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Related Concept Videos

Interdisciplinary Care: The Health Care Team-I01:21

Interdisciplinary Care: The Health Care Team-I

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Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
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Developing multidisciplinary assessment--exploring the evidence from a social care perspective.

Caroline Sutcliffe1, Jane Hughes, Michele Abendstern

  • 1Personal Social Services Research Unit, The University of Manchester, Manchester, UK. caroline.sutcliffe@manchester.ac.uk

International Journal of Geriatric Psychiatry
|June 11, 2008
PubMed
Summary

The Single Assessment Process (SAP) in England increased multidisciplinary assessments for older adults, particularly for those with cognitive impairment. Further targeting is recommended for cost-effectiveness.

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Area of Science:

  • Gerontology
  • Health Services Research
  • Social Care Policy

Background:

  • The Single Assessment Process (SAP) was implemented in England to standardize care for older individuals.
  • Its impact on multidisciplinary assessment practices required evaluation.

Purpose of the Study:

  • To assess changes in recorded health needs and the frequency of multidisciplinary assessments post-SAP implementation.
  • To explore variations in multidisciplinary assessment use based on older adults' health needs.

Main Methods:

  • A comparative audit of social care case files from three English areas before and after the 2004 SAP introduction.
  • Data collection focused on multidisciplinary assessments, mental, and physical health issues.

Main Results:

  • No significant increase in dependency was noted among older adults.
  • Multidisciplinary assessments significantly increased post-SAP, notably involving occupational therapists and secondary healthcare teams.
  • Cognitive impairment consistently predicted the need for multidisciplinary assessment.

Conclusions:

  • The SAP's impact was influenced by concurrent policies like intermediate care and integrated health/social care.
  • Recommendations include optimizing the targeting of multidisciplinary assessments for better cost-efficiency and identifying suitable candidates.