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[Weaving with Ti-Sage].

Olivier Laurini1, Stéphane Dréano1, Natacha Bidard2

  • 1Établissement public de santé mentale Sud Bretagne, centre hospitalier Charcot, Le Trescoët, 56854 Caudan, France.

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The Ti-Sage mobile team offers rapid, semi-emergency psychiatric care for seniors, improving access and reducing hospitalizations. This responsive system ensures timely assessments and community-based follow-up for geriatric mental health needs.

Keywords:
alternative to hospitalisationalternative à l’hospitalisationgerontopsychiatrygérontopsychiatriehome caremobile teamnetworkréseausoin à domiciletelemedicineterritoireterritorytélémédecineéquipe mobile

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Area of Science:

  • Geriatric Psychiatry
  • Mental Health Services Research
  • Mobile Health Interventions

Background:

  • Geriatric mental health services often face challenges with accessibility and responsiveness.
  • Semi-emergency care models are needed to address acute psychiatric needs in older adults.
  • The Sud Bretagne region sought to optimize mental health care delivery for its elderly population.

Purpose of the Study:

  • To evaluate the effectiveness of the Ti-Sage mobile geronto-psychiatry team.
  • To assess the impact of a responsive, semi-emergency care system on geriatric mental health outcomes.
  • To determine the role of mobile multidisciplinary teams in preventing inappropriate hospitalizations.

Main Methods:

  • Implementation of a mobile geronto-psychiatry team (Ti-Sage) offering semi-emergency care.
  • Telephone-based request system prioritizing fluidity and responsiveness.
  • Multidisciplinary team assessment, direction, and close follow-up within 48 hours.
  • Interventions conducted via in-person visits or telemedicine across geriatric care structures.
  • Network collaboration with care partners and carer support.

Main Results:

  • The Ti-Sage system demonstrated enhanced fluidity and responsiveness in geriatric mental health care.
  • Rapid assessment and follow-up (within 48 hours) were achieved.
  • The team successfully forged links and provided support within living and care areas.
  • Interventions were delivered effectively through both in-person visits and telemedicine.
  • Coordination with care partners and support for carers were integral components.

Conclusions:

  • Mobile geronto-psychiatry teams can provide effective semi-emergency care for seniors.
  • Responsive, accessible systems are crucial for optimizing geriatric mental health service delivery.
  • This model shows promise in preventing unnecessary hospitalizations and improving community-based care.
  • Telemedicine and in-person interventions are viable modalities for geriatric psychiatric care.
  • Integrated care networks enhance support for older adults with mental health conditions and their carers.