TITLE

Assertive community treatment for elderly people with severe mental illness

AUTHOR(S)
Stobbe, Jolanda; Mulder, Niels C. L.; Roosenschoon, Bert-Jan; Depla, Marja; Kroon, Hans
PUB. DATE
January 2010
SOURCE
BMC Psychiatry;2010, Vol. 10, p84
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Adults aged 65 and older with severe mental illnesses are a growing segment of the Dutch population. Some of them have a range of serious problems and are also difficult to engage. While assertive community treatment is a common model for treating difficult to engage severe mental illnesses patients, no special form of it is available for the elderly. A special assertive community treatment team for the elderly is developed in Rotterdam, the Netherlands and tested for its effectiveness. Methods: We will use a randomized controlled trial design to compare the effects of assertive community treatment for the elderly with those of care as usual. Primary outcome measures will be the number of dropouts, the number of patients engaged in care and patient's psychiatric symptoms, somatic symptoms, and social functioning. Secondary outcome measures are the number of unmet needs, the subjective quality of life and patients' satisfaction. Other secondary outcomes include the number of crisis contacts, rates of voluntary and involuntary admission, and length of stay. Inclusion criteria are aged 65 plus, the presence of a mental disorder, a lack of motivation for treatment and at least four suspected problems with functioning (addiction, somatic problems, daily living activities, housing etc.). If patients meet the inclusion criteria, they will be randomly allocated to either assertive community treatment for the elderly or care as usual. Trained assessors will use mainly observational instruments at the following time points: at baseline, after 9 and 18 months. Discussion: This study will help establish whether assertive community treatment for the elderly produces better results than care as usual in elderly people with severe mental illnesses who are difficult to engage. When assertive community treatment for the elderly proves valuable in these respects, it can be tested and implemented more widely, and mechanisms for its effects investigated. Trial Registration: The Netherlands National Trial Register NTR1620.
ACCESSION #
55091746

 

Related Articles

  • Can Attention Training Boost Concentration in Older Adults?  // Neuropsychiatry Reviews;Jul2007, Vol. 8 Issue 7, p11 

    The article discusses the study of whether the attention training can boost concentration in older adults in Chicago, Illinois. The growing number of activities is said to suggest that attention training is indeed a way to reduce older adult's susceptibility in distracting stimuli and improve...

  • Don't disregard what may seem like `paranoid thinking'.  // Brown University Long-Term Care Quality Letter;3/13/95, Vol. 7 Issue 5, preceding p5 

    Offers guidance on how to deal with elderly patients haunted by paranoid thinking. Views of geriatric psychologist Richard A. Hussian; Need for health professionals to investigate claims by elderly prone to paranoia.

  • Adult mental health care in England. Glover, Gyles // European Archives of Psychiatry & Clinical Neuroscience;2007, Vol. 257 Issue 2, p71 

    The policy background and current overall provision of mental health services for working age and older adults in England are described. Following the introduction of a new National Service Framework in 1999, an annual service mapping exercise was introduced. Data presented draw heavily on the...

  • Recruitment and Retention of Older Minorities in Mental Health Services Research. Arean, Patricia; Alvidrez, Jennifer; Nery, Rowena; Estes, Carroll; Linkins, Karen // Gerontologist;Feb2003, Vol. 43 Issue 1, p36 

    Presents a study which examined the problems associated with recruiting older minorities into mental health research and proposed a consumer-centered model of research methodology that addresses the barriers to recruitment and retention in the population. Demographic characteristics of study...

  • UPBEAT (Unified Biopsychosocial Psychogeriatric Evaluation & Treatment)-Attention to Mental Health Issues for Geriatric Medical & Surgical Patients by an Interdisciplinary Team. Olsen, E.; Jarvick, L.; Bastani, R. // Gerontologist;Oct1996 Supplement, Vol. 36 Issue 1, p309 

    Significant numbers of Patients over 60, admitted to VA acute medical & surgical units suffer from undiagnosed, and often untreated mental health problems that increase morbidity, prolonged hospital stays, and contribute to un-necessary rehospitalizations. It is hypothesized that targeted...

  • Venous thromboembolism risk assessment in old age psychiatry. Choudry, Abid H. // Psychiatrist;Nov2013, Vol. 37 Issue 11, p372 

    A letter to the editor is presented in response to a study conducted on risk assessment for venous thromboembolism (VTE) for older people admitted in psychiatric units.

  • Liaison psychiatry for older people--an overlooked opportunity. Anderson, David; Holmes, John // Age & Ageing;May2005, Vol. 34 Issue 3, p205 

    Focuses on issues concerning liaison psychiatry for older people. Psychiatric morbidity affecting older people; Improvement of the outcome of psychiatric morbidity; Comparison of the two approaches on the delivery of mental health services to the general hospitals.

  • psychogeriatric.  // Taber's Cyclopedic Medical Dictionary;2005, p1808 

    A definition of the term "psychogeriatric" is presented. It refers to the psychiatric disorders that may affect elderly persons.

  • Expanding the Capacity to Treat Older Adults With Mental Health and Substance Use Conditions: A Workforce Policy Strategy. Bishop, Christine E. // Public Policy & Aging Report; 

    The article discusses a workforce policy strategy for expanding the capacity to treat older adults with mental health and substance use conditions. It suggests policies to increase supply of geriatric mental health and substance use (MH/SU) personnel. It cites the advantages of building the...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics