A needs-based model for older people's mental health

Abstract  Background.  Mental health services for older people in South Tyneside (UK) have adopted a person-centred service model that is 'needs-led'. This service model uses Local Authority 'Fair Access to Care Services' (FACS) eligibility criteria to ensure fair and equal access to mental health services for older people in South Tyneside based upon their level of mental health need. This is achieved by the application of mental health specific criteria within the FACS framework. Aims.  This paper describes how stakeholders from statutory and non-statutory organizations in South Tyneside, in consultation with service users and carers, collaborated to produce the model and the application into practice of the model. Furthermore, the development of specific indicators of level of mental health needs supplementary to FACS, as commonly shared and understood language across boundaries is described. Conclusions.  The model is argued as the basis for collaboration and empowerment of practitioners across organizations to drive and lead positive change and is an essential and appropriate framework for the commissioning of services in addition to ensuring the appropriate and timely provision of needs-led services for older people with mental health needs.