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Am J Geriatr Psychiatry 2:144-156, May 1994
© 1994 American Association for Geriatric Psychiatry
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REGULAR ARTICLE

Description of a Program for Psychiatric Consultations in the Nursing Home

Jeanne Samter, R.N., M.S.N., C.S., Judith V. Braun, R.N., Ph.D., William J. Culpepper II, M.A., and Jiska Cohen-Mansfield, Ph.D.

Research Institute, Hebrew Home of Greater Washington.

The authors describe a psychiatric consultation program administered by a geropsychiatric clinical nurse specialist in a nursing home and present data on its effectiveness. Residents referred for psychiatric consultation were similar with regard to demographic characteristics, but were more cognitively intact. The most common reasons for referral were depressive symptoms, agitated behavior, and perceptual distortions. Interventions involving medication were the most frequently used, followed by relocating the resident, staff interventions, and psychotherapy. Threatments that involved moving the resident were rated as less effective. Overall, significant improvement was noted in slightly more that half of all residents referred for psychiatric consultation.




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S. J. Bartels, G. S. Moak, and A. R. Dums
Mental Health Services in Nursing Homes: Models of Mental Health Services in Nursing Homes: A Review of the Literature
Psychiatr Serv, November 1, 2002; 53(11): 1390 - 1396.
[Abstract] [Full Text] [PDF]




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Copyright © 1994 American Association for Geriatric Psychiatry