Psychiatric Visits to General Hospital Clinics by Elderly Persons and Younger Adults

Blixen, Carol; Lion, Joanna

doi:10.1176/ps.42.2.171

Cited by 9 publications

(8 citation statements)

References 4 publications

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“…The lesser (and broader) co-morbidity may have contributed to the apparent under use of the PES by the elderly. On the whole though, the relative absence of substance abuse (history of and actual diagnosis) and schizophrenia's moderate contribution to the primary diagnostic profile is largely compatible with what has been previously reported [9,12,24,27]. When substance abuse was present alcohol was the overwhelming drug of choice, a finding that may prove useful in the future planning of specialized psychogereatric PESs.…”

Section: Discussionsupporting

confidence: 85%

“…Given this relationship it is possible that the elderly might less frequently visit the PES for minor psychiatric symptoms. With few exceptions [9], most studies assessing PES use by the elderly in Canada and in the United-States suggest that they are underrepresented in the overall PES population [10-13]. Furthermore, increases in PES use over time by the elderly have yet to be reported.…”

Section: Introductionmentioning

confidence: 99%

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The elderly in the psychiatric emergency service (PES); a descriptive study

Chaput¹,

Beaulieu

Paradis

et al. 2011

BMC Psychiatry

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BackgroundThe impact of an aging population on the psychiatric emergency service (PES) has not been fully ascertained. Cognitive dysfunctions aside, many DSM-IV disorders may have a lower prevalence in the elderly, who appear to be underrepresented in the PES. We therefore attempted to more precisely assess their patterns of PES use and their clinical and demographic characteristics.MethodsClose to 30,000 visits to a general hospital PES (Montreal, Quebec, Canada) were acquired between 1990 and 2004 and pooled with over 17,000 visits acquired using the same methodology at three other services in Quebec between 2002 and 2004.ResultsThe median age of PES patients increased over time. However, the proportion of yearly visits attributable to the elderly (compared to those under 65) showed no consistent increase during the observation period. The pattern of return visits (two to three, four to ten, eleven or more) did not differ from that of patients under 65, although the latter made a greater number of total return visits per patient. The elderly were more often women (62%), widowed (28%), came to the PES accompanied (42%) and reported « illness » as an important stressor (29%). About 39% were referred for depression or anxiety. They were less violent (10%) upon their arrival. Affective disorders predominated in the diagnostic profile, they were less co-morbid and more likely admitted than patients under 65.ConclusionAlthough no proportional increase in PES use over time was found the elderly do possess distinct characteristics potentially useful in PES resource planning so as to better serve this increasingly important segment of the general population.

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

The elderly in the psychiatric emergency service (PES); a descriptive study

Chaput¹,

Beaulieu

Paradis

et al. 2011

BMC Psychiatry

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“…1996, Badger 1998). When compared with nondepressed elders with similar physical illness, depressed elders have greater use of emergency room services for both psychiatric and nonpsychiatric problems (40% vs. 29%), increased hospital days (25% vs. 14%), have increased outpatient visits (7·7 vs. 5·6) and use twice the medications (Blixen & Lion 1991, Callahan et al . 1994a, 1994b, Neese & Abraham 1997).…”

Section: Introductionmentioning

confidence: 99%

Deciphering the 4 D's: cognitive decline, delirium, depression and dementia – a review

Insel

Badger

2002

Journal of Advanced Nursing

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“…Appropriate clinic referrals afford patients a greater probability of receiving optimum care and coordination of services within the hospital system (Blixen & Lion, 1991). Yet, no investigators have examined referral patterns and characteristics of patients referred in hospital-based outpatient clinics.…”

mentioning

confidence: 99%

Mental Health Problems in Hospital-Based Clinics: Patient Profile and Referral Patterns

Wilkinson¹,

Blixen²,

Mallasch³

et al. 1995

J Am Psychiatr Nurses Assoc

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BACKGROUND: Although several investigators have suggested that the primary care setting has become the "de facto" mental health provider, few researchers have docu mented the psychiatric referral practices of providers in these settings. OBJECTIVE: In this study, the psychiatric referral patterns of hospital-based outpa tient clinics and the needs and characteristics of the referred patient population were examined. DESIGN: After a 4-year retrospective log audit, 2, 678 written referrals were examined for patients 18 years of age and older from a large urban medical center's outpatient clinics to the outpatient psychiatry clinic at the same site. RESULTS: Findings revealed a predominately middle-aged, white, female, Medicaid popu lation referred by physician providers in primary care clinics for signs of depression and associated symptoms. However, of the patients scheduled in the psychiatry clinic, only 56% actually had visits. The average number of visits was five or less. CONCLUSIONS: Early assessment and triage by advanced practice psychiatric nurses can minimize the length of time between psychiatric referral and intervention. By iden tifying those persons in crisis and intervening in a timely fashion, failed appointements may be reduced. U Am PSYCHIATR NURSES Assoc [1995]. 1, 140-145)

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Psychiatric Visits to General Hospital Clinics by Elderly Persons and Younger Adults

Cited by 9 publications

References 4 publications

The elderly in the psychiatric emergency service (PES); a descriptive study

The elderly in the psychiatric emergency service (PES); a descriptive study

Deciphering the 4 D's: cognitive decline, delirium, depression and dementia – a review

Mental Health Problems in Hospital-Based Clinics: Patient Profile and Referral Patterns

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