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Related Experiment Videos

Development of a cost-efficient psychogeriatrics service.

J J Barsa, F Kass, C C Beels

    The American Journal of Psychiatry
    |February 1, 1985
    PubMed
    Summary

    Expanding psychiatric outpatient services for the elderly doubled patient census without new staff or space. This cost-effective model successfully reduced hospitalizations and nursing home placements for geriatric patients.

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    Area of Science:

    • Geriatric Psychiatry
    • Healthcare Management
    • Outpatient Services

    Background:

    • Elderly populations require specialized psychiatric care.
    • Teaching hospitals face challenges in expanding geriatric mental health services.
    • Existing outpatient models may not be cost or space-efficient for the elderly.

    Purpose of the Study:

    • To describe cost-efficient and space-efficient methods for expanding outpatient psychiatric services to the elderly.
    • To evaluate the impact of these methods on patient census and clinical outcomes.
    • To identify beneficial strategies for geriatric psychiatry outpatient services.

    Main Methods:

    • Implementation of various cost-efficient and space-efficient service expansion strategies.
    • Focus on utilizing existing resources within a teaching hospital's psychiatry clinic.

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  • Two-year observational period to assess service impact.

    • Main Results:

    • The active treatment census of elderly patients more than doubled, reaching 185 patients.
    • Only one patient required psychiatric hospitalization; none required nursing home placement.
    • Expansion was achieved without new paid staff or additional space, except for the geriatrics service director.

    Conclusions:

    • Cost-efficient and space-efficient methods can significantly expand geriatric psychiatric outpatient services.
    • This model demonstrates a successful approach to increasing access to care for elderly patients.
    • The reviewed methods offer a scalable solution for geriatric mental health service provision in academic settings.