Professor Sube Banerjee MBBS MD MSc FRCPsych
Professor of Mental Health and Ageing
Clinical Director MHOA, South London and Maudsley NHS Foundation Trust
Head, Centre for Inovation and Evaluation in Mental Health
|contact this person|
|tel||020 7848 0012|
|fax||020 7848 5056|
Institute of Psychiatry
David Goldberg Centre
|departments||Health Service and Population Research|
|also||Centre for Innovation and Evaluation in Mental Health|
Sube Banerjee trained in psychiatry at Guy’s and the Institute of Psychiatry, and in epidemiology at the London School of Hygiene and Tropical Medicine. He is Professor of Mental Health and Ageing in the Health Service and Population Research Department at the Institute of Psychiatry, King’s College London where he directs its Centre for Innovation and Evaluation in Mental Health.
Clinically he works as a consultant old age psychiatrist in south London and is Clinical Director of old age psychiatry at the South London and Maudsley NHS Foundation Trust. He developed and directs the Croydon Memory Service which is a team focussed on improving early diagnosis and treatment of dementia. He was the Department of Health’s senior professional advisor on older people’s mental health for three years where he led the development of its National Dementia Strategy. He also completed the Ministerial review into the use of antipsychotics in people with dementia.
He has more than 90 peer reviewed publications and his main research interests include: quality of life in dementia; carer research; randomised controlled trials; the interface between health and social services; the organisation and delivery of mental health services; and the development of strategies for their evaluation. A further focus of work is the interface between policy, research and practice.
activities and interests
The basis of the section’s research interests is a desire to improve the quality of life and care of older people with mental health problems. The process for achieving this is by first identifying and understanding of the problems faced by older people with mental health problems and their carers; second formulating effective, generalisable ways of addressing the problems identified; third evaluating the impact of these interventions; and finally disseminating the data and lessons derived.
Our plan of work is therefore essentially practical and designed to be of clinical relevance. However to meet these aims there is need for the work to be of the highest scientific standard and all the work is underpinned by the knowledge and conceptual framework provided by the discipline of clinical epidemiology.
Our research plan for the next five years builds on work completed to date and which taken as a whole are designed to be a coherent programme of health services research in old age mental health, it can be summarised in four specific sections:
1. Quality of life in dementia – the experience of people with dementia and their carers is more than the sum of cognitive and behavioural measures. New treatments for dementia demand sound methodologies with which to measure quality of life in dementia in response to treatments and in the general population. To this end we have produced DEMQOL a disease specific quality of life measure for dementia, this has person with dementia and carer components and is based on the soundest of psychometric developments. Research Plans in this area include:
· Study of the natural history of quality of life in dementia
· Development of a utility and monetary weighted instrument DEMQOL-U
· Studies of the responsiveness of DEMQOL
· Studies of the impact of clinical service provision on quality of life in dementia
2 The impact of dementia on people with the disorder and their carers – what do people with dementia and the people that care from them need, what do we provide and how do we resolve any conflict between the two? We have completed the EUROCARE and ALONGSIDE studies. The latter is in the final stages of analysis but there are clear avenues for further research they include the following:
· Evaluation of a novel dementia service including workforce change, eg nurse prescribing in dementia, work at the primary/secondary care interface, dementia support workers
· Qualitative study of barriers to care for people with dementia and their carers in three ethnic groups
· Qualitative study of what people want in dementia and what they would be willing to risk with new interventions (in development)
3 Depression in later life – depression is the most common mental disorder of later life, it is devastating in its impact yet only 10-20% of those with depression receive anything in the way of active treatment. Why, and what should we do about it? This was where I started in research and it is important that there continues to be a focus on depression as vast research resources are made available for work on dementia fuelled by the pharmaceutical industry. The plan of work in this area includes:
· Qualitative study of barriers to care for older people with depression in three ethnic groups
· Two RCTs the first to treat depression post hip fracture and the second to prevent depression post hip fracture (funded by PPP Healthcare Trust)
· A multicentre trial of the treatment of depression in the disabled elderly at home (in development)
4 Evaluation of service developments for older people with mental health problems – how do we provide services for older people with mental disorder and how can we improve them? Knowledge is a necessary first step on the road to service improvement. My work as Clinical Director has synergies with my role as a researcher, work in this area includes:
· Evaluation of the Croydon Dementia Service
· Evaluation of the Lambeth whole-service reconfiguration
· The effect of internal consultancy on system change
· A longitudinal study of the determinants and outcome of living in squalor
|Lecturer||Mental Health Service and Population Research » Masters (MSc)|
|Lecturer||Psychiatric Research » Masters (MSc)|
Banerjee S, Shamash K, Macdonald A, Mann A (1996). Randomised controlled trial of effect of intervention by psychogeriatric team on depression in frail elderly people at home. British Medical Journal; 313: 1058-1061.
