Crisis Intervention in Psychogeriatrics - A Round-the-Clock Commitment
Harry Doyle
Bok Engelsk 1994
| Utgitt | H Doyle Guys Hosp London SE1, England , 1994
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| Omfang | 8 s.
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| Opplysninger | Abstract The purpose of the study was to ascertain if comparable results could be obtained with a crisis intervention service operating during normal working hours as with a round-the-clock-service. A follow up study, over a period of 3 years, was conducted on a cohort of 70 patients aged 65 years and over who were referred urgently to a Crisis Intervention Team over a 6-month period. This team operated on a 9-5 basis. Outcome under several headings was compared with outcome in a previously reported 2-year follw-up study of a crisis intervention service which operated on a 24 hours basis. This group had comparable age and sex distribution, and similer proportions living ali\on at referral. Diagnostic groupings were similar and in both groups similar percentages of those referred were admitted (31% of 9-5 group vs 29% other). Notabledifferences were a greater referral rate in the 24 hr group and significantly greater numbers living in residential accomondation in 9-5 group. Over the follw-up period 9% of the 9-5 group were admitted vs 5% other. There was a greater use of community services by the 24 hr group. Mortality was almost identical in both groups. The finding that on many outcome criteria results were as impressive in the service operating during normal working hours as in the round-the-clock service has important service implications. however, caution is needed in interpreting the results due to the difficulties of comparing two geographically separat services with varied demographic differences. Suggestions for further analysis of models of service delivery are made.
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