Demographics, Clinical Characteristics, and Therapeutic Approaches among Older Adults Referred to Mobile Psychiatric Crisis Intervention Teams: A Retrospective Study
Background / Aims: The advent of mobile old age psychiatry intervention teams supports policies maintaining older adults in their habitual living environments, even those who are very old and suffering from acute cognitive and psychiatric impairments. Analyzing sociodemographic data, clinical and he...
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| Veröffentlicht in: | Dementia and geriatric cognitive disorders extra 2018-10, Vol.8 (3), p.402-413 |
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| creator | Gillès de Pélichy, Estelle Ebbing, Karsten Matos Queiros , Alcina Hanon, Cécile von Gunten, Armin Sellah, Zaia Verloo, Henk |
| description | Background / Aims: The advent of mobile old age psychiatry intervention teams supports policies maintaining older adults in their habitual living environments, even those who are very old and suffering from acute cognitive and psychiatric impairments. Analyzing sociodemographic data, clinical and health characteristics, reasons for crisis-oriented psychiatric consultations, and other therapeutic suggestions for supporting home- or nursing home-dwelling older adult patients suffering from an onset of a psychiatric crisis. Methods: Reviews of the medical records and discharge letters of home- or nursing home-dwelling older adults who had undergone a consultation with the Lausanne region’s Mobile Old Age Psychiatry Teams (MOAPTs), between May 2016 and December 2017. Results: Of 570 older adult patients referred for consultation with MOAPTs, 333 had medical records and discharge letters eligible for retrospective analysis (59%). The majority of these older adult patients were women aged over 80 years suffering from dementia, mood disorders with and without a risk of suicide, and delirium. Challenging behaviors related to different stages of cognitive impairment were the most important clinical reason for crisis consultations. Nonpharmacological and pharmacological treatments were delivered concurrently in 68% of crisis consultations. Conclusion: Appropriate responses by dual nurse-psychiatrist teams using crisis-oriented nonpharmacological and pharmacological interventions decreased hospitalization. |
| doi_str_mv | 10.1159/000493525 |
| format | Article |
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Analyzing sociodemographic data, clinical and health characteristics, reasons for crisis-oriented psychiatric consultations, and other therapeutic suggestions for supporting home- or nursing home-dwelling older adult patients suffering from an onset of a psychiatric crisis. Methods: Reviews of the medical records and discharge letters of home- or nursing home-dwelling older adults who had undergone a consultation with the Lausanne region’s Mobile Old Age Psychiatry Teams (MOAPTs), between May 2016 and December 2017. Results: Of 570 older adult patients referred for consultation with MOAPTs, 333 had medical records and discharge letters eligible for retrospective analysis (59%). The majority of these older adult patients were women aged over 80 years suffering from dementia, mood disorders with and without a risk of suicide, and delirium. Challenging behaviors related to different stages of cognitive impairment were the most important clinical reason for crisis consultations. Nonpharmacological and pharmacological treatments were delivered concurrently in 68% of crisis consultations. Conclusion: Appropriate responses by dual nurse-psychiatrist teams using crisis-oriented nonpharmacological and pharmacological interventions decreased hospitalization.</description><identifier>ISSN: 1664-5464</identifier><identifier>EISSN: 1664-5464</identifier><identifier>DOI: 10.1159/000493525</identifier><identifier>PMID: 30483306</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Behavior disorders ; Caregivers ; Challenging behavior ; Chronic illnesses ; Crisis-oriented psychiatric interventions ; Dementia ; Geriatric psychiatrist ; Geriatric psychiatry ; Geriatrics ; Hospitalization ; Hospitals ; Liaison psychiatry ; Medical records ; Mental disorders ; Mental health ; Mood disorders ; Nonpharmacological treatment ; Nurse ; Nursing homes ; Older people ; Original ; Original Research Article ; Patients ; Pharmacological treatment ; Population ; Primary care ; Psychiatry ; Systematic review</subject><ispartof>Dementia and geriatric cognitive disorders extra, 2018-10, Vol.8 (3), p.402-413</ispartof><rights>2018 The Author(s) Published by S. Karger AG, Basel</rights><rights>Copyright © 2018 by S. Karger AG, Basel 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c518t-ff33bb8ab0db14597ba54fb99ae8f84833c6be1b548a863c4a23ecdffd8f9f223</citedby><cites>FETCH-LOGICAL-c518t-ff33bb8ab0db14597ba54fb99ae8f84833c6be1b548a863c4a23ecdffd8f9f223</cites><orcidid>0000-0002-5375-3255</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6243965/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6243965/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,27612,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30483306$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gillès de Pélichy, Estelle</creatorcontrib><creatorcontrib>Ebbing, Karsten</creatorcontrib><creatorcontrib>Matos Queiros , Alcina</creatorcontrib><creatorcontrib>Hanon, Cécile</creatorcontrib><creatorcontrib>von Gunten, Armin</creatorcontrib><creatorcontrib>Sellah, Zaia</creatorcontrib><creatorcontrib>Verloo, Henk</creatorcontrib><title>Demographics, Clinical Characteristics, and Therapeutic Approaches among Older Adults Referred to Mobile Psychiatric Crisis Intervention Teams: A Retrospective Study</title><title>Dementia and geriatric cognitive disorders