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Treatment of Homebound Mentally Ill Elderly Patients

The Multidisciplinary Psychiatric Mobile Team

Received July 14, 2000; revised June 8, July 3, 2001; accepted July 12, 2001. From Brown University, Department of Psychiatry and Human Behavior, Providence, RI (RK), the Homebound Elderly Program, Department of Psychiatry, New York-Presbyterian, Columbia Presbyterian Medical Center, New York, NY (EG), and the Department of Social Work, New York-Presbyterian, Columbia Presbyterian Medical Center, New York, NY (TWS). Address correspondence to Dr. Kohn, Butler Hospital, Brown University Department of Psychiatry and Human Behavior, 345 Blackstone Blvd., Providence, RI 02906. e-mail: Robert_Kohn{at}brown.edu

Authors evaluated the general feasibility of using a multidisciplinary psychiatric mobile team model for homebound elderly patients. Information was collected with a semistructured interview on 235 homebound elderly patient referrals over a 2.5-year period. Ninety-three subjects were accepted into the program; 12.9% of those accepted required psychiatric hospitalization during the follow-up. Maintaining individuals in the community was achieved with intense case management and significant increases in home-care hours. The multidisciplinary team approach appeared to lessen psychiatric disability in homebound mentally ill elderly patients.

Key Words: Health Services • Delivery of Care • Outreach

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