Older people with enduring or recurrent severe mental illness in the Eastern Region of Ireland

Wrigley, Margo; Murphy, Bernadette; Farrell, Martin J.; Cassidy, Brendan; Ryan, Jim

doi:10.1017/s0790966700009952

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…Previous Irish research has highlighted the need to plan for graduates in Ireland following the closure of psychiatric institutions (Wrigley et al 2006a(Wrigley et al , 2006b. Lawlor and colleagues demonstrated that graduates in psychiatry of later life services had higher overall service utilisation than their non-graduate counterparts in the same service which highlighted the debate as to which service should care for this group of patients (Lawlor et al 2006).…”

Section: Introductionmentioning

confidence: 99%

Characteristics of a later life population in a general adult community mental health service setting

O’Sullivan

Cosgrave

Butler

et al. 2021

Ir. j. psychol. Med.

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Objectives: Globally, increasing life expectancy has escalated demands on psychiatric services caring for a later life population. It is recognised that those with enduring mental illness may have specific needs with advancing age. In this study, we describe the characteristics of a population aged over 60 years attending a general adult community psychiatric service and compare demographic and clinical features across age and diagnostic categories. The study aims to gather preliminary information which may guide future local mental health service planning. Methods: We conducted a cross-sectional observational study using retrospective chart review of all patients aged over 60 years attending four community mental health teams in North Dublin. Cohorts of attenders were stratified by age comparing 60–64 year age group with the population aged 65 years and over. Attenders were also stratified by diagnosis and regression analysis was used to determine predictors of psychotic disorder diagnosis. Results: The study included 127 patients. There was a higher prevalence of psychotic disorders among those aged 65 years and over (n = 73), while those aged 60–64 years (n = 54) were more likely to have depression and non-affective, non-psychotic disorders. Among the population aged 65 years and over 78% (n = 57) were long-term psychiatric service attenders. Conclusions: The majority of the sample aged 65 years and over were long-term service attenders with a diagnosis of severe mental illness. Further research is warranted to determine optimal service delivery for later life psychiatric service attenders.

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Section: Introductionmentioning

confidence: 99%

Characteristics of a later life population in a general adult community mental health service setting

O’Sullivan

Cosgrave

Butler

et al. 2021

Ir. j. psychol. Med.

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An audit of new long-stay patients in Irish psychiatric inpatient services

Daly

Walsh

2009

Ir. j. psychol. Med.

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Objectives: The most recent census of psychiatric inpatients (Daly and Walsh, 2006) examined the decline of the long-stay population (both new and old long-stay) from 1963 to 2006. The aim of the present study was to identify new long-stay patients (patients in hospital between one and five years) in the 2006 psychiatric in-patient census and follow them up one year later to determine the number remaining as inpatients, ie. not having been dischargedMethods: New long-stay patients were extracted from the 2006 psychiatric inpatient census data base and were followed up one year later.Results: Sixty-eight per cent (315/460) of new longstay patients on 31/03/06 were still resident in units and hospitals one year later on 31/03/07, the majority in psychiatric hospitals Forty-two per cent (133/315) of patients had a primary diagnosis of schizophrenia, 13% (40/315) of depressive disorder, 11% (33/315) of organic mental disorder and 8% of intellectual disability (24/315). The number of new long-stay patients discharged or who died showed a sharp decline on previous years.Conclusions: Unless current services are improved and extended as advocated in A Vision for Change, it will be a number of years before this population leaves psychiatric hospitals and such hospitals can close because of the lack of suitable alternatives. In accordance with policy recommendations, the continuing requirement for the development of specialised rehabilitation services to cater for the broad needs of those who remain in psychiatric hospitals is of the utmost importance.

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Older people with enduring or recurrent severe mental illness in the Eastern Region of Ireland

Cited by 2 publications

References 8 publications

Characteristics of a later life population in a general adult community mental health service setting

Characteristics of a later life population in a general adult community mental health service setting

An audit of new long-stay patients in Irish psychiatric inpatient services

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