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Perceived mental health needs and adequacy of service provision to older people in care homes in the UK
 — a national survey
Author(s)Nitin Purandare, Alistair Burns, David Challis
Journal titleInternational Journal of Geriatric Psychiatry, vol 19, no 6, June 2004
Pagespp 549-553
Sourcehttp://www.interscience.wiley.com
KeywordsPsychiatric treatment ; Medical care ; Needs [elderly] ; Care homes ; Attitude ; Managers ; Social surveys.
AnnotationA postal survey of managers of a stratified sample of 2,638 (14% of 18,698) of care homes in the UK caring for older residents had a 64% response rate. 41% of care home managers felt that at least 50% of their residents needed psychiatric evaluation. Cognitive impairment, depressive symptoms and challenging behaviour were thought to to be present in at least a quarter of residents by 78%, 29% and 17% respectively. 38% of managers reported that their homes "never" received any visits from old-age psychiatrists, and only half described the frequency of visits as adequate. Pharmacological advice was perceived to be adequate by about three-quarters, but less than half perceived non-pharmacological advice as adequate. 80% wanted more input for staff education and training. The survey highlights the perception of care home managers of unmet need and inadequacy of old-age psychiatrists' service provision. If confirmed by direct observational studies, the findings may have a considerable impact on already sparse resources with a need to explore efficacy of different models of care in meeting this need. (RH).
Accession NumberCPA-040720205 A
ClassmarkLP: LK: IK: KW: DP: T6: 3F

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