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Dementia known to mental health services: first findings of a case register for a defined elderly population
- Authors:
- HOLMES Clive, COOPER Brian, LEVY Raymond
- Journal article citation:
- International Journal of Geriatric Psychiatry, 10(10), October 1995, pp.875-881.
- Publisher:
- Wiley
The aims and methodology of the population-based Camberwell Dementia Case Register are described. Data collection during the first 18 months of the Register's operation have been used to check the reliability of clinical diagnosis as assessed on the one hand by standardized interview and test procedures and on the other hand from available hospital records; further, to examine the predictive validity of a 'consensus' diagnosis by comparison with the neuropathological findings in deceased patients.
Elder abuse: an overview of recent and current developments
- Author:
- PENHALE Bridget
- Journal article citation:
- Health and Social Care in the Community, 3(5), September 1995, pp.311-320.
- Publisher:
- Wiley
Gives a brief overview of elder abuse and neglect and considers some of the difficulties in both the detection of, and intervention in, abusive situations.
The referral, investigation and diagnosis of presenile dementia: two services compared
- Authors:
- ALLEN Harry, BALDWIN Bob
- Journal article citation:
- International Journal of Geriatric Psychiatry, 10(3), March 1995, pp.185-190.
- Publisher:
- Wiley
The case notes of patients with presenile dementia presenting to a neurology service were compared with patients who had presented to a specialist old age psychiatric department (OAPD). Patients referred to the OAPD were inadequately investigated. Concludes that specialist old age psychiatric services in Britain have a role in the management of patients with presenile dementia but that diagnosis should be by neurologists.
A survey of memory clinics in the British Isles
- Authors:
- WRIGHT Neil, LINDESAY James
- Journal article citation:
- International Journal of Geriatric Psychiatry, 10(5), 1995, pp.379-385.
- Publisher:
- Wiley
Describes the characteristics and activities of 20 memory clinics currently operating in the United Kingdom and Eire. There was broad agreement with regard to aims, objectives and general operating characteristics, but the clinics varied considerably in the number of patients assessed over a given period and the proportion of cases diagnosed with dementia and Alzheimer's Disease in the year prior to the survey.
The TAPS project. 21: functional and organic comorbidity and the effect of cognitive and behavioural disability on the placement of elderly psychiatric inpatients - a whole hospital survey
- Authors:
- ANDERSON Jeremy, TRIEMAN Noam
- Journal article citation:
- International Journal of Geriatric Psychiatry, 10(11), November 1995, pp.959-966.
- Publisher:
- Wiley
Reports a survey by the Team for the Assessment of Psychiatric Services (TAPS) of all inpatients aged 70 years or more resident in Clayburn Hospital, London, for more than 12 months. Of 189 inpatients who completed the assessments, 142 (75%) showed unequivocal, severe cognitive disability. After controlling for age, sex and total length of inpatient stay, patients with a severe degree of reported behavioural problems were almost 23 times more likely to receive specialized psychogeriatric care than other patients. Issues related to measurement of cognitive disability across the disparate diagnosis groups are discussed.
Do general practitioners and old age psychiatrists differ in their attitudes to dementia?
- Authors:
- WOLFF Linda E., WOODS Jonothan P., REID Jean
- Journal article citation:
- International Journal of Geriatric Psychiatry, 10(1), January 1995, pp.63-69.
- Publisher:
- Wiley
Research suggests dementia is still underdiagnosed and referral to specialist occurs late and often in crisis, despite increasing evidence that sufferers and carers want early intervention and advice. A questionnaire designed to survey attitudes to dementia was completed by 35 consultants in old age psychiatry across Scotland and a representative sample of 35 general practitioners in Glasgow. The results indicated that general practitioners' and psychiatrists' attitudes to dementia differed significantly in several aspects. The majority of general practitioners felt that they had little to offer dementia patients, that early referral was unhelpful, that easier access to long-term beds was needed and that the problem was mainly social. In contrast, the majority of consultants supported early referral and diagnosis, strongly felt help could be offered, saw dementia as having both medical and social aspects and were divided regarding ease of admission for continuing care.
Dementia in the community: management strategies for general practice
- Author:
- ALZHEIMER'S DISEASE SOCIETY
- Publisher:
- Alzheimer's Disease Society
- Publication year:
- 1995
- Pagination:
- 34p.
- Place of publication:
- London
A guide designed to help GPs and primary health care teams identify cases of dementia and to help both the patient and carer come to terms with the diagnosis and prognosis. Also looks at methods of assessment and the role of the GP in the provision of community care services.