Demographics, Clinical Characteristics, and Therapeutic Approaches among Older Adults Referred to Mobile Psychiatric Crisis Intervention Teams: A Retrospective Study.

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Version: Final published version
Serval ID
serval:BIB_13A14036A4EA
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Demographics, Clinical Characteristics, and Therapeutic Approaches among Older Adults Referred to Mobile Psychiatric Crisis Intervention Teams: A Retrospective Study.
Journal
Dementia and geriatric cognitive disorders extra
Author(s)
Gillès de Pélichy E., Ebbing K., Matos Queiros A., Hanon C., von Gunten A., Sellah Z., Verloo H.
ISSN
1664-5464 (Print)
ISSN-L
1664-5464
Publication state
Published
Issued date
2018
Peer-reviewed
Oui
Volume
8
Number
3
Pages
402-413
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
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.
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.
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.
Appropriate responses by dual nurse-psychiatrist teams using crisis-oriented nonpharmacological and pharmacological interventions decreased hospitalization.
Keywords
Challenging behavior, Crisis-oriented psychiatric interventions, Dementia, Geriatric psychiatrist, Liaison psychiatry, Mood disorders, Nonpharmacological treatment, Nurse, Pharmacological treatment
Pubmed
Open Access
Yes
Create date
12/11/2018 12:33
Last modification date
20/08/2019 13:42
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