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The prevalence and correlates of capacity to consent to a geriatric psychiatry admission
- Authors:
- MUKHERJEE S., SHAH A.
- Journal article citation:
- Aging and Mental Health, 5(4), November 2001, pp.335-339.
- Publisher:
- Taylor and Francis
Reports on a study to ascertain the prevalence and correlates of the lack of capacity to consent to geriatric psychiatry inpatient admission. All consecutive acute inpatient admissions to a geriatric psychiatry unit over a six-month period were examined by an independent research psychiatrist (SM). The overall prevalence of lack of capacity to consent to geriatric psychiatry inpatient admission was 48%. It was associated with a diagnosis of dementia, increased severity of cognitive impairment, reduced insight and detention under the Mental Health Act. These findings require replication in a larger multi-centre study. A large number of psychiatric patients are informally admitted despite lacking the capacity to consent to the admission because they do not dissent. These patients do not enjoy the safeguards available under the Mental Health Act.
Cost comparison of out-patient and home-based geriatric psychiatry consultations in one service
- Author:
- SHAH A.
- Journal article citation:
- Aging and Mental Health, 1(4), November 1997, pp.372-376.
- Publisher:
- Taylor and Francis
Describes a study comparing the costs of home-based and hospital-based out-patient clinic consultations in an established geriatric psychiatry service. The cost of home-based and out-patient-based consultations were similar for both new and follow-up patients. Although home-based consultations have many advantages over hospital-based out-patient consultations, a prospective randomised study with cost-effectiveness analysis, involving several centres, is proposed.
The characteristics of ethnic elders from the Indian subcontinent using a geriatric psychiatry service in West London
- Authors:
- REDELINGHUYS J., SHAH A.
- Journal article citation:
- Aging and Mental Health, 1(3), August 1997, pp.243-247.
- Publisher:
- Taylor and Francis
Reports on a cross-sectional comparative study examining the demographic, social and clinical characteristics of Indian subcontinent origin elders with mental illness. Of the patients in the study, 17 per cent were of Indian subcontinent origin compared to 7 per cent in the general population. Comparison with indigenous patients revealed that ethnic elders were younger, had more children, had more people living in their household and were more likely to have schizophrenia. There were no differences with regard to use of health and social service resources between the ethnic and indigenous elders. Findings do not support the traditional myth that ethnic elders do not adequately access services and that these individuals are primarily cared for by extended families.