Use of Community Support Services by Middle-Aged and Older Patients With Psychotic Disorders

Shaw, William S.; Patterson, Thomas L.; Semple, Shirley J.; Halpain, Maureen C.; Koch, William L.; Harris, M. Jackuelyn; Grant, Igor; Jeste, Dilip V.

doi:10.1176/appi.ps.51.4.506

Cited by 16 publications

(9 citation statements)

References 29 publications

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“…Similar to the findings of Shaw et al (2000), high users of formal community support services (e.g. social services, daily living services and psychological services), in the present study, were more depressed.…”

Section: Impact Of Health/social Service Use On Trajectories Of Depresupporting

confidence: 89%

Trajectories of depression and their relationship with health status and social service use

Chen¹,

Mullan²,

Griffiths³

et al. 2011

Archives of Gerontology and Geriatrics

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This longitudinal study was conducted between 1994 and 2004 in a cohort of Southern Taiwan communityliving elderly residents. The study aims to explore the trajectories of depression and how these patterns differed between respondents who survived and those who died during data collection phases; this study also investigated how health status change and health/social service use predicted the different trajectories of depression. Eight hundred and ten participants had completed all six waves of the survey or were followed-up at each wave until death in the prospective study in Kaohsiung City. Depressive symptoms were evaluated by the Short Psychiatric Evaluation Schedule (SPES). Changes in levels of depression during the ageing process were identified. Different trajectories clearly reflected heterogeneity within depression and the association with mortality. The study highlighted that diabetes, gastrointestinal problems, heart disease and disability, whether at baseline or as new occurrences, were predictors of health decline. High uses of health/social services were also predictive of increased depression. These findings identified depression as a highly dynamic process, characterized by different trajectories of depression between states of no, mild and severe depression. Greater awareness of these various trajectories should potentially improve the prevention and/or management strategies of depression. Taiwan community-living elderly residents. The study aims to explore the trajectories of depression and how these patterns differed between respondents who survived and those who died during data collection phases; this study also investigated how health status change and health/social service use predicted the different trajectories of depression. Eight hundred and ten participants had completed all six waves of the survey or were followed-up at each wave until death in the prospective study in Kaohsiung City. Depressive symptoms were evaluated by the Short Psychiatric Evaluation Schedule (SPES). Changes in levels of depression during the ageing process were identified. Different trajectories clearly reflected heterogeneity within depression and the association with mortality. The study highlighted that diabetes, gastrointestinal problems, heart disease and disability, whether at baseline or as new occurrences, were predictors of health decline. High uses of health/social services were also predictive of increased depression. These findings identified depression as a highly dynamic process, characterized by different trajectories of depression between states of no, mild and severe depression. Greater awareness of these various trajectories should potentially improve the prevention and/or management strategies of depression.

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Section: Impact Of Health/social Service Use On Trajectories Of Depresupporting

confidence: 89%

Trajectories of depression and their relationship with health status and social service use

Chen¹,

Mullan²,

Griffiths³

et al. 2011

Archives of Gerontology and Geriatrics

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“…It has been suggested that utilisation of services is predicted more by functional status rather than severity of psychotic symptoms. Shaw, Patterson & Semple (2000) found that elderly patients with schizophrenia residing in the community utilised services to a level comparable to community patients with AD. McNulty et al (2003) have raised concerns about the serious shortcomings in the standards of hospital and community care for elderly patients with schizophrenia and have identified low spending, shortage of consultants and uncertainty about responsibility of care as reasons for this problem.…”

Section: Psychiatric Service Needsmentioning

confidence: 95%

Older people with chronic schizophrenia

Karim

Overshott

Burns

2005

Aging & Mental Health

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Older people with chronic schizophrenia are a numerically small but important group with complex clinical and service needs. Along with a reduction in positive schizophrenic symptoms with increasing age, a majority suffer from negative symptoms, cognitive deficits, depression, side effects due to long-term use of antipsychotics and co-morbid medical problems. They may have social disabilities making them vulnerable to poverty, isolation and poor quality of life. Evidence suggests that judicious use of antipsychotics combined with psychotherapy and psychosocial interventions are effective. There are shortcomings in the standard of both hospital and community care, and the cost implications of providing adequate services are high.

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“…In their study of older persons with psychotic disorders, Shaw et al (2000) found that over 90% used psychological services and daily living services and over 50% used some type of social service at least once within the past 6 months. Another study of older adults with bipolar disorder and major depression found that such clients used case management services, partial hospitalization programs, psychiatric medication checks, and group therapy programs (Bartels, Forester, Miles, & Joyce, 2000).…”

Section: Sources Of Assistance For the Older Smi Populationmentioning

confidence: 99%

Formal and informal support for older adults with severe mental illness

Cummings

Kropf

2009

Aging & Mental Health

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While formal and informal sources provided adequate services for certain client needs, over 70% of the clients did not receive the correct type of help for some of their needs. Greater communication between mental health care staff and informal caregivers, and the integration of aging network services, is essential for the adequate provision of care to older severely mentally ill (SMI) adults. Education and greater linkages among care providers are necessary so that all service providers are aware of and are able to appropriately respond to the complex multi-level needs experienced by older SMI adults.

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Use of Community Support Services by Middle-Aged and Older Patients With Psychotic Disorders

Abstract: Use of community services is common among older outpatients with psychotic disorders, but its frequency varies as a function of patient characteristics.

Cited by 16 publications

References 29 publications

Trajectories of depression and their relationship with health status and social service use

Trajectories of depression and their relationship with health status and social service use

Older people with chronic schizophrenia

Formal and informal support for older adults with severe mental illness

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