Meeting the Mental Health Needs of the Homebound: A Psychiatric Consult Service Within a Home-Based Primary Care Program.
| Autor: | Reckrey, Jennifer M., DeCherrie, Linda V., Dugue, Micheline, Rosen, Anna, Soriano, Theresa A., Ornstein, Katherine |
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| Předmět: |
PSYCHIATRIC drugs
ANXIETY DEMENTIA MENTAL depression EXPERIMENTAL design HEALTH care teams HOME care services MEDICAL referrals OBSESSIVE-compulsive disorder PHYSICIANS PSYCHOTHERAPY patients SOCIAL workers PILOT projects SOCIAL services case management HOMEBOUND persons SELF-neglect DESCRIPTIVE statistics |
| Zdroj: | Care Management Journals; 2015, Vol. 16 Issue 3, p122-128, 7p |
| Abstrakt: | The growing population of homebound adults increasingly receives home-based primary care (HBPC) services. These patients are predominantly frail older adults who are homebound because of multiple medical comorbidities, yet they often also have psychiatric diagnoses requiring mental health care. Unfortunately, in-home psychiatric services are rarely available to homebound patients. To address unmet psychiatric need among the homebound patients enrolled in our large academic HBPC program, we piloted a psychiatric in-home consultation service. During our 16-month pilot, 10% of all enrolled HBPC patients were referred for and received psychiatric consultation. Depression and anxiety were among the most common reasons for referral. To better meet patients' medical and psychiatric needs, HBPC programs need to consider strategies to incorporate psychiatric services into their routine care plans. [ABSTRACT FROM AUTHOR] |
| Databáze: | Supplemental Index |
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