title: Supportive and palliative care for patients with chronic mental illness including dementia.
abstract: OBJECTIVE
  People with preexisting mental illness are known to have difficulty accessing healthcare services including palliative care and people with dementia have similar issues accessing palliative care.
  
  
  RESULTS
  The review addressed the time period from January 2013 to March 2014. There were few articles addressing issues for palliative and supportive care for patients with preexisting mental health issues. The main factor that would improve care is interdisciplinary working between mental healthcare teams and palliative care teams. In contrast, there were many published articles on the palliative and supportive care needs for people with dementia. These articles included consensus statements, models of care; studies of why models of care, for example Advanced Care Planning were not being implemented; and carer reports of care in the last year of life.
  
  
  CONCLUSIONS
  Urgent research is required as to how support for people with preexisting mental illness who require palliative care can be improved--excellent liaison between mental health and palliative care teams is essential. There is much research on palliative care needs for people with dementia but an apparent lack of innovative approaches to care including care of people within their family home.
authors.affiliation: Academic Palliative and Supportive Care Studies Group, Institute of Psychology, Health and Society, Faculty of Medicine, University of Liverpool, Liverpool, UK.
authors.forename: Mari
authors.initials: M
authors.lastname: Lloyd-Williams
authors.forename: Katharine
authors.initials: K
authors.lastname: Abba
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Crowther
mesh_terms: D032722:Advance Care Planning; D017028:Caregivers; D002908:Chronic Disease; D003704:Dementia / Q000628:therapy; D006801:Humans; D007400:Interprofessional Relations; D001523:Mental Disorders / Q000628:therapy*; D010166:Palliative Care / Q000379:methods*; D010348:Patient Care Team