Abstract:
BACKGROUND:Psychiatric illness is common in older people in general hospitals, but little is known of the service models operating in the UK, or of the views of old age psychiatrists regarding service provision in this area. We set out to determine the range of UK old age psychiatry service models for older people in general hospital wards, and the opinions of clinicians on future service priorities and development. METHOD:A postal questionnaire survey of old age psychiatrists providing psychiatric services to older people in general hospital wards. RESULTS:73% of services were provided through a generic, sector-based, consultation psychiatry model. The remaining 27% employed a range of general hospital-based liaison psychiatry services for older people, involved in proactively seeking referrals and educating general hospital staff. Those providing a generic sector-based model were significantly slower at responding to referrals. 89% of respondents were unhappy with their service to older people in general hospital wards, with only 11% preferring the generic sector-based model. Organisational barriers to change identified included the management of mental health care and physical care by different organisations. Training, both of psychiatric staff in this specialist area, and of general hospital staff in the detection and basic management of common psychiatric conditions in the general hospital setting, was felt to be necessary. CONCLUSIONS:The management of co-morbid psychiatric and physical illness in older people is an important issue for health services. Old age psychiatrists are unhappy with the prevalent, reactive, consultation-based model, preferring a range of liaison psychiatry models based in the general hospital. The most important barriers to service development in this area were the separate managerial arrangements for psychiatric and physical care services, and a lack of evidence for effective old age psychiatry services in this setting.
journal_name
Int J Geriatr Psychiatryjournal_title
International journal of geriatric psychiatryauthors
Holmes J,Bentley K,Cameron Idoi
10.1002/gps.911subject
Has Abstractpub_date
2003-08-01 00:00:00pages
716-21issue
8eissn
0885-6230issn
1099-1166journal_volume
18pub_type
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journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章,多中心研究
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abstract:OBJECTIVE:To establish the factor structure, reliability and validity of a brief CESD scale among Community dwelling older adults in Singapore. METHOD:Data were derived from interviews conducted among 1,013 randomly selected non-institutionalized older adults aged 65 years and above in Singapore. First, Confirmatory F...
journal_title:International journal of geriatric psychiatry
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journal_title:International journal of geriatric psychiatry
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journal_title:International journal of geriatric psychiatry
pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章,随机对照试验
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journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章
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journal_title:International journal of geriatric psychiatry
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journal_title:International journal of geriatric psychiatry
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更新日期:1997-05-01 00:00:00
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journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章
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更新日期:2000-09-01 00:00:00
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更新日期:2009-07-01 00:00:00
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更新日期:2007-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1002/gps.2684
更新日期:2012-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1002/gps.5304
更新日期:2020-07-01 00:00:00
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pub_type: 杂志文章
doi:10.1002/gps.2650
更新日期:2011-11-01 00:00:00
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doi:10.1002/gps.1874
更新日期:2008-03-01 00:00:00
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更新日期:2012-01-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2016-09-01 00:00:00