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M A Veerbeek, Y J Pijl, G A M Driessen

    Tijdschrift Voor Gerontologie En Geriatrie
    |December 4, 2012
    PubMed
    Summary
    This summary is machine-generated.

    Dutch older adults increasingly used mental health services, with costs decreasing due to a shift from inpatient to outpatient care until 2002. This trend, indicating deinstitutionalization, halted in 2002, necessitating new outpatient strategies.

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    Area of Science:

    • Geriatric Psychiatry
    • Health Services Research
    • Public Health Policy

    Background:

    • The Dutch population is aging, projecting increased demand for mental health services among older adults.
    • Understanding past utilization trends is crucial for effective future mental health policy making for the elderly.

    Purpose of the Study:

    • To analyze changes in the utilization of Dutch mental health services by older adults between 1990 and 2004.
    • To identify cost implications associated with these utilization trends.

    Main Methods:

    • Data on mental health service use by older adults was obtained from Dutch Psychiatric Case Registers.
    • Population size and unit costs of various mental health services were incorporated into the analysis.

    Main Results:

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    • Overall, more older adults utilized mental health services from 1990-2004.
    • Total mental health care costs decreased, driven by a reduction in expensive inpatient care and an increase in less costly outpatient care, primarily until 2002.
    • The balance between inpatient and outpatient care stabilized after 2002.

    Conclusions:

    • Deinstitutionalization occurred in Dutch mental health care for older adults between 1990-2002, substituting inpatient with outpatient services.
    • This shift allowed for treating more older adults without escalating costs.
    • The halt in deinstitutionalization post-2002, coupled with rising service demand, highlights the need for developing novel outpatient care models.