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Psychiatry and the geriatric syndromes - creating constructive interfaces.

Simon Thacker1, Mike Skelton2, Rowan Harwood3

  • 1Kingsway Hospital, Derby.

Bjpsych Bulletin
|April 13, 2017
PubMed
Summary

Integrating mental and physical healthcare faces significant barriers. A syndromic model and collaboration between old age psychiatry and geriatric medicine can improve coordinated care for vulnerable elderly patients.

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Area of Science:

  • Geriatric Medicine
  • Old Age Psychiatry
  • Integrated Healthcare Models

Background:

  • Professional and organizational barriers hinder the integration of mental and physical healthcare services.
  • Fragmentation of services leads to continuity of care issues for patients.
  • Current commissioning and service structures perpetuate these integration challenges.

Discussion:

  • The syndromic model, utilized in geriatrics, offers a pragmatic approach to multi-component, coordinated care, shifting focus from diagnosis to implementation.
  • Old age psychiatry and geriatric medicine possess overlapping and complementary skills valuable for integrated care.
  • Collaboration is essential to address the needs of elderly individuals vulnerable to dementia and delirium.

Key Insights:

  • Implementing integrated mental and physical healthcare requires overcoming professional and organizational hurdles.

Related Experiment Videos

  • A syndromic approach can facilitate coordinated care delivery for complex patient needs.
  • Joint service development between old age psychiatry and geriatric medicine is crucial.

    • Outlook:

    • A renewed alliance between old age psychiatry and geriatric medicine is necessary to realize integrated care for frail elderly populations.
    • Commissioners must recognize the potential for joint services to improve care for vulnerable elderly patients.
    • Moving integrated care from concept to practice necessitates strategic collaboration and structural adaptation.