Follow us

Home | Our services | Older adult services

Dementia & Specialist Older Adult Mental Health Services (DSOAMHS)

Print or save PDF

Mental health and emotional wellbeing are as important in older age as at any other time of life. As well as the typical life stressors common to all people, many older adults have additional potential stresses more frequently encountered as we age that can leave them vulnerable to mental health problems.

These can include physical health conditions such as heart disease, or problems such as limited mobility, chronic pain or frailty.  In addition, older people are more likely to experience events such as bereavement, changes in socioeconomic status with retirement, or a disability.

Without proper recognition, assessment and intervention these factors, amongst others, can result in isolation, loss of independence, loneliness and psychological distress in older people.  LPFT dementia and specialist older adult mental health services' primary aim is to address and support these needs by putting the people who use our services at the very centre of decision making and working with them and their communities to shape and deliver care that achieves the best possible outcomes and experience.

What we do

Our Dementia & Specialist Older Adult Mental Health Services (DSOAMHS) provide specialist time-limited services for:

  • People of any age experiencing needs associated with suspected or diagnosed dementia
  • Adults aged 65 years + presenting with complex mental health problems (e.g. severe depression, anxiety etc.) with specialist needs (e.g. increased frailty or complex co-morbid physical health conditions) that would benefit from more specialised service input.

We provide a range of community and inpatient services and contribute to all key care pathways for older adults with dementia or mental health-related needs within the broader Lincolnshire health pathways.  Our service priorities centre on:

  • Providing quality care in terms of safety, effectiveness and patient experience
  • Specialist assessment, diagnosis and treatment
  • Promoting optimal recovery and/or quality of life and wellbeing
  • A focus on individual engagement to promote choice and control in relation to their needs
  • High quality information to inform and support care
  • Connecting care through close working with other care providers to ensure joined-up care experiences for people using our services.

Community services

We provide countywide community care via our community mental health teams (CMHT’s). These CMHT’s are made up of a number of distinct but interrelated service components aimed at delivering focused pathways of care for all the differing service user needs. These include:

  1. Memory assessment and management service (MAMA): provides specialist assessment, diagnosis and early interventions for people with suspected, and/or mild to moderate dementia. Core treatment interventions include cognitive stimulation therapy (CST), pharmacological treatment, individualised care-plans and carer education.
  2. Mental Health assessment and interventions: for both mental health needs and co-morbid emotional disorders and mild non-cognitive, behavioural and psychological symptoms of dementia (BPSD). We link with social and continuing healthcare providers to ensure a full systems approach to care delivery in complex care environments. We also input our mental health expertise into all countywide primary care-based multi-agency Neighbourhood Teams (NTs) to support complex service user needs within core health agendas such as pathways for frailty, long-term conditions and to assist in early detection and intervention to prevent acute admission and support community living.
  3. Mental Health Intermediate care (MH-IC): to support access to mainstream physical rehabilitation services by older adults with existing complex mental health needs or dementia following or during a period of health rehabilitation. The MH-IC workers work in partnership with Lincolnshire Community Health Services (LCHS) rehabilitation services to support and promote recovery from illness, reduce admissions to hospital/residential care aid facilitate early discharge from acute care.
  4. Mental Health Liaison Services (MHLS): the Older Adults Division hosts the MHLS for all adults aged 16 years +  to provide assessment, support and treatment for people in acute hospital care also presenting with diagnosis, management and care needs related to dementia and other mental health conditions. The MHLS also plays a key role in subsequent sign-posting and discharge planning for these service user groups with direct links to all other LPFT services and external community services and agencies to support smooth transitions of care.

Inpatient services

In addition to community services, the Dementia and Specialist Older Adult Mental Health Service also provide specialist inpatient care for those service users whose needs are too complex to be safely and optimally managed within the community.  Inpatient care provision is for people experiencing complex needs related to dementia and or acute mental health.  Our wards are part of a care-management pathway, linking with community-based services, to provide short-term interventions at times of crisis that cannot be managed safely in an alternate setting.

The purpose of admission is to enable safe and timely holistic assessment and treatment by specialist staff, and the development of individualised care and management plans to facilitate safe and effective discharge. The service aim is to return service users to the community as quickly and effectively as possible. Key interventions provided by in-patient wards include:

  • A safe care environment
  • Holistic multi-disciplinary team assessment
  • Medical assessment and treatment
  • Person-centred collaborative care-planning
  • Socio-psychological assessment and interventions
  • Individualised meaningful activities and engagement
  • Joint working with community services to plan for discharge

Referrals

Direct referrals are made through local GPs via the Trust's Single Point of Access (refer to panel on right-hand-side of this page for contact details).  

Referrals can also be made professional to professional via service staff within the CMHTs, MH-IC, MAMS, MHLS and primary care NTs.

Further information on the roles and standards of both our CMHTs and inpatient wards can be found in our Operational Protocols.