Behavioral and Psychological Symptoms of Dementia of Psychogeriatric Inpatients on Admission to a Psychiatric Hospital

Harper, Lori; Reddon, John R.; Ward, Jennie R.; Lyle, A; Moorthy, Thamarai; Brahim, Asad

doi:10.1300/j018v30n03_04

Cited by 6 publications

(2 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One non-randomised controlled trial (Level III-2) (Chiu et al, 2009) and five single-group pre–post studies (Level IV) reported reduced neuropsychiatric symptoms with specialist inpatient care (Alanen et al, 2015; Cheung and Strachan, 2007; Ekiz et al, 2022; Pitkänen et al, 2018; Taniguchi et al, 2019). One single-group pre–post study reported no effect of inpatient care on neuropsychiatric symptoms (Harper et al, 2007).…”

Section: Resultsmentioning

confidence: 99%

Psychiatric service delivery for older people in hospital and residential aged care: An updated systematic review

Cations

Wilton-Harding

Laver

et al. 2022

Aust N Z J Psychiatry

View full text Add to dashboard Cite

Objective: To review studies reporting on the effectiveness of psychiatry service delivery for older people and people with dementia in hospital and residential aged care. Methods: A systematic search of four databases was conducted to obtain peer-reviewed literature reporting original research published since June 2004 evaluating a psychiatry service for older people (aged 60 years and over) or people with dementia in inpatient or residential aged care settings. Results: From the 38 included studies, there was consistent low-to-moderate quality evidence supporting the effectiveness of inpatient older persons’ mental health wards ( n = 14) on neuropsychiatric symptoms, mood, anxiety and quality of life. Inpatient consultation/liaison old age psychiatry services ( n = 9) were not associated with improved depression, quality of life or mortality in high-quality randomised studies. However, low-quality evidence demonstrated improved patient satisfaction with care and reduced carer stress. The highest quality studies demonstrated no effect of psychiatric in-reach services to residential aged care ( n = 9) on neuropsychiatric symptoms but a significant reduction in depressive symptoms among people with dementia. There was low-quality evidence that long-stay intermediate care wards ( n = 6) were associated with reduced risk for dangerous behavioural incidents and reduced costs compared to residential aged care facilities. There was no effect of these units on neuropsychiatric symptoms or carer stress. Conclusions and implications: The scarcity of high-quality studies examining the effectiveness of old age psychiatry services leaves providers and policy-makers to rely on low-quality evidence when designing services. Future research should consider carefully which outcomes to include, given that staff skill and confidence, length of stay, recommendation uptake, patient- and family-reported experiences, and negative outcomes (i.e. injuries, property damage) are as important as clinical outcomes.

show abstract

Section: Resultsmentioning

confidence: 99%

Psychiatric service delivery for older people in hospital and residential aged care: An updated systematic review

Cations

Wilton-Harding

Laver

et al. 2022

Aust N Z J Psychiatry

View full text Add to dashboard Cite

show abstract

“…Only one single-group pre-post study with high risk of bias (Level IV) reported that there was no change in the frequency of 'challenging behaviour' after three weeks of inpatient admission in a specialised psychogeriatric ward. 44 However, the authors acknowledged that floor effects limited the reliability of their results (that is, very few patients demonstrated any of the behaviours under observation).…”

Section: Neuropsychiatric Symptomsmentioning

confidence: 99%

Psychiatric service delivery for older people with mental disorders and dementia in hospitals and residential aged care

Cations¹,

Wilton-Harding²,

Draper³

et al. 2021

View full text Add to dashboard Cite

This Evidence Check aimed to summarise the evidence on effective models of psychiatry service delivery for older people in four types of hospital and residential / long-stay care services. The review found that hospital mental health wards for older people were effective in improving neuropsychiatric symptoms, mood, anxiety and quality of life. Specialist consultations and liaison services enhanced the quality of hospital care and the adoption of best practice approaches by clinicians. They also reduced hospital stay and carer stress, and increased patient satisfaction with care. The authors compared outcomes for older people being treated in dedicated mental health services with mainstream (or ‘ageless’) mental health services and identified a gap in evidence. The review found the need for more research on psychiatric services in residential and long-stay care settings, and effective care models in particular populations, such as Aboriginal and Torres Strait Islander peoples.

show abstract

PRN Medication Administration in a Geriatric Psychiatric Hospital: Chart Review and Nursing Perspective

Harper¹,

Reddon

Hunt

et al. 2017

Clinical Gerontologist

View full text Add to dashboard Cite

show abstract

Behavioral and Psychological Symptoms of Dementia of Psychogeriatric Inpatients on Admission to a Psychiatric Hospital

Cited by 6 publications

References 20 publications

Psychiatric service delivery for older people in hospital and residential aged care: An updated systematic review

Psychiatric service delivery for older people in hospital and residential aged care: An updated systematic review

Psychiatric service delivery for older people with mental disorders and dementia in hospitals and residential aged care

PRN Medication Administration in a Geriatric Psychiatric Hospital: Chart Review and Nursing Perspective

Contact Info

Product

Resources

About