Abas M, Phillips C, Carter J, Walter J, Banerjee S, Levy R (1998). Culturally sensitive validation of screening questionnaires for depression in older african-carribean people living in South London. British Journal of Psychiatry, 173, 249-254.
Schneider J, Murray J, Banerjee S, Mann A (1999). EUROCARE: a cross national study of co-resident spouse carers for people with Alzheimer’s Disease I - factors associated with carer burden. International Journal of Geriatric Psychiatry, 14, 665-661.
Murray J, Schneider J, Banerjee S, Mann A (1999). EUROCARE: a cross national study of co-resident spouse carers for people with Alzheimer’s Disease II - a qualitative analysis of the experience of caregiving. International Journal of Geriatric Psychiatry, 14, 662-667.
Robertson M, Banerjee S, Kurlan R et al (1999). The Tourette Syndrome Diagnostic Confidence Index: development and clinical associations. Neurology, 53, 2108-2112.
Killaspy H, Banerjee S, King M, Lloyd M (2000). A prospective controlled study of psychiatric non-attendance: characteristics and outcome. British Journal of Psychiatry, 176. 160-172.
Halliday G, Banerjee S, Philpot M, Macdonald A (2000). A community study of people living in squalor. Lancet, 355, 882-886.
10/66 Dementia Research Group (2000). Methodological issues for population based research into dementia in developing countries. International Journal of Geriatric Psychiatry, 15, 21-30.
Hornsey H, Banerjee S, Zeitlin H, Robertson M (2001). The prevalence of Tourette Syndrome in 13 to 14 year olds in mainstream schools. Journal of Child Psychology and Psychiatry, 42, 1035-1039.
Sheehan B, Philpot M, Banerjee S (2002). Attributions of physical symptoms in patients of an old age psychiatry service. International Journal of Geriatric Psychiatry, 17, 61-64.
Schneider J, Hallam A, Murray J, Foley E, Atkin L, Banerjee S, Islam MK, Mann A (2002). Formal and informal care for people with dementia: factors associated with service receipt. Ageing and Mental Health, 6, 255-265.
Schneider J, Hallam A, Murray J, Foley E, Atkin L, Banerjee S, Islam MK, Mann A (2003). Formal and informal care for people with dementia: investigating changes in costs over time. Ageing and Society, 23, 203-326.
Banerjee S, Murray J, Foley B, Atkins L, Schneider J, Mann A (2003). Predictors of institutionalisation in older people with dementia. Journal of Neurology Neurosurgery and Psychiatry, 74, 1315-1516.
O’ Herlihy A, Worrall A, Lelliott P, Jaffa A, Hill P, Banerjee S (2003). Distribution and characteristics of in-patient child and adolescent mental health services in England and Wales. British Journal of Psychiatry, 183: 547-51.
Worrell A, O’Herlihy A, Banerjee S, Jaffa T, Lelliott P, Hill P, Scott A, Brook H (2004). Inappropriate admission of young people with mental disorder to adult psychiatric and paediatric wards. BMJ, 328: 867.
Eapen V, Fox-Hiley P, Banerjee S, Robertson M (2004). Clinical features and associated psychopathology in a Tourette syndrome cohort. Acta Neurologica Scandinavica. 109: 255-60
O’Herlihy A, Worrall A, Lelliott P, Jaffa A, Mears A, Banerjee S, Hill P (2004). Characteristics of the Residents of In-Patient Child and Adolescent Mental Health Services in England and Wales. Clinical Child Psychology and Psychiatry , 9: 579-588
McCrae N, Murray J, Banerjee S, Huxley P, Bughra D, Tylee A, Macdonald A (2005). “They’re all depressed, aren’t they?” A qualitative study of social care workers and depression in older adults. Ageing and Mental Health, 9(6): 508-16.
