Document Detail


Geriatric psychiatry outreach practices in the province of Ontario: the role of the psychiatrist.
MedLine Citation:
PMID:  9598276     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the mode of practice of multidiscliplinary and interdisciplinary teams in the field of geriatric psychiatry in the province of Ontario with specific reference to the role of the psychiatrist on the teams. METHOD: Teams were identified, and a simple questionnaire was developed and submitted to every team at an annual conference. RESULTS: Responses were obtained from 38 out of 47 teams. The composition of the teams is variable as regards size and represented discliplines. Nine teams do not have psychiatrists directly affiliated with them. Eighteen teams, 4 of which are based in teaching hospitals, have fewer than 1 full-time equivalent (FTE) psychiatrist. Among these teams, 4 have fewer than 0.1 FTE psychiatrist and 10 have fewer than 0.5 FTE psychiatrist. Eleven teams include between 1 and 1.5 FTE psychiatrists on their staff. Four teams (10.5%) require that the initial assessment of all patients be undertaken by a psychiatrist. In 18 (47%) of the teams, assessment by a psychiatrist can be infrequent or nonexistent. Discussion of the referral with a psychiatrist occurs in the majority of teams, but in a significant minority (10 [27%]), this occurs quite infrequently or not at all. CONCLUSION: Geriatric psychiatry outreach practices in Ontario involve many different disciplines in the assessment and follow-up of geriatric psychiatry patients, often without the ready availability of psychiatric input. We applaud the expanding roles of different disciplines in this practice. We are concerned, however, at the paucity of psychiatrists working in this field.
Authors:
L Ginsburg; P Hamilton; P Madora; L Robichaud; J White
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Canadian journal of psychiatry. Revue canadienne de psychiatrie     Volume:  43     ISSN:  0706-7437     ISO Abbreviation:  Can J Psychiatry     Publication Date:  1998 May 
Date Detail:
Created Date:  1998-08-10     Completed Date:  1998-08-10     Revised Date:  2007-08-01    
Medline Journal Info:
Nlm Unique ID:  7904187     Medline TA:  Can J Psychiatry     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  386-90     Citation Subset:  IM    
Affiliation:
Kingston Psychiatric Hospital, Ontario. davlyn@limestone.kosone.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Ambulatory Care / manpower*
Female
Forecasting
Geriatric Psychiatry / manpower*
Health Services Needs and Demand / trends
Humans
Male
Ontario
Patient Care Team / statistics & numerical data*
Physician's Role*
Population Growth

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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