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Centre for Policy on Ageing | |
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| Comprehensive assessment of depression and behavioral problems in long-term care | | Author(s) | Raymond T C M Koopmans, Sytse U Zuidema, Roeslan Leontjevas |
| Journal title | International Psychogeriatrics, vol 22, no 7, November 2010 |
| Pages | pp 1054-1062 |
| Source | http://www.journals.cambridge.org/ipg doi: 10.1017/S1041610210000736 |
| Keywords | Depression ; Behaviour disorders ; Nursing homes ; Psychogeriatric units ; Geriatric units ; Evaluation. |
| Annotation | The IPA Taskforce on Mental Health Issues in Long-Term Care Homes seeks to improve mental health care in long-term care (LTC) homes. The aim of this paper is to provide recommendations on comprehensive assessment of depression and behavioural problems, in order to further stimulate countries and professionals to enhance their quality of care. Existing guidelines on comprehensive assessment of depression or behavioural problems in nursing home (NH) patients or patients residing in LTC homes were collected; and a literature review was carried out to search for recent evidence. Five guidelines from several countries all over the world and two additional papers were included in this paper as a starting point for the recommendations. Comprehensive assessment of depression in LTC homes consists of a two-step screening procedure: an investigation to identify factors that influence the symptoms, followed by a formal diagnosis of depression according to DSM-IV-TR or the Provisional Diagnostic Criteria for Depression in Alzheimer Disease in cases of dementia. Comprehensive assessment of behavioural problems encompasses three steps: description and clarification of the behaviour, additional investigation, and assessment of probable causes of the behavior. The procedure starts in the case of moderate behavioural problems. The recommendations given in this paper provide a useful guide to professional workers in the LTC sector, but clinical judgment and the consideration of the unique aspects of individual residents and their situations is necessary for an optimal assessment of depression and behavioural problems. The recommendations should not be rigidly applied and implementation will differ from country to country. (KJ). |
| Accession Number | CPA-101124207 A |
| Classmark | ENR: EP: LHB: LDM: LDB: 4C |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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