Links not boundaries: service transitions for people growing older with enduring or relapsing mental illness

Royal College of Psychiatrists - RCPsych
Royal College of Psychiatrists
Publication date:
01 January 2009


This report makes a series of recommendations aimed at improving the care of people who are growing old with enduring or relapsing mental illness and who face the possibility of moving between psychiatric services, most commonly from general and community (or rehabilitation) psychiatry to the psychiatry of old age.

The recommendations fall into six main areas:

  • The use of transition protocols
  • Assessment
  • The process of transition
  • The care plan
  • Monitoring
  • Commissioning

 Making the transition between services can be a difficult and worrying time for users and their families. Organisations are advised to consider these recommendations, which have been produced after wide debate to which many people have contributed, and to review their policies and procedures in order to try to improve the experiences of families using their service.

Currently under review October 2014.