Meeting the Mental Health Needs of the Aged: The Role of Psychiatric Emergency Services

Simson, Sharon; Wilson, Laura

doi:10.1176/ps.33.10.833

Cited by 11 publications

(15 citation statements)

References 18 publications

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“…We found that 75% of the patients were taking at least one psychotropic treatment, and 50% at least two. Another study found similar rates: 75% [5] .…”

Section: Discussionmentioning

confidence: 66%

“…Elderly patients were predominantly female, as in most studies [5,7,8,10] . Only the two Japanese studies [12,13] found a majority of men, but this seems to be related to the Japanese psychiatric system, in which patients are often brought to treatment by the police.…”

Section: Discussionmentioning

confidence: 92%

“…Affective disorders and schizophrenia were frequent in all studies mentioning psychiatric diagnoses [5,8,10,11,12,13] . F00 -organic, including symptomatic, mental disorders were diagnosed only in 10% of our sample, this is the lowest rate of all studies about older patients in psychiatric emergency service.…”

Section: Discussionmentioning

confidence: 94%

“…The rst study [4] compared 49 patients over 65 years with 49 patients between 40 and 65 years consulting for PES in Philadelphia; compared to middle-aged adults, the elderly were more often new psychiatric patients, more often came with a close accompanying person, had more organic brain disorders and had fewer alcohol-and schizophrenia-related issues. The same year, 180 patients > 60 years who consulted for PES in Philadelphia were assessed [5] . The most frequent diagnoses were organic brain syndrome (45.5%), schizophrenia (25.6%) and depression (13.9%).…”

Section: Introductionmentioning

confidence: 99%

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Characteristics and orientation of elderly patients in the largest French psychiatric emergency centre : a prospective cohort study

Pham‐Scottez

GALLARDA

CALVEZ

et al. 2023

Preprint

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Background Although there is an increasing number of adults older than 60 years old (>60) suffering from psychiatric disorders, there are only few studies about elderly patients in psychiatric emergencies, and no European data. The goal of our study is to describe the population of patients > 60 consulting in the most important French emergency psychiatric centre, and to identify predictive factors of psychiatric hospitalisation. Methods Our study was monocentric and prospective, including 300 consecutive patients > 60. Results Patients > 60 consulting in psychiatric emergencies were more often females and autonomous. More than 40% had a history of at least one psychiatric hospitalisation, and 44% had consulted a psychiatrist in the 6 preceding months. 75% were taking at least 1 psychotropic drug, and 50% at least 2. The most frequent reasons for consultation were depression, anxiety, sleep disorders and suicidal thoughts. Psychiatric disorders were mainly mood disorders, neurotic, stress-related and somatoform disorders, and schizophrenia, schizotypal and delusional disorders. Organic, including symptomatic, mental disorders were diagnosed in only 10% of the total sample. 39% of elderly patients were hospitalised in psychiatry. Factors predicting hospitalisation were a history of psychiatric hospitalisation, suicidal thoughts, and a diagnosis of mood disorder or schizophrenia / schizotypal / delusional disorder. Conclusion Only psychiatric factors intervene in the decision of psychiatric hospitalisation for elderly people consulting in psychiatric emergencies. Socio-demographic characteristics, level of autonomy at home and MMSE score have no influence on the hospitalisation decision. We need more data to better understand the current and future needs of this population.

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“…We found that 75% of the patients were taking at least one psychotropic treatment, and 50% at least two. Another study found similar rates: 75% [5] .…”

Section: Discussionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Characteristics and orientation of elderly patients in the largest French psychiatric emergency centre : a prospective cohort study

Pham‐Scottez

GALLARDA

CALVEZ

et al. 2023

Preprint

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“…The high use of EDs and inpatient services suggests that the reasons for ED services may be psychiatric couched in somatic symptoms. Barriers to comprehensive psychiatric assessment and to adequate care of older adults in general hospital EDs include attitudes of staff toward elderly patients who present to the ED with behavioral problems or cognitive impairments, inadequate time for comprehensive evaluations, and the lack of accessible geropsychiatric specialty care (Colenda, Greenwald, Crossett, Husain, & Kennedy, 1997;Simson & Wilson, 1982). There is a paucity of literature describing GPN practice in hospital or freestanding emergency units, and there are no models of GPN care in EDs described in the literature.…”

Section: Hospitalsmentioning

confidence: 99%

Geropsychiatric Nursing Practice in the United States: Present Trends and Future Directions

Kaas

Beattie

2006

J Am Psychiatr Nurses Assoc

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Demographic trends, diversification of geriatric health care service settings, and advances in education and science call for redefining the context and mission of geropsychiatric nursing (GPN) practice. The challenges of providing preventive, restorative, and palliative care for older adults who move across health care and residential settings demand that geropsychiatric nurses be theoretically well grounded, family centered, expert in multiple assessment skills, and clinically adept across the full biopsychosocial spectrum. This article provides “snapshots” of the educational and career paths that led four nurses into GPN practice. Noting that the extant literature is more descriptive of practice models than suggestive of efficacy, the article offers a series of recommendations that emphasize the need for evaluations of GPN practice.

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Older adult users of outpatient mental health services

Speer

Williams

West

et al. 1991

Community Ment Health J

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Descriptive demographic, clinical and interview data from clients of an outpatient mental health clinic for older adults are presented. These clients are better educated and have a more frequent history of marital difficulties than older adults in general. Although a significant minority received V code and Adjustment Disorder diagnoses, the majority were depressed and had histories of prior mental health services. Economic factors are a major issue in seeking services.

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Meeting the Mental Health Needs of the Aged: The Role of Psychiatric Emergency Services

Cited by 11 publications

References 18 publications

Characteristics and orientation of elderly patients in the largest French psychiatric emergency centre : a prospective cohort study

Characteristics and orientation of elderly patients in the largest French psychiatric emergency centre : a prospective cohort study

Geropsychiatric Nursing Practice in the United States: Present Trends and Future Directions

Older adult users of outpatient mental health services

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