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Centre for Policy on Ageing | |
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| 12-month incidence, prevalence, persistence, and treatment of mental disorders among individuals recently admitted to assisted living facilities in Maryland | | Author(s) | Quincy M Samus, Chiadi U Onyike, Deirdre Johnston |
| Journal title | International Psychogeriatrics, vol 25, no 5, May 2013 |
| Publisher | Cambridge University Press, May 2013 |
| Pages | pp 721-731 |
| Source | journals.cambridge.org/ipg |
| Keywords | Sheltered housing ; Care homes ; Mental disorder ; Dementia ; Screening ; Evaluation ; Diagnosis ; Psychiatric treatment ; United States of America. |
| Annotation | The present study aimed to estimate the 12-month incidence, prevalence and persistence of mental disorders among recently admitted assisted living (AL) residents and to describe the recognition and treatment of these disorders. 200 recently admitted AL residents in 21 randomly selected AL facilities in Maryland received comprehensive physician-based cognitive and neuropsychiatric evaluations at baseline and 12 months later. An expert consensus panel adjudicated psychiatric diagnoses (using DSM-IV-TR criteria) and completeness of workup and treatment. Incidence, prevalence and persistence were derived from the panel's assessment. Family and direct care staff recognition of mental disorders was also assessed. Results showed that at baseline three-quarters suffered from a cognitive disorder (56% dementia, 19% Cognitive Disorders Not Otherwise Specified) and 15% from an active non-cognitive mental disorder. Twelve-month incidence rates for dementia and non-cognitive psychiatric disorders were 17% and 3% respectively, and persistence rates were 89% and 41% respectively. Staff recognition rates for persistent dementias increased over the 12-month period but 25% of cases were still unrecognised at 12 months. Treatment was complete at 12 months for 71% of persistent dementia cases and 43% of persistent non-cognitive psychiatric disorder cases. The study concludes that individuals recently admitted to AL are at high risk for having or developing mental disorders and a high proportion of cases, both persistent and incident, go unrecognised or untreated. Routine dementia and psychiatric screening and reassessment should be considered a standard care practice. Further study is needed to determine the longitudinal impact of psychiatric care on resident outcomes and use of facility resources. (JL). |
| Accession Number | CPA-130419216 A |
| Classmark | KLA: KW: E: EA: 3V: 4C: LK7: LP: 7T |
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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