{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T23:44:06Z","timestamp":1781739846405,"version":"3.54.5"},"reference-count":56,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T00:00:00Z","timestamp":1722297600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"NIHR Applied Research Collaboration North West Coast"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Qual Health Res"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Older adults with bipolar disorder experience distinct challenges compared to younger age groups with bipolar disorder. They potentially require adaptations to the care they receive. This study aimed to explore experiences of care and changing care needs in older adults with bipolar disorder. People with bipolar disorder (aged \u226560) were recruited through three NHS Trusts in the North West of England, charity organisations, a confidential university participant database, and social media. Participants completed single time-point biographical narrative interviews, which were analysed using narrative analysis. Sixteen participants\u2019 accounts led to the creation of four themes: (1) \u2018Navigating the disruption caused by diagnosis\u2019; (2) \u2018The removal of services that provided hope\u2019; (3) \u2018Later life: We are on our own now\u2019; and (4) \u2018Changing care needs in later life: We still need support\u2019. The care needs of older adults with bipolar disorder appear to change over time, and services often fail to offer adequate, tailored care for this group at present. Current support requires adaptation to be effective and appropriate and to enable this group to age well in later life.<\/jats:p>","DOI":"10.1177\/10497323241263043","type":"journal-article","created":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T03:18:52Z","timestamp":1722309532000},"page":"17-30","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["The Changing Care of Older Adults With Bipolar Disorder: A Narrative Analysis"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9808-9725","authenticated-orcid":false,"given":"Aaron","family":"Warner","sequence":"first","affiliation":[{"name":"Institute of Population Health, University of Liverpool, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasper","family":"Palmier-Claus","sequence":"additional","affiliation":[{"name":"Division of Health Research, Spectrum Centre for Mental Health 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