scholarly journals Ageism in Mental Health Assessment and Treatment of Older Adults

2018 ◽  
pp. 241-262 ◽  
Author(s):  
Ehud Bodner ◽  
Yuval Palgi ◽  
Mary F. Wyman
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Assessment ◽  
Mental Health Assessment ◽  
Assessment And Treatment

scholarly journals P059: Characteristics of older adults attending the emergency department for suicidal thoughts or voluntary intoxication: a multicenter retrospective cohort study

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S85-S85
Author(s):  
E. Mercier ◽  
S. Boulet ◽  
A. Gagnon ◽  
A. Nadeau ◽  
F. Mowbray
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Mood Disorders ◽  
Health Assessment ◽  
Emergency Physicians ◽  
Suicidal Thoughts ◽  
Mental Health Assessment ◽  
Self Harm ◽  
Ed Visits ◽  
The Mean

Introduction: Suicidal thoughts and self-harm are disproportionately prevalent among older adults but are frequently overlooked by emergency physicians. Objective: This study aims to explore the characteristics of older adults visiting the ED for suicidal thoughts or voluntary intoxications. Methods: All older adults (□ 65 years old) who visited one of the five CHU de Quebec’ EDs in 2016 were eligible. The medical charts of patients who reported suicidal thoughts or intoxication in triage or received a relevant discharge diagnosis were reviewed. Involuntary intoxications were excluded. Descriptive statistics were used to present the results. Results: Results: A total of 478 ED visits were identified, of which 332 ED visits (n= 279 patients) were included. The mean age of the ED cohort was 72.6 (standard deviation 6.8) years old and 41.6% were female. Mood disorders (41.2%) and alcoholism (40.5%) were common. Most included patients had a diagnosis of voluntary intoxication (73.2%), including two suicides (0.6%). Following 109 ED visits (30.0%), patients were referred for a mental health assessment. Half of all ED visits resulted in a discharge by the emergency physician (50.0%), while 27.4% were admitted for in-patient care. In the subsequent year (2017), 38.4% returned to the ED for suicidal ideations or self-harm of which 7.9% attended the ED □ 5 times. Conclusion: ED visits for suicidal thoughts and voluntary intoxication in older adults are more common among men with known mood disorders or alcoholism. Referral for a mental health assessment is inconsistent. ED-initiated interventions designed for this population are needed.

Blackburn with Darwen mental health assessment and treatment team – A service evaluation report

2016 ◽  
Vol 33 (S1) ◽  
pp. S563-S563
Author(s):  
V. Damle ◽  
N. Bhandary
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Assessment ◽  
Service Evaluation ◽  
Treatment Team ◽  
Mental Health Assessment ◽  
Mental Health Referrals ◽  
Assessment And Treatment ◽  
Competing Interest

IntroductionAssessment and Treatment Team (ATT) was developed to manage mental health referrals within the borough of Blackburn with Darwen (BwD). The ATT became the main point of initial referral and assessment for adults presenting with mental health needs. It acts as the gateway service for access to specialist mental health services.AimTo evaluate the effectiveness of ATT against the key performance indicators.MethodsQuantitative data was collected using electronic database from June 2014–May 2015. Feedback was obtained from GPs and also from patients who attended ATT over a one-week period.ResultsThe ATT received a total of 2234 referrals. A total of 73% were seen within 10 working days of the referral. Assessment outcome letters were sent to the GPs within 48 h in 47.53% cases. Referral rates to community mental health and Crisis teams were 7% each showing an overall reduction compared to the previous service. GP satisfaction – 70% were ‘moderately satisfied’ and 30% were ‘very satisfied’ with ATT. Hundred percent felt the service was easily accessible and 90% felt that the staff were friendly. Patient Satisfaction – 96% of patients rated the team as ‘friendly and polite’. Eighty-seven percent reported that they were listened to and 91% felt their concerns were understood. Eighty-three percent felt that ATT involved them in their decision making. Ninety-two percent responded that they were likely/extremely likely to recommend ATT to their friends and family.ConclusionsThe establishment of ATT has led to improved satisfaction among GPs and service users and has resulted in reduction in referrals to secondary mental health services.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Improving Mental Health Assessment and Service Planning Practices for Older Adults: A Controlled Comparison Study

2005 ◽  
Vol 7 (4) ◽  
pp. 213-223 ◽  
Author(s):  
Stephen J. Bartels ◽  
Keith M. Miles ◽  
Aricca D. Van Citters ◽  
Brent P. Forester ◽  
Michael J. Cohen ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Assessment ◽  
Service Planning ◽  
Comparison Study ◽  
Mental Health Assessment

scholarly journals Validation and feasibility of the Global Mental Health Assessment Tool--Primary Care Version (GMHAT/PC) in older adults

2010 ◽  
Vol 39 (4) ◽  
pp. 496-499 ◽  
Author(s):  
V. K. Sharma ◽  
M. Krishna ◽  
P. Lepping ◽  
V. Palanisamy ◽  
S. V. Kallumpuram ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Primary Care ◽  
Assessment Tool ◽  
Global Mental Health ◽  
Health Assessment ◽  
Mental Health Assessment

A proposal for mental health provisions in state anti-stalking laws

1995 ◽  
Vol 23 (2) ◽  
pp. 295-318 ◽  
Author(s):  
Jeffrey P. Fritz
Keyword(s):  
Mental Health ◽  
Health Assessment ◽  
State Legislatures ◽  
Mental Illnesses ◽  
Diagnosis And Treatment ◽  
Mental Health Assessment ◽  
Appropriate Treatment ◽  
Assessment And Treatment ◽  
Amenability To Treatment

The author examines state legislatures' approaches to provisions for mental health assessment and treatment in anti-stalking laws. The article includes a review of studies relating to the diagnosis and treatment of mental illnesses associated with stalking, mainly erotomania. The author discusses possible constitutional implications raised by the inclusion of mental health provisions and proposes amending anti-stalking laws to include a mental health assessment of all offenders, identification of appropriate treatment, and an assessment of the offender's amenability to treatment.

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