extra</title><addtitle>Dement Geriatr Cogn Disord Extra</addtitle><description>Background / Aims: The advent of mobile old age psychiatry intervention teams supports policies maintaining older adults in their habitual living environments, even those who are very old and suffering from acute cognitive and psychiatric impairments. Analyzing sociodemographic data, clinical and health characteristics, reasons for crisis-oriented psychiatric consultations, and other therapeutic suggestions for supporting home- or nursing home-dwelling older adult patients suffering from an onset of a psychiatric crisis. Methods: Reviews of the medical records and discharge letters of home- or nursing home-dwelling older adults who had undergone a consultation with the Lausanne region’s Mobile Old Age Psychiatry Teams (MOAPTs), between May 2016 and December 2017. Results: Of 570 older adult patients referred for consultation with MOAPTs, 333 had medical records and discharge letters eligible for retrospective analysis (59%). The majority of these older adult patients were women aged over 80 years suffering from dementia, mood disorders with and without a risk of suicide, and delirium. Challenging behaviors related to different stages of cognitive impairment were the most important clinical reason for crisis consultations. Nonpharmacological and pharmacological treatments were delivered concurrently in 68% of crisis consultations. 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Sellah, Zaia ; Verloo, Henk</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c518t-ff33bb8ab0db14597ba54fb99ae8f84833c6be1b548a863c4a23ecdffd8f9f223</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Behavior disorders</topic><topic>Caregivers</topic><topic>Challenging behavior</topic><topic>Chronic illnesses</topic><topic>Crisis-oriented psychiatric interventions</topic><topic>Dementia</topic><topic>Geriatric psychiatrist</topic><topic>Geriatric psychiatry</topic><topic>Geriatrics</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Liaison psychiatry</topic><topic>Medical records</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Mood disorders</topic><topic>Nonpharmacological treatment</topic><topic>Nurse</topic><topic>Nursing homes</topic><topic>Older people</topic><topic>Original</topic><topic>Original Research Article</topic><topic>Patients</topic><topic>Pharmacological treatment</topic><topic>Population</topic><topic>Primary care</topic><topic>Psychiatry</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gillès de Pélichy, Estelle</creatorcontrib><creatorcontrib>Ebbing, Karsten</creatorcontrib><creatorcontrib>Matos Queiros , Alcina</creatorcontrib><creatorcontrib>Hanon, Cécile</creatorcontrib><creatorcontrib>von Gunten, Armin</creatorcontrib><creatorcontrib>Sellah, Zaia</creatorcontrib><creatorcontrib>Verloo, Henk</creatorcontrib><collection>Karger Open Access Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database (ProQuest)</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>Dementia and geriatric cognitive disorders extra</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gillès de Pélichy, Estelle</au><au>Ebbing, Karsten</au><au>Matos Queiros , Alcina</au><au>Hanon, Cécile</au><au>von Gunten, Armin</au><au>Sellah, Zaia</au><au>Verloo, Henk</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Demographics, Clinical Characteristics, and Therapeutic Approaches among Older Adults Referred to Mobile Psychiatric Crisis Intervention Teams: A Retrospective Study</atitle><jtitle>Dementia and geriatric cognitive disorders extra</jtitle><addtitle>Dement Geriatr Cogn Disord Extra</addtitle><date>2018-10-25</date><risdate>2018</risdate><volume>8</volume><issue>3</issue><spage>402</spage><epage>413</epage><pages>402-413</pages><issn>1664-5464</issn><eissn>1664-5464</eissn><abstract>Background / Aims: The advent of mobile old age psychiatry intervention teams supports policies maintaining older adults in their habitual living environments, even those who are very old and suffering from acute cognitive and psychiatric impairments. Analyzing sociodemographic data, clinical and health characteristics, reasons for crisis-oriented psychiatric consultations, and other therapeutic suggestions for supporting home- or nursing home-dwelling older adult patients suffering from an onset of a psychiatric crisis. Methods: Reviews of the medical records and discharge letters of home- or nursing home-dwelling older adults who had undergone a consultation with the Lausanne region’s Mobile Old Age Psychiatry Teams (MOAPTs), between May 2016 and December 2017. Results: Of 570 older adult patients referred for consultation with MOAPTs, 333 had medical records and discharge letters eligible for retrospective analysis (59%). The majority of these older adult patients were women aged over 80 years suffering from dementia, mood disorders with and without a risk of suicide, and delirium. Challenging behaviors related to different stages of cognitive impairment were the most important clinical reason for crisis consultations. 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| subjects | Behavior disorders Caregivers Challenging behavior Chronic illnesses Crisis-oriented psychiatric interventions Dementia Geriatric psychiatrist Geriatric psychiatry Geriatrics Hospitalization Hospitals Liaison psychiatry Medical records Mental disorders Mental health Mood disorders Nonpharmacological treatment Nurse Nursing homes Older people Original Original Research Article Patients Pharmacological treatment Population Primary care Psychiatry Systematic review |
| title | Demographics, Clinical Characteristics, and Therapeutic Approaches among Older Adults Referred to Mobile Psychiatric Crisis Intervention Teams: A Retrospective Study |
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