/her family and professionals;
management of crisis due to a change
Jong en Oud/Young and Old End social isolation, loneliness, depression; to strengthen mental health; to let elderly people to develop and redis-cover their potentialities; to develop the care and in-volvement system by the children
Les groupes de la mémoire/Memory groups
Improvement of mental health; try to place memories into their personal evolution; re-establishing self-esteem and social relationships in order to obtain a better quality of life despite the difficulties of becoming old
Case management Increasing the transfer of knowledge from and to the field of home care; optimising the collaboration between the first and second treatment line; supporting the patient and his environment at home
ENGLAND Memory Lane Café Offer an opportunity for people with dementia and their carers to interact and develop supportive networks and regain confidence within a supportive and safe environ-ment; enhance quality of life of people with dementia and their carers
Dementia Outreach Service Security and improved coping skills; better quality of life, less anxiety and depression; model of care to focus on better care strategies
Phoenix Project To provide social support and rehabilitation for older peo-ple recovering from functional mental health problems;
integration of ex-mental health service users into wider community
Day Opportunities Resource Centre Identify access to health services by older people, expe-rience of services, prevent hospital admission, identify and act on deterioration; examine degree of depression and anxiety in centre user population
Community Mental Health Liaison Nurse Project
To increase the knowledge and confidence of staff in relation to dementia and depression; to increase the quality of care for residents and reduce avoidable hospi-tal admissions
Holistic Project To see a reduction in symptoms associated with stress and anxiety
FINLAND Long-term changes in mood of an aged population
To make clinical work function better; to enhance well-being of older people via health check-ups and treatment;
decrease in symptoms, increased level of well-being
Koivupirtti - Rehabilitative home care for psychogeriatric clients
Coping with everyday life at home; prevention of margi-nalisation and institutiomargi-nalisation
The Family Association Promoting Mental Health in Tampere
Providing information about mental illness and its treat-ment, improving communication and coping skills, de-creasing burden and depressive symptoms
The Well-being of the aged family-caregivers
Reduced stress, ability to ask and receive help; improved problem-solving skills, increased life-satisfaction, in-creased level of well-being
Personnel in elder care: community working capacity
To help workplace communities and individuals learn how to improve and develop their own working capacity; to teach them how to look after themselves, to maintain their professional competencies and the welfare of the community
FRANCE Regional health program (PRS); de-pression suicide among the young and the elderly
To prevent depression in connection to retirement; to maintain level of wellbeing
Regional health program (PRS); de-pression suicide among the young and the elderly (Besancon)
To create and experiment a "quality of life" club; to pro-mote inter-generation communication; to add value to elderly people's level of expertise
ICELAND National assessment of all nursing home placements
To assess in detail the caring needs of the individuals;
IRELAND Caring for Carers To combat social isolation; to promote health, wellbeing and quality of life of family carers and those for whom they care; to promote recognition of the valuable role of family carers
NORWAY Support groups for separated and divorced individuals
To prevent psychosocial problems among individuals experiencing marital disruption
Community based crisis teams Improve coping and decrease symptoms; prevent devel-opment of PTSD and other mental health problems SWEDEN Psychiatric reception for older people
in Motala and Mjölby
To make psychiatric treatment easily accessible for pa-tients and relatives; transfer of knowledge to papa-tients, relatives and other care units concerning treatment of psychiatric illness among older people; transfer of knowl-edge concerning health promotion and prevention Åldersdepressioner With the help of education of a limited group of staff,
rela-tives and volunteers making elderly people with probable depression visible; lay down routines for a model of transfer cases to psychiatric care, geriatric care and pri-mary care, whereby diagnoses and treatment can be facilitated
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