scholarly journals Psychiatry and the geriatric syndromes – creating constructive interfaces

2017 ◽  
Vol 41 (2) ◽  
pp. 71-75 ◽  
Author(s):  
Simon Thacker ◽  
Mike Skelton ◽  
Rowan Harwood

SummaryIntegrating mental and physical healthcare is difficult to achieve because of professional and organisational barriers. Psychiatrists recognise the problems resulting from fragmentation of services and want continuity of care for patients, but commissioning and service structures perpetuate these problems. One way forward may be to follow the syndromic model employed by geriatricians as a means of avoiding over-emphasis on diagnosis above the pragmatics of implementing multi-component, coordinated care. Commissioners need to be made aware of the overlap and complementarity of skills possessed by old age psychiatry and geriatric medicine to create joint services for people vulnerable to dementia and delirium. A re-forged alliance between the two specialties will be necessary to turn integrated care for frail, elderly people from rhetoric into reality.

2001 ◽  
Vol 21 (1) ◽  
pp. 45-69 ◽  
Author(s):  
NARDI STEVERINK

As yet the determinants of the need for nursing homes and old age homes are not clearly understood. This may be due to the fact that care facilities providing different levels of care may yield different predictors of use. Moreover, the absence of theory and ignorance of the problems with ‘use‘ as the dependent variable, may be responsible for this. In this study these issues are addressed explicitly. The study focuses on the need for living in an old age home and a theoretical model predicts under what circumstances frail elderly people will express the need for living in such a home. Findings show that, as hypothesised, loss of comfort and affection are among the main predictors of a strong orientation towards living in an old age home. Resources to counter the loss of comfort and affection – a spouse, income, home adaptations, private help, informal and formal home care – were only partly effective in their hypothesised function of deterring orientation towards living in an old age home. Pressure from others to apply for an old age home had the strongest effect. The findings are discussed and some implications for policy are considered.


Author(s):  
Yujie Ge ◽  
Howe Liu ◽  
Qingwen Wu ◽  
Anju Chen ◽  
Zhipeng Gao ◽  
...  

2009 ◽  
Vol 48 (1) ◽  
pp. 121-124 ◽  
Author(s):  
France Mourey ◽  
Laurent Brondel ◽  
Virginie Van Wymelbeke ◽  
Martin Buchheit ◽  
Daniel Moreau ◽  
...  

Author(s):  
Carla Fiori

This chapter describes the outcome of the creation of an eCare Network for frail elderly people in 2005. This was developed over the years as a network of citizens, associations, institutions, and professionals, providing a relational and support ecosystem to frail elderly people. The issue of financial sustainability of the health and social welfare system, in the phase of ongoing demographic revolution, has stimulated the creation of a service that aims to encourage the permanence of frail elderly citizens at home to prevent the onset of frailty or dependency and to improve their quality of life by fighting social isolation through the use of appropriate IT technologies. Community-based voluntary associations also play a key role in the eCare Network for the frail elderly. Finally, in addition to a detailed description of the activities that have been put in place, the service outcomes, innovations, and prospects for further development are illustrated.


2019 ◽  
Vol 49 (11) ◽  
pp. 1442-1446
Author(s):  
Chloé Sikirdji ◽  
David Costa ◽  
Sandrine Alonso ◽  
Jean‐François Clape ◽  
Michel Amouyal ◽  
...  

2002 ◽  
Vol 102 (8) ◽  
pp. 1096-1104 ◽  
Author(s):  
MELISSA A. BERNSTEIN ◽  
KATHERINE L. TUCKER ◽  
NANCY D. RYAN ◽  
EVELYN F. O’NEILL ◽  
KAREN M. CLEMENTS ◽  
...  

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