Evans S, Gately C, Huxley P, Smith A, Banerjee S (2005). Assessment of quality of life in later life: development and validation of the QuiLL. Quality of Life Research, 14(5):1291-300.
Smith SC, Lamping DL, Banerjee S, Harwood R, Foley B. Smith P et al (2005) Measurement of health-related quality of life for people with dementia: development of a new instrument (DEMQOL) and an evaluation of current methodology. Health Technology Assessment Volume 9. issue 10.
Burns A, Ballard C, Banerjee S et al (2005). The clinical use of memantine. Research and practice in Alzheimer’s Disease, 10, 1-17.
Smith S, Murray J, Banerjee S, et al (2005). What constitutes health related quality of life in dementia? Development of a conceptual framework for people with dementia and their carers. International Journal of Geriatric Psychiatry, 20, 889-895.
Lawrence V, Murray J, Banerjee S, Turner S, Sangha K, Byng R, Bhugra D, Huxley P, Tylee A, Macdonald A (2006). Concepts and Causation of Depression: A Cross-Cultural Study of the Beliefs of Older Adults. The Gerontologist, 46: 23-32.
Banerjee S, Smith SC, Lamping DL, Harwood RH, Foley B, Smith P, Murray J, Prince M, Levin E, Mann A, Knapp M (2006). Quality of life in dementia: more than just cognition. An analysis of associations with quality of life in dementia. Journal of Neurology Neurosurgery and Psychiatry, 77, 146-148.
Murray J, Banerjee S, Byng R, Tylee A, Macdonald A (2006). Primary care professionals’ perceptions of depression in older people: a qualitative study. Social Science and Medicine, 63, 1363-1373.
Lawrence V, Banerjee S, Bhugra D, Sangha K, Turner S, Murray J (2006). Coping with depression in later life: a qualitative study of help-seeking in three ethnic groups. Psychological Medicine, 36, 1375-1384.
Oude Voshaar RC, Banerjee S, Horan M, Baldwin R, Pendleton N, Proctor R, Tarrier N, Woodward Y, Burns A (2006). Fear of falling: more important for functional recovery after surgery for hip fracture in older people than pain and depression. Psychological Medicine, 36(11): 1635-45
Geldmacher D, Frolich L, Doody R, Erkinjuntti T, Vellas B, Jones R, Banerjee S, Lin P, Sano M (2006). Realistic Expectations for Treatment Success in Alzheimer’s Disease. Journal of Nutrition, Health, and Aging 10(5):417-29.
Evans S, Banerjee S, Leese M, Huxley P (2007). The impact of mental illness on quality of life: A comparison of severe mental illness, common mental disorder and healthy population samples. Quality of Life Research; 16(1): 17-29
Slade M, Pinfold V, Rapaport J, Bellringer S, Banerjee S, Kuipers E, Huxley P (2007). Best practice when service users do not consent to sharing information with carers: national multi-method study. British Journal of Psychiatry, 190:148-155.
McCrae N, Banerjee S, Prior S, Silverman M (2007). Perceptions of quality of work environment by nurses in a mental health service for older adults: community and institutional settings compared. Archives of Psychiatric Nursing; 21(1):17-24.
Burns A, Banerjee S, Morris J, Woodward Y, Baldwin R, Proctor R, Tarrier N, Pendleton N, Sutherland D, Andrew G, Horan M (2007). Treatment and prevention of depression after surgery for hip fracture in older people: randomized controlled trials. Journal of the American Geriatrics Society; 55(1):75-80.
Smith S, Lamping D, Banerjee S, et al (2007). The development of a new measure of health related quality of life for people with dementia: DEMQOL. Psychological Medicine; 37: 737-746.
