Treatment of Homebound Mentally Ill Elderly Patients: The Multidisciplinary Psychiatric Mobile Team

Kohn, Robert; Goldsmith, Erika; Sedgwick, Thomas W.

doi:10.1097/00019442-200207000-00013

Cited by 15 publications

(11 citation statements)

References 34 publications

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“…Partnerships (such as implemented in PEARLS (Ciechanowski et al, 2004) can be formed with community agencies that provide needed educational, social, legal, or outreach services for the depressed persons, thus expanding service without duplicating efforts. There is evidence that community-based multidisciplinary geriatric mental health treatment teams are effective (Bartels, Dums, Oxman, Schneider, Areán, Alexopoulos et al, 2002;Kohn, Goldsmith & Sedgwick, 2002). In low-income communities, forming linkages among medical, mental health, social service, and community organizations is challenging because existing relationships are often fragmented, and organizations may have scarce resources, however, collaboration and shared responsibility with community agencies may reduce administrator concern about limited resources for new programs (Torrisi & McDaniel, 2003).…”

Section: Translating Research Into Practice: Recommendationsmentioning

confidence: 99%

Depression Care for the Elderly: Reducing Barriers to Evidence-Based Practice

Ell¹

2006

Home Health Care Services Quarterly

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This paper provides an overview of five key bodies of evidence identifying: (1) Characteristics of depression among older adults -- its prevalence, risk factors and illness course, and impact on functional status, mortality, use of health services, and health care costs; (2) Effective Interventions, including pharmacologic, psychotherapies, care management, and combined intervention models; (3) Known Barriers to depression care including patient, provider and service system barriers; (4) Effective Organizational and Educational Strategies to reduce barriers to depression care; and (5) Key Factors in Translating Research into Practice. There is strong empirical support for implementing strategies to improve depression care for older adults.

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Section: Translating Research Into Practice: Recommendationsmentioning

confidence: 99%

Depression Care for the Elderly: Reducing Barriers to Evidence-Based Practice

Ell¹

2006

Home Health Care Services Quarterly

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“…Among the 18 remaining reports, 14 fulfilled all inclusion criteria and four were excluded because they were published in duplicate. Among the 14 studies in our final sample, five studies were randomized controlled trials ( used a controlled prospective cohort (24), four used an uncontrolled prospective cohort (25)(26)(27)(28), two used an uncontrolled retrospective cohort (29,30), and one provided outcome data on intervention and control cohorts (31)(32)(33).…”

Section: Selection Of Trialsmentioning

confidence: 99%

A Systematic Review of the Effectiveness of Community-Based Mental Health Outreach Services for Older Adults

Citters¹,

Bartels²

2004

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Limited data supported the effectiveness of outreach services in identifying isolated older adults with mental illness. A more substantial evidence base indicated that home-based mental health treatment is effective in improving psychiatric symptoms. Studies are needed that apply more rigorous methods evaluating the efficacy of case identification models and subsequent treatment for older persons with a variety of psychiatric diagnoses.

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“…The team is comprised of a psychiatrist, an internist, social workers, nurses, health aides, and a physical therapist. They provide a comprehensive service of initial assessment, acute intervention, case management, and ongoing treatment (9).…”

Section: Discussionmentioning

confidence: 99%

Rheumatologists on the road: A subspecialist's role in caring for the homebound

Jain¹,

Dasari²,

Soriano³

et al. 2011

Arthritis Care & Research

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Objective. By 2030, the number of permanently homebound individuals in the US will increase by 50% to reach 2 million. However, no medicine subspecialty consult services exist for this rising subset of the population. This pilot program establishes a rheumatology consult service for the Mount Sinai Visiting Doctors, the largest primary care academic home visit program in the nation serving more than 1,000 patients in New York City. Our service addresses the unmet need for homebound patients with rheumatic diseases, and secondarily provides an educational opportunity for trainees in community-based rheumatology. Methods. Using an electronic medical record, home-based primary care physicians sent consult requests to the Rheumatology Division. Initial assessments were made using the Routine Assessment of Patient Index Data 3 (RAPID3) questionnaire. Results. Over 12 months, 57 home visits were made: 31 new consults and 26 followup visits. Reasons for referral included medical management of a known connective tissue disease, question of inflammatory arthritis, and procedures. The demographics for new consults were as follows: 94% women, 45% Hispanic, and 80% between ages 60 and 101 years. Thirty-nine percent of patients had rheumatoid arthritis. Treatment interventions included addition of a diseasemodifying antirheumatic drug in 11 patients, 11 procedures, nonpharmacologic management in 8 patients, and a change in the dose of the existing medication in 5 patients. At the initial evaluation, the average RAPID3 scores for patients reflected high severity of disease. Conclusion. The number of consults and the severity of disease seen highlight the importance of a rheumatologist's role in the community, especially because the number of homebound patients will dramatically increase in the future.

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Treatment of Homebound Mentally Ill Elderly Patients: The Multidisciplinary Psychiatric Mobile Team

Cited by 15 publications

References 34 publications

Depression Care for the Elderly: Reducing Barriers to Evidence-Based Practice

Depression Care for the Elderly: Reducing Barriers to Evidence-Based Practice

A Systematic Review of the Effectiveness of Community-Based Mental Health Outreach Services for Older Adults

Rheumatologists on the road: A subspecialist's role in caring for the homebound

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