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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.
Soins. Gerontologie
|August 4, 2022
Summary
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.
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.
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