A new home-based mental health program for older adults: Description of the first 100 cases

Deirdre Johnston, Melissa Smith, Karen Beard-Byrd, Aaron Albert, Claudine Legault, W. Vaughn McCall, Amy Singleton, Gretchen Brenes, Patricia Hogan, Burton Reifler

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: The Geriatric Psychiatry Outreach (GO) Program began in 2005 and provides in-home psychiatric evaluation and treatment for older adults who have difficulty getting to an office-based setting. METHOD:: An initial assessment was conducted on the first 100 patients seen by the program and follow-up treatment was provided as clinically indicated. Results: The mean age of patients seen was 79.7 (SD: 8.2), 74% were women, and the most common psychiatric diagnoses were depression (50%) and dementia (45%), with a mean of 1.4 (SD: 0.6) psychiatric diagnoses per patient. The patients had a mean of 4.8 (SD: 2.9) medical diagnoses and were on a mean of 6.8 (SD: 4.0) prescription and 2.2 (SD: 1.2) nonprescription medications. Patients received a mean of 4.2 (SD: 4.2) in-person visits and a mean of 30.2 (SD: 36.5) additional contacts related to their care, such as phone calls, e-mails, and faxes. Conclusions: Providing psychiatric services at home for older adults with mental illness is a much needed but rarely available service. Such patients typically have a complex combination of medical and psychiatric diagnoses and benefit from contacts in addition to the face-to-face visits.

Original languageEnglish (US)
Pages (from-to)1141-1145
Number of pages5
JournalAmerican Journal of Geriatric Psychiatry
Volume18
Issue number12
DOIs
StatePublished - Dec 2010

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Mental Health
Mental Disorders
Psychiatry
Telefacsimile
Geriatric Psychiatry
Postal Service
Prescriptions
Dementia
Depression
Therapeutics

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health

Cite this

A new home-based mental health program for older adults : Description of the first 100 cases. / Johnston, Deirdre; Smith, Melissa; Beard-Byrd, Karen; Albert, Aaron; Legault, Claudine; McCall, W. Vaughn; Singleton, Amy; Brenes, Gretchen; Hogan, Patricia; Reifler, Burton.

In: American Journal of Geriatric Psychiatry, Vol. 18, No. 12, 12.2010, p. 1141-1145.

Research output: Contribution to journalArticle

Johnston, D, Smith, M, Beard-Byrd, K, Albert, A, Legault, C, McCall, WV, Singleton, A, Brenes, G, Hogan, P & Reifler, B 2010, 'A new home-based mental health program for older adults: Description of the first 100 cases', American Journal of Geriatric Psychiatry, vol. 18, no. 12, pp. 1141-1145. https://doi.org/10.1097/JGP.0b013e3181dd1c64
Johnston, Deirdre ; Smith, Melissa ; Beard-Byrd, Karen ; Albert, Aaron ; Legault, Claudine ; McCall, W. Vaughn ; Singleton, Amy ; Brenes, Gretchen ; Hogan, Patricia ; Reifler, Burton. / A new home-based mental health program for older adults : Description of the first 100 cases. In: American Journal of Geriatric Psychiatry. 2010 ; Vol. 18, No. 12. pp. 1141-1145.
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