A comparison of cognitively impaired attenders and their coresident carers at day hospitals and day centres in Aberdeen

Warrington, Jill; Eagles, John M.

doi:10.1002/(sici)1099-1166(199603)11:3<251::aid-gps351>3.0.co;2-6

Cited by 8 publications

(3 citation statements)

References 12 publications

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“…dementia severity, dependency, range of behavioural problems). Furthermore, Warrington and Eagles (1996) found DHs and DCs were equally effective at relieving stress and psychiatric morbidity in carers of people with dementia. Eagles and Warrington (2002) argued that unless the benefits of mental health staff in day care were demonstrated, resources would be focused on using cheaper untrained staff in DHs.…”

Section: Day Hospital Care Versus Day Centre Carementioning

confidence: 99%

Don't seize the day hospital! Recent research on the effectiveness of day hospitals for older people with mental health problems

Hoe

Ashaye

Orrell

2005

Int. J. Geriat. Psychiatry

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SUMMARYBackground Day hospital (DH) care remains a core component of mental health services for older people. However, there has been an ongoing debate about the effectiveness and value for money of DHs in comparison to day centres (DC). Aim The aim was to review the recent research on the effectiveness of day hospitals for older people with mental health problems. Method A systematic search of relevant research literature over the last decade using the major electronic healthcare databases examining the quality and effectiveness of mental health DHs for older people. Results In the last decade the evidence for the effectiveness of DHs has continued to increase, but still lags behind research on DHs in general adult psychiatry and geriatric medicine. The review found that DHs appear effective at assessing and meeting needs and that a systematic approach to evaluating quality can be used to improve services. Conclusion Recent research supports the effectiveness of day hospitals, but further studies are needed in order to provide a more robust evidence base.

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Section: Day Hospital Care Versus Day Centre Carementioning

confidence: 99%

Don't seize the day hospital! Recent research on the effectiveness of day hospitals for older people with mental health problems

Hoe

Ashaye

Orrell

2005

Int. J. Geriat. Psychiatry

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“…Three 104 [107,108],124 found no significant associations between day care use and carer depression, one 118 found a positive effect of day care and one 130 found a negative effect. The study showing a negative effect was a comparison between day hospital attendees and day care attendees with the result that carers of those attending the day hospital were more depressed than carers of those attending day care.…”

Section: Adult Day Carementioning

confidence: 93%

Systematic review of respite care in the frail elderly

Shaw

McNamara²,

Abrams³

et al. 2009

Health Technol Assess

103

152

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How to obtain copies of this and other HTA programme reports An electronic version of this publication, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable CD-ROM is also available (see below).Printed copies of HTA monographs cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our Despatch Agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects. First is the commissioned route. Suggestions for research are actively sought from people working in ...

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“…Old Age Psychiatry day hospitals are not homogenous (Murphy, 1994) and their function in dementia care has been debated (Fasey, 1994;Howard, 1994). They may simply offer respite care relief for families (Murphy, 1994) and whilst this of great importance (Stephenson et al, 1995), day centre care may be of equal value in terms of respite (Currie et al, 1995;Warrington & Eagles, 1996). The present study did not examine day centre care but other cross-sectional studies note that more people with behavioural disturbance attended day hospitals compared with day centres (Collier & Baldwin, 1999;Furness et al, 2000).…”

Section: Measurement Of Intervention Outcomes In Dementiamentioning

confidence: 99%

Defining 'early dementia' and monitoring intervention: What measures are useful in family caregiving?

Richards

Moniz-Cook

Duggan

et al. 2003

Aging & Mental Health

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Measures of cognition are often used to define and measure the progress of dementia and outcomes of intervention. This paper examines whether measures of psychosocial disability used with those of cognition are more useful than measures of cognition alone, particularly in early dementia. A measure of cognition and two instruments of caregiver burden, used as routine clinical outcome measures of three types of Old Age Psychiatry dementia services, were examined. All cases with dementia in a memory clinic (MC; n = 149), a community mental health service for older people (CMHT; n = 120) and a specialist dementia day hospital (DH; n = 118), in one NHS district were followed up at 12 months. Measures of cognition (MMSE), behaviour, caregiver coping (Problem Checklist; PC) and caregiver mood (Hospital Anxiety and Depression Scale; HAD) were taken at baseline (MC, n = 48; CMHT, n = 113; DH, n = 55) and at follow-up (MC, n = 35; CMHT, n = 34; DH, n = 23). At baseline, all three groups had an average MMSE score of "mild impairment" but measures of behaviour and caregiver burden showed subtle between-group differences. At the 12-month follow-up, cognition remained stable in all groups, but the frequency of day-to-day problems increased and caregiver mood deteriorated in families receiving DH support. The use of psychosocial measures of disability in conjunction with those of cognition, are important in the definition and longitudinal measurement of intervention and support in early dementia.

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A comparison of cognitively impaired attenders and their coresident carers at day hospitals and day centres in Aberdeen

Cited by 8 publications

References 12 publications

Don't seize the day hospital! Recent research on the effectiveness of day hospitals for older people with mental health problems

Don't seize the day hospital! Recent research on the effectiveness of day hospitals for older people with mental health problems

Systematic review of respite care in the frail elderly

Defining 'early dementia' and monitoring intervention: What measures are useful in family caregiving?

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