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Therapeutic Massage for Psychological Well-being in Geriatric Oncology
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Psychiatric services for the "old" old.

Brian Draper1, Lee-Fay Low

  • 1School of Psychiatry, University of New South Wales, Sydney, NSW, Australia. b.draper@unsw.edu.au

International Psychogeriatrics
|March 16, 2010
PubMed
Summary

Mental health service use for older adults over 84 differs significantly, with fewer specialist consultations but more home visits and non-specialized hospital care. This highlights distinct needs in geriatric mental healthcare delivery.

Area of Science:

  • Geriatric Psychiatry
  • Health Services Research
  • Public Health

Background:

  • Limited research exists on mental health service delivery for individuals aged 85 years and older, often termed the "old" old.
  • This study compares mental health service provision in Australia for the "old" old (85+) against the "young" old (65-84) and other age groups.

Purpose of the Study:

  • To investigate differences in mental health service utilization among the "old" old compared to younger age cohorts.
  • To examine variations in diagnostic categories, psychiatric hospital admissions, and community psychiatric consultations based on age.

Main Methods:

  • Utilized data from Medicare Australia (2001-2006) for consultant psychiatrist services (office-based, home visits, private hospitals).
  • Incorporated data from the National Hospital Morbidity database for hospital separations (admitted patient care episodes).

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  • Analyzed data by age, gender, psychiatric diagnosis, and care setting.
  • Main Results:

    • Specialist community psychiatric service use declined with age, particularly for those over 84.
    • Individuals over 84 had significantly higher rates of psychiatric home visits compared to those under 65.
    • The over-84 group had the lowest specialist psychiatric hospitalization rates but the highest non-specialized inpatient psychiatric care rates.

    Conclusions:

    • Mental health service delivery for individuals over 84 years old is markedly different from that for younger age groups.
    • Care for the "old" old is predominantly delivered in non-specialist hospital and residential settings.
    • Findings underscore the unique patterns of mental healthcare needs and service utilization in the oldest segment of the population.