TY - JOUR
T1 - Psychiatric consultation in the nursing home
T2 - A survey of six states
AU - Reichman, William E.
AU - Coyne, Andrew C.
AU - Borson, Soo
AU - Negrón, Arnaldo E.
AU - Rovner, Barry W.
AU - Pelchat, Rodney J.
AU - Sakauye, Kenneth M.
AU - Katz, Paul
AU - Cantillon, Marc
AU - Hamer, Robert M.
PY - 1998/1/1
Y1 - 1998/1/1
N2 - The authors examined availability, characteristics, and perceived adequacy of psychiatric consultation in nursing homes, as reported by directors of nursing, who returned 899 questionnaires. Thirty-eight percent of nursing home residents were judged to need a psychiatric evaluation; current frequency of consultation was rated as adequate by half of nursing directors. Nearly two-thirds reported that psychiatrists adequately provided diagnostic and medication recommendations; however, advice on nonpharmacologic management techniques, staff support, and dealing with staff stress and family conflicts was largely viewed as inadequate. Findings suggest that perceived need for psychiatric services is far greater than the level actually provided. Overall, more attention must be directed to identifying incentives for psychiatrists to practice in nursing homes, determining clinical effectiveness of mental health services, and examining effects of alternative payment mechanisms on level of care.
AB - The authors examined availability, characteristics, and perceived adequacy of psychiatric consultation in nursing homes, as reported by directors of nursing, who returned 899 questionnaires. Thirty-eight percent of nursing home residents were judged to need a psychiatric evaluation; current frequency of consultation was rated as adequate by half of nursing directors. Nearly two-thirds reported that psychiatrists adequately provided diagnostic and medication recommendations; however, advice on nonpharmacologic management techniques, staff support, and dealing with staff stress and family conflicts was largely viewed as inadequate. Findings suggest that perceived need for psychiatric services is far greater than the level actually provided. Overall, more attention must be directed to identifying incentives for psychiatrists to practice in nursing homes, determining clinical effectiveness of mental health services, and examining effects of alternative payment mechanisms on level of care.
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U2 - 10.1097/00019442-199800640-00007
DO - 10.1097/00019442-199800640-00007
M3 - Article
C2 - 9793580
AN - SCOPUS:13144262834
SN - 1064-7481
VL - 6
SP - 320
EP - 327
JO - American Journal of Geriatric Psychiatry
JF - American Journal of Geriatric Psychiatry
IS - 4
ER -