Voshaar RC, Banerjee S, Horan M, Baldwin R, Pendleton N, Proctor R, Tarrier N, Woodward Y, Burns A. (2007). Predictors of incident depression after hip fracture surgery. American Journal of Geriatric Psychiatry 15(9):807-14
Banerjee S, Willis R, Matthews D, Contell F, Chan J, Murray J (2007). Improving the quality of dementia care – an evaluation of the Croydon Memory Service Model. International Journal of Geriatric Psychiatry 22(8):782-8.
Chan J, Draper B, Banerjee S (2007). Deliberate self-harm in older adults: a review of the literature from 1995 to 2004. International Journal of Geriatric Psychiatry, 22(8):720-32.
Banerjee S (2007). The development of a new measure of health related quality of life for people with dementia -- DEMQOL – use in research and clinical practice. Journal of Alzheimer’s Disease and Dementia, 3(3), 116-171.
Castro-Costa E, Dewey M, Stewart R, Banerjee S, Huppert F, Lima C et al (2007). Prevalence of depressive symptoms and syndromes in later life in ten European countries. British Journal of Psychiatry, 191:393-401.
Castro-Costa E, Dewey M, Stewart R, Banerjee S, Huppert F, Lima C et al (2008) Ascertaining late-life depressive symptoms in Europe: an evaluation of the survey version of the EURO-D scale in 10 nations. International Journal of Methods in Psychiatric Research; 17(1): 12-29.
Lawrence V, Murray J, Sampsi K, Banerjee S (2008). Attitudes and support needs of Black Caribbean, south Asian and White British carers of people with dementia in the UK. British Journal of Psychiatry, 193(3): 240-6.
McCrae N, Banerjee S, Murray J, Prior S, Silverman AM (2008). An extra pair of hands? A case study of the introduction of support workers in community mental health teams for older adults. Journal of Nursing Management; 16(6): 734-43.
Banerjee S, Samsi K, Petrie CD, Alvir J, Treglia M, Schwam EM, del Valle M (2009). What do we know about quality of life in dementia? A review of the emerging evidence on the predictive and explanatory value of disease specific measures of health related quality of life in people with dementia. International Journal of Geriatric Psychiatry, 24, 15-25.
Willis R, Chan J, Murray J, Matthews D, Banerjee S (2009). People with dementia and their family carers’ satisfaction with a memory service: a qualitative evaluation generating quality indicators for dementia care. Journal of Mental Health, 18, 26-37.
Lawrence V, Murray J, ffytch D, Banerjee S (2009). Experiences and needs of people with severe sight loss and dementia: a qualitative study. International Psychogeriatrics [Epub ahead of print]
Gavrilova SI, Ferri CP, Mikhaylova N, Sokolova O, Banerjee S, Prince M (2009). Helping carers to care-The 10/66 dementia research group’s randomized control trial of a caregiver intervention in Russia. Int J Geriatr Psychiatry. [Epub ahead of print]
Banerjee S, Wittenberg R (2009). Clinical and cost effectiveness of services for early diagnosis and intervention in dementia. Int J Geriatr Psychiatr, [epub ahead of print].
Jones R, Sheehan B, Phillips P, Juszczak E, Adams J, Baldwin A, Ballard C, Banerjee S et al (2009). DOMINO-AD protocol: donepezil and memantine in moderate to severe Alzheimer’s disease – a multicentre RCT. BioMed Trials, 10, 57.
Banerjee S, Willis R, Graham N, Gurland B (2010). ADI-QOL: a cross-national population-level framework for assessing the quality of life impacts of services and policies for people with dementia and their family carers. International Journal of Geriatric Psychiatry (epub)
Lawrence V; Banerjee S (2010). Improving care in care homes: a qualitative evaluation of the Croydon Care Home Support Team. Aging and Mental Health (in press).
Guerra MD, Ferri CP, Fonseca M, Banerjee S, Prince M (2010). Helping carers to care – the 10/66 dementia research group’s randomized control trial of a caregiver intervention in Peru. Revista Brasileira de Psiquiatria (in press).
Banerjee S (2010). Living Well with Dementia - development of the National Dementia Strategy for England. International Journal of Geriatric Psychiatry (in press)
last updated: Tuesday, February 09, 2010