Day-clinic treatment of late-life depression

Bramesfeld, Anke; Adler, Georg; Brassen, Stefanie; Schnitzler, Martina

doi:10.1002/1099-1166(200101)16:1<82::aid-gps281>3.0.co;2-g

Cited by 23 publications

(23 citation statements)

References 20 publications

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“…This outcome is superior to that of Plotkin and Wells (1993), where 57% of patients showed some degree of improvement according to subjective and retrospective chart ratings. Our findings are also comparable to those of Bramesfeld et al (2001), whose patients improved an average of 8.3 points on the HAM-D.…”

Section: Discussionmentioning

confidence: 99%

“…The results of this study are also encouraging, although they are limited by the retrospective design of the study and the absence of psychometrically sound outcome measures. Finally, using reliable and valid measures, including the HAM-D, Bramesfeld et al (2001) examined 44 depressed elderly patients who attended a day-hospital program daily for 12 weeks. Patients showed a significant improvement of 8.3 points on the HAM-D, 20 of whom met criteria for remission at discharge.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of a psychiatric day hospital program for elderly patients with mood disorders

Mackenzie

Rosenberg

Major

2006

Int. Psychogeriatr.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Evaluation of a psychiatric day hospital program for elderly patients with mood disorders

Mackenzie

Rosenberg

Major

2006

Int. Psychogeriatr.

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“…These settings may include nursing homes (31, 52, 61, 69, 74–77), medical inpatient units (78), or community settings such as senior centers, adult day health, day treatment programs, rehabilitation services and assisted living facilities (16, 52, 69, 74, 79). Research within the nursing home setting could look at risks / benefits and appropriate use of antidepressant treatment in nursing home populations (31, 61, 76) while also focusing on psychosocial interventions and training more mental health providers in nursing home settings (61).…”

Section: Resultsmentioning

confidence: 99%

Directions for Effectiveness Research to Improve Health Services for Late-Life Depression in the United States

Hoeft

Hinton

Liu

et al. 2016

The American Journal of Geriatric Psychiatry

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Considerable progress has been made in the treatment of late-life depression over the past 20 years, yet considerable gaps in care remain. Gaps in care are particularly pronounced for older men, certain racial and ethnic minority groups or those with comorbid medical or mental disorders. We reviewed the peer-reviewed literature and conducted interviews with experts in late-life depression to identify promising directions for effectiveness research to address these gaps in care. We searched PubMed, PsychInfo and CINHAL databases between January 01, 1998 – August 31, 2013 using terms related to late-life depression and any of the following: epidemiology, services organization, economics of care, underserved groups including health disparities, impact on caregivers, and interventions. The results of this selective review supplemented by more current recommendations from national experts highlight three priority research areas to improve health services for late-life depression: focusing on the unique needs of the patient through patient-centered care and culturally sensitive care, involving caregivers outside the traditional clinical care team, and involving alternate settings of care. We build on these results to offer five recommendations for future effectiveness research that hold considerable potential to advance intervention and health services development for late-life depression.

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“…A high rate of admission (88% in some cases) to long stay care has also been found on average 6 months after initial referral (Green & Timbury, 1979), though this work also is very dated. Those against day hospitals suggest there is no evidence to show attendance prevents or delays admission to acute or continuing care placement for patients with dementia (Bramesfeld et al, 2001) and that many of these patients will be admitted to residential care sooner or later. Studies by Woods and Phanjoo (1991) and also Diesfildt (1992) concluded that day hospitals had little effect on the need for institutional care and that the attitude and well being of the carers and the patient's disability were more significant factors.…”

Section: Appraisal Of Day Hospitals For Older Adultsmentioning

confidence: 99%

Psychiatric Day Hospitals for older adults -where have we been and where are we going now?

Nicholson

Trusler²,

Wattis³

2005

MHLDRP

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Considering the increasing use of mental health provision by older adults it is important to assess the efficacy of services that exist as well as identify the particular needs of this client group. This review aims to put psychiatric day hospitals for older adults into a context of current thinking on service provision. It introduces some of the reasons why they were established and the debates that have ensued about their continued use. It summarises existing knowledge about what it is that day hospitals provide and how this compares with social services day care. It also discusses appraisals and efficacy research in psychiatric day hospitals. The review considers some of the alternatives to day hospitals, which are mainly community based or intermediate care. It then discusses the possibility of day hospitals adapting their structure and how they operate. Overall there does seem to be agreement in the literature about the need for standardised evaluative measures for psychiatric day hospitals for older adults as well as guidance on service provision.

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Day-clinic treatment of late-life depression

Cited by 23 publications

References 20 publications

Evaluation of a psychiatric day hospital program for elderly patients with mood disorders

Evaluation of a psychiatric day hospital program for elderly patients with mood disorders

Directions for Effectiveness Research to Improve Health Services for Late-Life Depression in the United States

Psychiatric Day Hospitals for older adults -where have we been and where are we going now?

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