Search results for ‘Subject term:"older people"’ Sort:
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This is a job for social care
- Author:
- HUNTER Mark
- Journal article citation:
- Community Care, 18.9.08, 2008, pp.30-31.
- Publisher:
- Reed Business Information
Depression among older people often goes untreated. Reasons for poor treatment include low referral rate, age discrimination within services, the separation of mental health services for adults and older people, and the increasing medicalisation of mental health services. The author highlights social care's role in restabilising older people's links with communities and improving their access to support services.
Comparison of liaison psychiatry service models for older patients
- Authors:
- MUJIC Fedza, et al
- Journal article citation:
- Psychiatric Bulletin, 28(5), May 2004, pp.171-173.
- Publisher:
- Royal College of Psychiatrists
At a London teaching hospital, the existing off-site consultation model psychiatric liaison service for older people was replaced with an on-site liaison model service in December 2000. Several indicators of the functioning of the service were audited using identical methods before and after this change. The case-load increased by 50%, but the liaison psychiatrists were more satisfied with the appropriateness of referrals. The case mix did not change. The new service achieved target waiting times more consistently, particularly for urgent referrals. Referring teams were more satisfied with the speed of response, while the new service maintained the salience and clarity of advice. Findings are on the whole favourable, and support the wider introduction of specialist old-age liaison psychiatric services.
Compliance with mental health and other specialty care referrals among Medicare/Mediaid dual enrollees
- Author:
- MOHTABAI Ramin
- Journal article citation:
- Community Mental Health Journal, 41(3), June 2005, pp.339-344.
- Publisher:
- Springer
This America study examines and compares non-compliance with mental health and other specialty referrals among low-income elderly. A survey of 2,128 community-dwelling elderly assessed mental health and other specialty referral in the past year and compliance with these referrals. Non-compliant participants and those who had encountered difficulties in arranging referral appointments were asked about the barriers. Results found 16.7 percent with mental health referrals vs. 4.8 percent with other specialty referrals did not comply. The main reason for non-compliance with mental health referrals was lack of perceived need.
A comparison of methods for the evaluation of mental health day hospitals for older people
- Authors:
- KITCHEN Ginnette, et al
- Journal article citation:
- Journal of Mental Health, 11(6), December 2002, pp.667-675.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
In many countries, day hospitals have become a cornerstone of psychiatric care for the elderly. However, there have been few studies of their working processes and effectiveness. In this study two standardised assessment tools (the World Health Organisation guidelines and the Health Advisory Service 2000 standards and criteria) and a number of process measures of clinical activity, were compared during an evaluation of 10 day hospitals in the UK. The WHO guidelines provided the most detailed assessment but included items, which were less appropriate in the UK. Common problems identified in the day hospitals were the lack of an appropriate range of clinical disciplines, unsuitable physical environments and inappropriate referrals because of the lack of alternative social day care.
Depression in the community dwelling elderly: do clinical and sociodemographic factors influence referral to psychiatry?
- Authors:
- EUSTACE A., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 16(10), October 2001, pp.975-979.
- Publisher:
- Wiley
Little is known about the reasons why depressed elderly patients are referred to the old age psychiatric services. This study examines which clinical and sociodemographic factors influences referral of patients with late life depression from primary care. Twenty-eight people were identified with depression in a day hospital referred by their general practitioner. These were compared with fifty-two people with depression in the community who had not been referred to the psychiatric services. Having a more severe depression and having co-morbid anxiety meant you were more likely to be referred to the day hospital. Gender did not appear to influence referral from general practitioners. Severity of depression and having higher levels of anxiety make it more likely that you will be referred by your general practitioner to the old age psychiatry services.
Mental health service utilization among frail, low-income elders: perceptions of home service providers and elders in the community
- Authors:
- ROGERS Anissa, BARUSCH Amanda
- Journal article citation:
- Journal of Gerontological Social Work, 34(2), 2001, pp.23-38.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study was conducted to determine the extent to which service providers in a community-based care programme in the USA accurately identified and referred elders with symptoms of depression. Interviews were conducted with 79 frail, low-income elders. Reviews of their case files were then conducted to determine first, the extent to which case managers recognised depressive symptoms and second, the extent to which respondents who screened with significant symptoms were referred for mental health services. Results suggest an imperfect association between symptoms and case managers' perceptions and referrals.
The impact of two changes in service delivery on a geriatric psychiatry liaison service
- Authors:
- BAHEERATHAN Mala, SHAH Ajit
- Journal article citation:
- International Journal of Geriatric Psychiatry, 14(9), September 1999, pp.767-775.
- Publisher:
- Wiley
The impact of two changes in service delivery (alteration in the admission policy of the medical unit and the introduction of a formal liaison component to a 'consultation only' liaison geriatric psychiatry service) on the associated liaison geriatric psychiatry was examined in this study. There was a significant decline in the number of referral for each month across the three study phases. Although this study was not designed as a cost-effectiveness study, the results suggest that the liaison component has the potential to be cost-effective.
Access to mental health care in an inner-city health district. II: Association with demographic factors
- Authors:
- COMMANDER M.J., et al
- Journal article citation:
- British Journal of Psychiatry, 170, April 1997, pp.317-320.
- Publisher:
- Cambridge University Press
In addition to clinical and service factors, planners need to take account of the influence of demographic variables, especially ethnicity, on access to mental health care. This article assesses the demographic determinants of access to mental health care in a deprived inner-city area in the West Birmingham Health District. Results found considerable differences in access to mental health care, particularly according to ethnicity. The major impediment to Asians accessing care occurred at the interface between primary and secondary care, whereas the most striking feature for the Afro Caribbean population was the poor level of case recognition by GPs. Concludes that purchasers and providers need to address differential patterns of use when developing and reviewing services.
Improving the care of elderly people with mental health problems: clinical audit project examples
- Authors:
- STEEL Kirsty Maclean, PALMER Claire
- Publisher:
- Gaskell
- Publication year:
- 1999
- Pagination:
- 78p.
- Place of publication:
- London
Contains a selection of clinical audit projects within old age mental health services, all of which have been carried out in practice, with some still in progress. The projects are divided into topics: referrals; assessment; care plans; medication; clinical care; depression, deliberate self harm and suicide; organisational and management processes; and discharge.