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A tiered model of psychogeriatric service delivery
 — an evidence-based approach
Author(s)Brian Draper, Henry Brodaty, Lee-Fay Low
Journal titleInternational Journal of Geriatric Psychiatry, vol 21, no 7, July 2006
Pagespp 645-653
Sourcehttp://www.interscience.wiley.com
KeywordsMental disorder ; Preventative medicine ; Psychiatric treatment ; Planning [admin] ; Australia.
AnnotationPrevious models of mental health care for older people have not considered the full spectrum of mental disorders. Psychogeriatric service delivery ranges from primary provision to the management of the most severely ill. The Tiered Model depicts tiers of mental disorders in ascending order of severity and consequent interventions required, and thus provides a rational method for planning comprehensive service delivery across the full range of disorders. Interventions aim both to avert individuals from moving up tiers (prevention) and to move individuals down tiers (treatment). Individuals in the lower tiers have no mental disorders, and prevention strategies are targeted at at known risk factors. In the middle tiers, individuals with mild to moderate mental disorders will mainly be treated in primary care, often in collaboration with specialist mental health services for older people. Individuals in the top tiers with severe mental disorders usually require institutional care. This Australian study demonstrates that the tiered model provides a basis for planning comprehensive service delivery. (RH).
Accession NumberCPA-060809209 A
ClassmarkE: LK2: LP: QA6: 7YA

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