[Geropsychiatric liaisonservices and nursing homes--do they need them? Results of a pilot study in five nursing homes in Germany]

Psychiatr Prax. 2012 Jan;39(1):14-20. doi: 10.1055/s-0031-1276836. Epub 2011 Sep 27.
[Article in German]

Abstract

Objectives: This project evaluates whether a multidisciplinary consultation-liaison team with special geropsychiatric experience can help to reduce complex care problems in mentally ill nursing-home residents.

Methods: Prospective longitudinal study of patients living in 5 nursing homes in Germany, supplemented by expert interviews with the members of the consultation-liaison team, as well as semi-structured interviews and by a questionnaire answered by the participating nursing home staff.

Results: Data show that in spite of the high burden of disease and the usually progressive course of illness a majority of residents could benefit from the interventions applied by the multidisciplinary team. Additionally, there were positive effects on the work situation of staff and a reduction of costs.

Discussion: Our results indicate that a geropsychiatric consultation-liaison team for nursing homes may improve service delivery especially with regard to behavioral psychological symptoms in dementia (BPSD).

MeSH terms

  • Aged
  • Aged, 80 and over
  • Alzheimer Disease / diagnosis
  • Alzheimer Disease / epidemiology
  • Alzheimer Disease / nursing*
  • Alzheimer Disease / psychology
  • Cooperative Behavior
  • Cross-Sectional Studies
  • Geriatric Psychiatry*
  • Germany
  • Homes for the Aged*
  • Hospitalization / statistics & numerical data
  • Humans
  • Interdisciplinary Communication
  • Mental Disorders / diagnosis
  • Mental Disorders / epidemiology
  • Mental Disorders / nursing
  • Mental Disorders / psychology
  • Nursing Homes*
  • Outcome Assessment, Health Care
  • Patient Care Team
  • Pilot Projects
  • Psychotropic Drugs / adverse effects
  • Psychotropic Drugs / therapeutic use
  • Referral and Consultation*

Substances

  • Psychotropic Drugs