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Int Psychogeriatr. 2010 Nov;22(7):1072-83. doi: 10.1017/S1041610210000852. Epub 2010 Jul 2.

Principles of good care for long-term care facilities.

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1
St. Joseph's Health Care and Lawson Health Research Institute, London, Ontario, Canada. maggie.gibson@sjhc.london.on.ca

Abstract

BACKGROUND:

The International Psychogeriatric Association Task Force on Mental Health Services in Long-Term Care Facilities aims to support and strengthen mental health services in the long-term care sector. The purpose of this paper is to identify broad principles that may underpin the drive towards meeting the mental health needs of residents of long-term care facilities and their families, as well as to enhance the overall delivery of residential care services.

METHODS:

Principles of good care are extrapolated from an analysis of international consensus documents and existing guidelines and discussed in relation to the research and practice literature.

RESULTS:

Although the attention to principles is limited, this review reveals an emerging consensus that: (1) residential care should be situated within a continuum of services which are accessible on the basis of need; (2) there should be an explicit focus on quality of care in long-term care facilities; and (3) quality of life for the residents of these facilities should be a primary objective. We take a broad perspective on the challenges associated with actualizing each of these principles, taking into consideration key issues for families, facilities, systems and societies.

CONCLUSIONS:

Recommendations for practice, policy and advocacy to establish an internationally endorsed principles-based framework for the evolution and development of good mental health care within long-term care facilities are provided.

PMID:
20598194
DOI:
10.1017/S1041610210000852
[Indexed for MEDLINE]
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