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Update of Geriatric Psychiatry Practices Among American Psychiatrists

Analysis of the 1996 National Survey of Psychiatric Practice

Received September 11, 1998; revised January 28, 1999; accepted March 11, 1999. From Department of Psychiatry, College of Human Medicine, Michigan State University, East Lansing, Michigan. Address correspondence to Dr. Colenda, Professor and Chairman, Dept. of Psychiatry, College of Human Medicine, E. Fee Hall, Michigan State University, East Lansing, MI 48824.

Using data from the 1996 National Survey of Psychiatric Practice from the American Psychiatric Association (APA), the authors updated information on psychiatrists who are high geriatric providers (HGPs). In 1996, HGPs comprised 18% of the sample. Only 23% reported no geriatric patients in their practice, a 51% reduction from 1988–89; the proportion of HGPs is increasing. HGPs were more often male, minority, international medical school graduates, certified in geriatric psychiatry, and not medical school-affiliated. HGPs worked longer hours/week in direct patient care, had more patient visits/week, and saw more new patients/month, spending more time in hospitals and nursing homes and less time in office-based practice, and seeing more patients with mood disorders, psychotic disorders, and other disorders. Medicare was a proportionally higher payment source. Older psychiatrists were likely to have more patients over age 65. Tracking practice activities of HGPs may help inform policy discussion regarding staffing needs for geriatric patients with late-life mental disorders.

Key Words: Special Articles • Practice Issues • Long-Term Care

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