Referrals to a Psychiatric Service from Old People's Homes

1980 ◽  
Vol 136 (4) ◽  
pp. 396-401 ◽  
Author(s):  
J. L. Margo ◽  
J. R. Robinson ◽  
S. Corea

SummaryOne hundred consecutive referrals have been surveyed, the diagnostic and behavioural problems leading to referral considered and follow-up information obtained one year later. For most admission to hospital as in- or day-patients was unnecessary. Old people's homes do not make excessive demands on the psychiatric services, but deserve support, including help in developing a more tolerant and flexible approach to less conforming residents. This is becoming imperative now that old people's homes are dealing with increased numbers of disturbed residents.

1993 ◽  
Vol 163 (1) ◽  
pp. 111-112 ◽  
Author(s):  
H. G. Morgan ◽  
E. M. Jones ◽  
J. H. Owen

In an attempt to address the low compliance with offers of treatment shown by patients after episodes of non-fatal deliberate self-harm (DSH), patients who had harmed themselves for the first time were offered rapid, easy access to on-call trainee psychiatrists in the event of further difficulties, and they were encouraged to seek help at an early stage should such problems arise. The follow-up data obtained after one year showed a significant reduction of actual or seriously threatened DSH in the experimental group, who also made considerably less demands on medical and psychiatric services, when compared with controls.British Journal of Psychiatry (1993), 163, 111–112


1991 ◽  
Vol 8 (1) ◽  
pp. 65-67 ◽  
Author(s):  
Deirdre A Garvey ◽  
Susan M Finnerty ◽  
Eamon J Smith

AbstractA group of 183 longstay psychiatric patients were evaluated regarding their immediate and future discharge potential in order to assist in the future planning of the Mayo Psychiatric Services. Comparisons were made between new longstay patients, who were defined as those who had been in hospital for greater than one but less than five years, and old longstay patients who were in hospital for greater than five years. Age and sex comparisons were also made.While 28% of those included in the survey were thought fit for immediate discharge, a further 18% were thought to require further active rehabilitation before discharge into the community within one year. The accommodation requirements of those needing continuing inpatient care are discussed. Age and length of time in hospital were found to be associated with discharge potential. Sex difference was not found to be significant. Implications for the development of the service are dicussed on the basis of the findings.


2010 ◽  
Vol 3 (2) ◽  
pp. 69-72 ◽  
Author(s):  
N Shah ◽  
C Musters ◽  
A Selwood ◽  
D Ellis

Usual referral pathways to psychiatric services can miss opportunities for timely intervention in maternal perinatal psychiatric ill health. Psychiatric illness leading to suicide is a significant factor in at least 10% of maternal deaths. Despite Royal College of Psychiatry and National Institute for Health and Clinical Excellence recommendations for specialist provision of perinatal mental health services, this remains sporadic and insufficient. We set out to develop a new integrated antenatal–psychiatric direct referral pathway and present a year of experience using this service model. The psychiatric service was delivered from within the antenatal clinic setting with a direct health-care professional (HCP) led referral pathway between 2003 and 2004. The service comprised one session per week of a senior psychiatric specialist registrar and provided three new patients and two follow-up appointments per week. During this period, a total of 75 referrals to the service were made with 57 individuals attending for an appointment. There was a range of diagnoses among the women who attended, with only 24% meeting eligibility criteria for referral to secondary psychiatric services. The majority diagnosis was depression. More severely ill women were not referred to this clinic by obstetric HCPs. In conclusion, this model for developing and delivering a specialist perinatal psychiatric service using direct links to antenatal medical care was not successful despite requiring minimal funding. Nevertheless, it has been used to inform development of a new perinatal service in keeping with the Royal College of Psychiatrists' recommendations and incorporating enhanced training of HCPs responsible for the referral pathway.


1998 ◽  
Vol 13 (1) ◽  
pp. 35-40 ◽  
Author(s):  
O Saarento ◽  
M Kastrup ◽  
L Hansson

SummaryTo characterise frequent use of psychiatric emergency outpatients services, this paper reports results from a prospective investigation of use of psychiatric services by new patients in two Nordic psychiatric services, Frederiksberg in Denmark and Oulu in Finland. One year treated incidence cohorts were used. Total number of patients included was 1,055. The repeat user was defined as a patient having at least three emergency outpatient contacts during a 1-year follow-up. The repeat users constituted 15.8% of the sample and 70.8% of all the emergency contacts in Frederiksberg. In Oulu the respective figures were 9.3% and 33.8%. The number of planned outpatient contacts or the number of hospital admissions of the repeat users did not differ from the non-repeaters. Repeaters in Frederiksberg were more likely to be self-referrals, male, divorced or unmarried, living with their parents, without their own housing, unemployed, aged between 25 and 44 years, and to have a diagnosis of dependency or personality disorder. In Oulu they did not differ from the other patients with regard to sociodemographic or diagnostic characteristics.


2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
J. Guimón ◽  
C. Mauruottolo ◽  
F. Moneo ◽  
J.A. Fernandez ◽  
A. Boyra

Acute episodes are treated in AMSA psychiatric services in a emergency service including a call center, domicilliary visits, a crisis unit, three short-term day hospitals and a short-term stay unit in a general hospital. an Intensive Brief Dynamic Group Therapy is offered in the units allowing for a decreased appearance of self and hetero aggression in patients both during the crisis and after one year as shown in a follow-up study.


2007 ◽  
Vol 177 (4S) ◽  
pp. 614-614
Author(s):  
Thorsten Bach ◽  
Thomas R.W. Herrmann ◽  
Roman Ganzer ◽  
Andreas J. Gross

2006 ◽  
Vol 175 (4S) ◽  
pp. 110-110 ◽  
Author(s):  
Robert D. Moore ◽  
John Miklos ◽  
L. Dean Knoll ◽  
Mary Dupont ◽  
Mickey Karram ◽  
...  

2006 ◽  
Vol 175 (4S) ◽  
pp. 332-333
Author(s):  
Jacques Hubert ◽  
Maṅo Chammas ◽  
Benoit Feillu ◽  
Eric Mourey ◽  
Usha Seshadri-Kreaden

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