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The Camberwell elderly mentally ill and their needs for services
W Abdul-Hamid1, S Johnson, G Thornicroft
1Centre for Psychiatry, Bart's and London Queen Mary's School of Medicine and Dentistry, London, UK. Walid.Abdul-Hamid@nemhpt.nhs.uk
The International Journal of Social Psychiatry
|January 9, 2009
Summary
This study assessed elderly mentally ill individuals, finding their needs differ from younger patients. A specialized needs assessment tool is required for this population.
Area of Science:
- Geriatric Psychiatry
- Epidemiology of Mental Illness
Background:
- Previous research on elderly mentally ill focused on hospital settings.
- This study examines an epidemiological sample to understand characteristics and service needs.
Purpose of the Study:
- Identify characteristics, problems, service utilization, and needs of elderly patients with functional psychosis.
- Compare elderly patients with younger individuals using the same data.
- Highlight the need for tailored assessment tools for the elderly mentally ill.
Main Methods:
- Analysis of data from PRiSM on psychotic patients aged 64+ in a defined catchment area.
- Comparison of elderly patients with younger patients using existing data.
- Utilized the Camberwell Assessment of Needs (CAN) for needs assessment.
Main Results:
- Elderly patients exhibit distinct characteristics and problems compared to younger mentally ill individuals.
- The Camberwell Assessment of Needs (CAN) demonstrated lower sensitivity to the physical and psychiatric needs of the elderly.
- Observed a lower rate of schizophrenia in the elderly mentally ill compared to younger cohorts.
Conclusions:
- The lower incidence of schizophrenia in the elderly may be linked to the disorder's natural progression or effective community care policies.
- A specific needs assessment procedure tailored for the elderly mentally ill population is essential.
- Current assessment tools may not adequately capture the unique needs of older adults with mental illness.
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