{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T03:40:58Z","timestamp":1777434058583,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,7,25]],"date-time":"2024-07-25T00:00:00Z","timestamp":1721865600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe implementation of the Pathways to Community Living Initiative (PCLI) within an Older People\u2019s Mental Health (OPMH) service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A retrospective observational study was conducted. Implementation comprised partnership with a specialist Residential Aged Care Facility (RACF). Data were obtained from Clinical Advisory Committee (CAC) discussion and minutes, the PCLI database, and consumer medical records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eighteen consumers were accepted onto the program between April 2019 and March 2023. Their PCLI and rating scale outcomes alongside interventions facilitating placements are described. Interventions included OPMH case management, wide-reaching liaison, and inservices. Challenges included communication, confusion regarding roles, and differing views on capacity to accommodate complex consumers. Solutions included streamlining communication, including clinical updates in the CAC, facility appointment of a lead PCLI-nurse, and targeted RACF education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Considered interventions strengthened the OPMH and specialist RACF partnership over time. Clarification of professional roles and intersection with other services was crucial. Successful placement for PCLI consumers required consideration of personalised needs and existing resident mix, liaison with stakeholders, and targeted staff training. These strategies may apply to other health services implementing similar initiatives supporting community placements for OPMH consumers with complex needs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562241268139","type":"journal-article","created":{"date-parts":[[2024,7,25]],"date-time":"2024-07-25T22:43:40Z","timestamp":1721947420000},"page":"423-430","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Pathways to Community Living Initiative (PCLI) for older adults: implementation and outcomes"],"prefix":"10.1177","volume":"32","author":[{"given":"Rowena","family":"Kellett","sequence":"first","affiliation":[{"name":"Older People\u2019s Mental Health, Sydney Local Health District, c\/o Camperdown Community Health Centre, Camperdown, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lillian","family":"Findlay","sequence":"additional","affiliation":[{"name":"Older People\u2019s Mental Health, Sydney Local Health District, c\/o Camperdown Community Health Centre, Camperdown, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Lubbe","sequence":"additional","affiliation":[{"name":"Older People\u2019s Mental Health, Sydney Local Health District, c\/o Camperdown Community Health Centre, Camperdown, NSW, Australia"},{"name":"Specialty of Psychiatry, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7811-5225","authenticated-orcid":false,"given":"Anne PF","family":"Wand","sequence":"additional","affiliation":[{"name":"Older People\u2019s Mental Health, Sydney Local Health District, c\/o Camperdown Community Health Centre, Camperdown, NSW, Australia"},{"name":"Specialty of Psychiatry, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia"},{"name":"Discipline of Psychiatry and Mental Health, Faculty of Medicine and Health, University of New South Wales, Randwick, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,7,25]]},"reference":[{"key":"bibr1-10398562241268139","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.114.048470"},{"key":"bibr2-10398562241268139","unstructured":"Holloway F.\n                      The forgotten need for rehabilitation in contemporary mental health services: a position statement from the executive committee of\n                      the faculty of rehabilitation and social psychiatry. London, United Kingdom: Royal College of Psychiatrists, 2005. Available at: https:\/\/www.rcpsych.ac.uk\/docs\/default-source\/members\/faculties\/rehabilitation-and-social-psychiatry\/rehab-fr-rs-04.pdf?sfvrsn=8d0a0307_4 (Accessed 25.7.23)."},{"key":"bibr3-10398562241268139","unstructured":"NSW Ministry of Health.\n                      \u201c\n                      My choice\u201d pathways to community living initiative, project development guidelines. St Leonards, NSW, Australia: NSW Ministry of Health, 2016. Available at: https:\/\/www.health.nsw.gov.au\/mentalhealth\/resources\/Publications\/pcli-final-evaluation-report.pdf"},{"key":"bibr4-10398562241268139","volume-title":"Living well: a strategic plan for mental health in NSW 2014-2024, Sydney, NSW mental health commission","author":"NSW Mental Health Commission","year":"2014"},{"key":"bibr5-10398562241268139","volume-title":"Pathways to community living initiative: spotlight on reform, Sydney, mental health commission of NSW","author":"Mental Health Commission of NSW: Paving the way home: Lessons from My Choice","year":"2018"},{"key":"bibr6-10398562241268139","volume-title":"Pathways to community living initiative \u2013 final evaluation report","author":"Williams K","year":"2021"},{"key":"bibr7-10398562241268139","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291702006074"},{"key":"bibr8-10398562241268139","doi-asserted-by":"publisher","DOI":"10.1177\/10398562231211140"},{"key":"bibr9-10398562241268139","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2008.01211.x"},{"key":"bibr10-10398562241268139","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2021-014345"},{"key":"bibr11-10398562241268139","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-019-0910-6"},{"key":"bibr12-10398562241268139","unstructured":"The National Coalition on Mental Health and Aging.\n                      Integrating older adult behavioral health into long-term care rebalancing opportunities and recommendations for funders: public health agencies and managed care organizations, United States of America, the national coalition on mental health and aging\n                      . United States of America: The National Coalition on Mental Health and Aging, 2017. Available at: https:\/\/efaidnbmnnnibpcajpcglclefindmkaj\/https:\/\/www.ncmha.org\/wp-content\/uploads\/2019\/04\/2017-NCMHA-Report-on-Integrating-Older-Adult-Behavioral-Health-into-Long-Term-Care-Rebalancing.pdf (Accessed 23.5.24)."}],"container-title":["Australasian Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562241268139","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10398562241268139","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562241268139","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:52:41Z","timestamp":1777377161000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10398562241268139"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,25]]},"references-count":12,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1177\/10398562241268139"],"URL":"https:\/\/doi.org\/10.1177\/10398562241268139","relation":{},"ISSN":["1039-8562","1440-1665"],"issn-type":[{"value":"1039-8562","type":"print"},{"value":"1440-1665","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,25]]}}}