Introduction

Methods

Results

Discussion

Services for older people with mental health problems require an integrated and informed approach to commissioning that embraces both their health and social care needs

Care management should be provided by members of a multidisciplinary team specialising in the care of older people with mental health problems

A differentiated approach to care management is necessary to ensure that older people with mental health problems receive a level of response appropriate to their health and social care needs

Targeting within care management arrangements is required to ensure that vulnerable older people with complex needs receive the care packages they need to enable them to live at home

Assessment as a precursor to a care plan must be multidisciplinary and appropriate in terms of content and timing to ensure that older people with mental health problems receive the requisite assistance to maintain their community tenure

Care plans are needed to support, sustain and enhance the quality of life of older people with mental health problems in their own home and to provide assistance to their carers

Financial arrangements which facilitate an integrated approach to the provision of health and social care for older people with mental health problems are required

Monitoring and review in care management is necessary to ensure the timely and appropriate adjustment of the care plan in order to maintain older people with mental health problems at home in response to changing circumstances

Limitations

Conclusions

Acknowledgements

Competing interests

References

Author details