MENTAL HEALTH LIAISON – ADVANCED CARE CRITERIA
Used to assess 60-75 year olds for most appropriate service
NB: those >75 without dementia are routinely admitted to Advanced Care Services
Is this a specific medication
Is this a possible dementia or
Are they presenting with 1st symptoms
of psychosis after age 65
Do they have mental health
resulting from a
dementia, or stroke that complicates
management of their mental disorder?
Do they have significant physical
frailty? e.g. ≥6 on
on the clinical
frailty scale? (overleaf)
Suggest MHLT practitioner with specific
skills in working age adult liaison.
1- NICE. Implementing the Early Intervention in Psychosis Access and Waiting Time Standard:
2- Neurodegenerative disorder usually refers to a progressive neurological disorder associated with
Some individuals might present
with a frailty score of 5 and
judgement will be required to
assess the most appropriate
environment. Their frailty will be
a chronic presentation and not
directly related to current mental
health symptoms. They are also
very likely to be identified by
meeting other criteria as above.
1. These criteria are for suggested guidance only and do not replace clinical or
2. The following do not automatically meet AC criteria in their own right:
Cognitive impairment secondary to primary mental disorder (e.g.
schizophrenia or depression)
Acquired brain injury / alcoholic brain injury / Korsakoff’s / learning disability /
treatable causes of organic brain disorder. Although clearly they may well
benefit from complimentary skills provided by an Advanced Care Practitioner.