The Older Adult Service sees people over the age of 65 years with functional mental health conditions and with cognitive illnesses. The service in the community is currently provided across six community sectors served by Psychiatrists and Community Psychiatric Nurses. Historically this service has been run in a traditional medical model of mental health provision but also includes the following teams:

  • Day Hospital - provision in Central and West Fife but not currently in North East Fife. Provision of a range of functions including assessment, support of complex presentations and group work.
  • Dementia Post Diagnostic Service - keyworker provision for patients with new diagnosis of dementia across Fife with roles including health education, patient and carer support and information and service signposting.
  • Young Onset Dementia - joint multi-disciplinary assessment and diagnostic clinic between Old Age Psychiatry and Neurology for people with cognitive illnesses presenting under the age of 60 years, with specialist nurse provision providing support from pre-diagnosis until end of life.
  • Care Home Liaison - specialist nurse provision for individuals living in care home with behavioural and psychological symptoms associated with dementia.
  • Community Assessment and Support Team (CAST) - CPN team providing an Intensive Home Treatment model of assessment and crisis support for older adults.




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