| Titre : | Effectiveness of a nurse-based outreach program for identifying and treating Psychiatric illness in the Elderly. (2000) |
| Auteurs : | P.V. RABINS ; B.S. BLACK ; L. BRANT ; P. GERMAN ; M. MCGUIRE ; B. Robbins ; R. ROCA ; R. RYE ; Department of Health Policy and Management. School of Hygiene and Public Health. Johns Hopkins Medical Institutions. USA ; Department of Medicine. School of Medicine. USA ; Department of Psychiatry and Behavioral SciencesSchool of Medicine. USA ; Sheppard and Enoch Pratt Hospital. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (vol. 283, n° 21, 2000) |
| Pagination : | 2802-2809 |
| Langues: | Anglais |
| Mots-clés : | Santé mentale ; Personne âgée ; Homme ; Identification ; Thérapeutique ; Résultat ; Essai thérapeutique ; Système nerveux [pathologie] ; Psychiatrie |
| Résumé : | [BDSP. Notice produite par INIST tKR0xegS. Diffusion soumise à autorisation]. Context Elderly persons with psychiatric disorders are less likely than younger adults to be diagnosed as having a mental disorder and receive needed mental health treatment. Lack of access to care is 1 possible cause of this disparity. Objective To determine whether a nurse-based mobile outreach program to seriously mentally ill elderly persons is more effective than usual care in diminishing levels of depression, psychiatric symptoms, and undesirable moves (eg, nursing home placement, eviction, board and care placement). Design Prospective randomized trial conducted between March 1993 and April 1996 to assess the effectiveness of the Psychogeriatric Assessment and Treatment in City Housing (PATCH) program. Setting Six urban public housing sites for elderly persons in Baltimore, Md. Participants A total of 945 (83%) of 1195 residents in the 6 sites underwent screening for psychiatric illness. Among those screened, 342 screened positive and 603 screened negative. All screen-positive subjects aged 60 years and older (n=310) and a 10% random sample of screen-negative subjects aged 60 years and older (n=61) were selected for a structured psychiatric interview. Eleven subjects moved or died ; 245 (82%) of those who screened positive and 53 (88%) of those who screened negative were evaluated to determine who had a psychiatric disorder. Data were weighted to estimate the prevalence of psychiatric disorders at the 6 sites. (...) |
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