Document Detail


Outcome of psychogeriatric intervention in an old-age home: a 3 years follow-up study.
MedLine Citation:
PMID:  10482119     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Psychogeriatrics and especially psychiatric services in nursing and old-age homes are sorely lacking in research. Four years ago we developed and implemented a model for service delivery for old-age homes within our hospitals' catchment area. In the first year of operation 48 of 373 residents (13%) were evaluated and treated by a psychogeriatrician. The aim of the present study was to evaluate outcome of these patients three years later. All patients and medical records were re-assessed. During the three-year period 16/48 subjects (33.3%) passed away; of these half were previously diagnosed as suffering from a major depressive episode. None of the subjects who died had attempted suicide. Following a preliminary diagnosis of affective spectrum disorder, 4/48 patients (8.3%) were re-diagnosed at follow up as suffering from dementia. Full or partial remission of the original symptomatology was achieved in 18/32 surviving subjects (50.7%); mostly depressed or anxious patients. We conclude that although mortality rate among elderly psychiatric patients is high persistent interventions lead to successful remission in the majority of patients.
Authors:
M Swartz; T Martin; M Martin; A Elizur; Y Barak
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists     Volume:  11     ISSN:  1040-1237     ISO Abbreviation:  Ann Clin Psychiatry     Publication Date:  1999 Sep 
Date Detail:
Created Date:  1999-10-21     Completed Date:  1999-10-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8911021     Medline TA:  Ann Clin Psychiatry     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  109-12     Citation Subset:  IM    
Affiliation:
Abarbanel Mental Health Center and the Sackler Faculty of Medicine, Tel Aviv University, Israel.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Delivery of Health Care
Depressive Disorder / diagnosis*,  therapy
Female
Follow-Up Studies
Geriatric Psychiatry*
Humans
Intervention Studies
Male
Mental Health Services*
Nursing Homes
Outcome Assessment (Health Care)*

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


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