Intensive home nursing

D. D. R. Williams; Mary M. Ellis; Fawzea Hardwick

doi:10.1192/pb.21.1.23

Intensive home nursing

Psychiatric Bulletin ◽

10.1192/pb.21.1.23 ◽

1997 ◽

Vol 21 (1) ◽

pp. 23-25 ◽

Cited By ~ 1

Author(s):

D. D. R. Williams ◽

Mary M. Ellis ◽

Fawzea Hardwick

Keyword(s):

Old Age ◽

Rapid Response ◽

Home Nursing ◽

Old Age Psychiatry ◽

Hospital At Home ◽

At Home

This paper describes the establishment of a team of four nurses to provide a service in old age psychiatry along the lines of “Hospital At Home”. Its aim was to treat and nurse patients at home who otherwise would have to be admitted to hospital. An integral part of this initiative is the use of a problem orientated approach with integrated records. The work of the team over six years is reviewed and how it has evolved to provide a rapid response to difficult and fraught situations.

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Home assessment in old age psychiatry: a practical guide

Advances in Psychiatric Treatment ◽

10.1192/apt.bp.110.008599 ◽

2012 ◽

Vol 18 (6) ◽

pp. 400-407 ◽

Cited By ~ 2

Author(s):

Bradley Ng ◽

Martin Atkins

Keyword(s):

Risk Management ◽

Elderly People ◽

Old Age ◽

Clinical Aspects ◽

Psychiatric Assessment ◽

Psychiatric Interview ◽

Practical Guide ◽

Old Age Psychiatry ◽

Safety Considerations ◽

At Home

SummaryAn initial psychiatric assessment of elderly people at home is an important component of many old age psychiatry services. This article explores the clinical aspects of conducting such assessments and the skills required in addition to those brought to a standard psychiatric interview. Safety considerations and risk management when conducting home assessments are also discussed.

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Rapid response: a multiprofessional approach to hospital at home

British Journal of Nursing ◽

10.12968/bjon.2018.27.1.24 ◽

2018 ◽

Vol 27 (1) ◽

pp. 24-30 ◽

Cited By ~ 1

Author(s):

Sara Dowell ◽

George Moss ◽

Katy Odedra

Keyword(s):

Rapid Response ◽

Hospital At Home ◽

Multiprofessional Approach ◽

At Home

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Hospital at Home as an Enhancement to an Existing Rapid Response Team in a Semirural setting in Scotland

International Journal of Integrated Care ◽

10.5334/ijic.2647 ◽

2016 ◽

Vol 16 (6) ◽

pp. 99

Author(s):

Patricia Marion Cantley ◽

Maureen Lucas-Mackintosh ◽

Sharon Dempsey ◽

Eibhlin McHugh

Keyword(s):

Rapid Response Team ◽

Rapid Response ◽

Response Team ◽

Hospital At Home ◽

At Home

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Home assessments in old age psychiatry

Advances in Psychiatric Treatment ◽

10.1192/apt.8.1.59 ◽

2002 ◽

Vol 8 (1) ◽

pp. 59-65 ◽

Cited By ~ 6

Author(s):

Barbora Richardson ◽

Martin Orrell

Keyword(s):

Mental Health ◽

Older People ◽

Old Age ◽

Good Practice ◽

Fire Hazards ◽

Adequate Food ◽

Audit Commission ◽

Accurate Picture ◽

Old Age Psychiatry ◽

At Home

“For people to be successfully supported at home, a comprehensive assessment is an essential first step.” (Audit Commission, 2000: p. 43.)Home visits by old age psychiatrists remain popular with elderly patients, their carers and general practitioners (GPs). Home assessments by various disciplines working with older people have been endorsed as a sign of good practice by the Audit Commission (2000) in their recent national report on mental health services for older people: “Assessment at home is often better as people are most likely to behave and communicate in their normal way in familiar surroundings. Staff can also build a more accurate picture of people's needs and learn the views of their carers. Professionals can observe whether there is adequate food in the house, whether people can make themselves a hot drink, and whether there are any likely risks from poor hygiene or fire hazards.” (Audit Commission, 2000: p. 43.)

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A study of severe domestic squalor: 173 cases referred to an old age psychiatry service

International Psychogeriatrics ◽

10.1017/s1041610210000906 ◽

2010 ◽

Vol 23 (2) ◽

pp. 308-314 ◽

Cited By ~ 24

Author(s):

John Snowdon ◽

Graeme Halliday

Keyword(s):

Old Age ◽

Referral Rate ◽

Term Care ◽

Old Age Psychiatry ◽

One Year ◽

Severe Degree ◽

Made In ◽

At Home

ABSTRACTBackground: Although community psychiatric services commonly encounter cases where intervention is needed due to persons’ unclean or cluttered living conditions, evidence concerning the referral rate and prevalence of severe domestic squalor is sparse.Methods: Between 2000 and 2009, ratings of cleanliness and clutter have been made in all cases of people living in squalor who have been referred to an old age psychiatry service in Central Sydney. Where possible, one-year follow-up was arranged.Results: 173 persons aged 65 years or more were referred to the service during the ten years and assessed as living in squalor (120 moderate or severe, two thirds of whom showed a moderate or severe degree of hoarding/clutter). Of 157 followed up after one year, 47% were still at home, 32% were in long-term care homes, 12% had moved elsewhere, and 9% had died. The annual new referral rate was close to 1 per 1000 elderly people in the catchment area, and of moderate or severe squalor was 0.66 per 1000. Limiting follow-up to those in moderate or severe squalor, 41% were still at home one year later. Current findings suggest that the minimum prevalence in the community of older people living in moderate or severe squalor in Sydney is 1 per 1000.Conclusions: The costs of intervening in cases of severe domestic squalor are considerable. Increased attention and funding are warranted, as the incidence and prevalence are higher than had previously been estimated.

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