A study of 100 consecutive admissions to a psychogeriatric unit

Gilchrist, Peter; Rozenbilds, Ute Y.; Martin, Elizabeth; Connolly, Helen

doi:10.5694/j.1326-5377.1985.tb122956.x

Cited by 27 publications

(11 citation statements)

References 5 publications

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“…As demonstrated in previous Australian and overseas studies, severe depression is the most frequent principal psychiatric diagnosis requiring admission [3,4,5,7]. The overall principal diagnostic profile is similar to that of previous Australian studies, although there is a slightly lower proportion of organic brain syndromes (30%), with only 10% having dementia [3,4,5].…”

Section: Discussionsupporting

confidence: 82%

“…The overall principal diagnostic profile is similar to that of previous Australian studies, although there is a slightly lower proportion of organic brain syndromes (30%), with only 10% having dementia [3,4,5]. This may be partially related to the presence of a community psychogeriatric team specialising in the community management of dementia.…”

Section: Discussionsupporting

confidence: 77%

“…Indeed the prognosis of depression in the elderly may differ little from that found in younger patients [14, 151. Social outcome was very positive, with two-thirds of admissions being discharged to independent living arrangements. This compares favourably with other studies [4,5]. However hospital admission frequently resulted in a social transition, particularly for those who lived alone at the time of admission, where over a third were discharged to alternative living arrangements such as hostel, family, nursing home.…”

Section: Discussionsupporting

confidence: 74%

“…The overall mean length of stay of 27.5 days was less than that recorded in other studies, although differences are likely to reflect diverse factors that include the type of catchment area, admission policies, availability of community services and effectiveness of the community psychogeriatric team [3,4,7]. About two thirds of the admissions were less than one month in duration, with only one admission longer than 6 months.…”

Section: Discussionmentioning

confidence: 61%

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The Elderly Admitted to a General Hospital Psychiatry Ward

Draper

1994

Aust N Z J Psychiatry

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In this retrospective study of 489 consecutive elderly admissions to a general hospital psychiatry ward, the main aim was to describe the stressors precipitating admission, psychiatric and medical diagnoses, physical treatments used, length of hospitalisation, and clinical and social outcome. Depression was the predominant diagnosis, with length of stay being correlated with depression severity. The main stressor associated with admissions was a change in medical status of the patient. At least two medical diagnoses were present in 70% of admissions, with many new physical illnesses being diagnosed. Significant improvement was found in 81% of admissions at discharge. Two thirds of admissions were discharged into independent living arrangements. While these outcomes suggested effective interventions, management difficulties were noted with the mix of elderly and young patients. It is recommended that acute psychogeriatric wards be developed in the general hospital and be located near geriatric medical wards.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 77%

Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 61%

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The Elderly Admitted to a General Hospital Psychiatry Ward

Draper

1994

Aust N Z J Psychiatry

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“…Depressive disorders represent the most common affective problems found in elderly people (Blazer, 1980;Gilchrist, Rozenbilds, Martin & Connolly, 1985). The prevalence of depressive disorders among older people has been estimated to be between 10 and 15 per cent (Gurland & Cross, 1982;Lehmann, 1982), and more specifically, estimates of its prevalence in long-term care facilities for this population have ranged from 30 to 50 per cent (Blazer, 1982).…”

mentioning

confidence: 99%

A psychometric analysis of a short device for assessing depression in elderly people

Richardson

Hammond

1996

British J Clinic Psychol

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The Schwab-Gilleard Depression Scale is a short self-report index for assessing depression in elderly people. The aim of this study is to investigate the psychometric properties of this device with particular reference to its reliability, criterion validity and ability to discriminate depression from dementia. The total sample comprised 166 elderly people living in Part III residential homes in south-west London. For 111 of these, the Schwab-Gilleard Depression Scale (SGDS), the Geriatric Depression Scale (GDS), the Short-Comprehensive Assessment and Referral Evaluation (CARE), and the Clifton Assessment Procedures for the Elderly (CAPE) were completed. The GDS and CAPE only were completed with the remaining 55 participants. Psychiatric diagnoses were available from the medical notes on each resident. In addition, a subsample of 49 had been assessed using the SGDS and CARE 14 months previously. These data were available for test-retest analyses. The self-rating SGDS was found to be a reliable and valid measure of depression and is recommended for use as a screening tool for depression in elderly people in residential homes.

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