Integrated Community Collaborative Care for Seniors with Depression/Anxiety and any Physical Illness

Shulman, Richard W.; Arora, Reenu; Geist, Rose; Ali, Amna; Ma, Julia; Mansfield, Elizabeth; Martel, Sara; Sandercock, Jane; Versloot, Judith

doi:10.5770/cgj.24.473

Cited by 7 publications

(12 citation statements)

References 23 publications

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“…This dual stigma of ageism on the one hand and mental illness on the other hand has been briefly touched upon in the literature. 7 Shulman et al described how this stigma may lead to not recognizing the need for mental health care, or even to resistance to referral.…”

Section: Discussionmentioning

confidence: 99%

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Defining Vision and Mission of a Medical Psychiatry Unit (MPU) for Older Adults: A Focus Group Study

Tops,

Coteur,

Vermandere

2024

INQUIRY

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This study aims to determine the vision and mission of an academic hospital’s medical psychiatry unit (MPU) that exclusively treats geriatric patients. All healthcare providers working at an academic hospital’s geriatric MPU were invited to reflect on formulate the vision and mission of this ward. Twenty-two of them took part in the focus group interviews. The interviews focused on defining the MPU’s functioning, its objectives, how it will reach these objectives, and where the MPU aspires to go. The interviews were transcribed verbatim and analyzed according to the QUAGOL guide. The themes from the analysis emerged from these group discussions. The participants defined the MPU’s vision as to excel in integrated mental and physical geriatric inpatient healthcare, inspiring others to shed the stigma related to this vulnerable patient population. The mission that emerged from the focus group discussions is to provide patient-centered, integrated healthcare for older adults with combined mental and physical disorders. To achieve this, involving the patient’s network, interdisciplinarity, shared decision-making, clear communication between all stakeholders, and reintegration of patients into their communities emerged as important themes. This study provides a vision and mission of a geriatric MPU in an academic psychiatric hospital. Since there is no consensus in the literature about the characteristics of MPUs despite the international call for integrated care for older persons with combined mental and physical disorders, these vision and mission statements can feed the discussion on how to install excellent healthcare for this vulnerable patient population.

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Section: Discussionmentioning

confidence: 99%

“… 6 Furthermore, older people with a mental disorder face the dual stigma of being both a geriatric and psychiatric patient. 7 …”

Section: Introductionmentioning

confidence: 99%

Defining Vision and Mission of a Medical Psychiatry Unit (MPU) for Older Adults: A Focus Group Study

Tops,

Coteur,

Vermandere

2024

INQUIRY

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“…A pro-active approach to the care planning was used in every care model. Informal caregivers were engaged in four out of thirteen care models [41][42][43][44]. The interaction of treatment [e.g., polypharmacy, guideline interaction] was assessed in every care model.…”

Section: Core Components Of the Care Models Service Deliverymentioning

confidence: 99%

Integrated Care Models for Older Adults with Depression and Physical Comorbidity: A Scoping Review

Tops,

Beerten,

Vandenbulcke

et al. 2024

Int J Integr Care

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Objective: Multimorbidity is a growing challenge in the care for older people with mental illness. To address both physical and mental illnesses, integrated care management is required. The purpose of this scoping review is to identify core components of integrated care models for older adults with depression and physical comorbidity, and map reported outcomes and implementation strategies. Methods: PubMed, EMBASE, CINAHL and Cochrane Library were searched independently by two reviewers for studies concerning integrated care interventions for older adults with depression and physical comorbidity. We used the SELFIE framework to map core components of integrated care models. Clinical and organisational outcomes were mapped. Results: Thirty-eight studies describing thirteen care models were included. In all care models, a multidisciplinary team was involved. The following core components were mainly described: continuity, person-centredness, tailored holistic assessment, pro-activeness, treatment interaction, individualized care planning, and coordination tailored to complexity of care needs. Twenty-seven different outcomes were evaluated, with more attention given to clinical than to organisational outcomes. Conclusion: The core components that comprise integrated care models are diverse. Future studies should focus more on implementation aspects of the intervention and describe financial parts, e.g., the cost of the intervention for the healthcare user, more transparently.

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“…Creating a team of professionals from multiple disciplines to improve efficiency. Canada is exploring and adapting collaborative care models especially for patients experiencing co-occurring mental and physical health conditions (Shulman et al 2021). This model uses care managers to provide initial and follow-up assessments with standardized monitoring and psychotherapy for self-management.…”

Section: Workforcementioning

confidence: 99%

“…The evaluation shows that the program is feasible and effective given that it was well received by patients and patient outcomes improved. Despite these positive outcomes, financing such a program can prove to be difficult in public fee-for-service health care systems (Shulman et al 2021).…”

Section: Workforcementioning

confidence: 99%

Silver Opportunity: Building Integrated Services for Older Adults around Primary Health Care

2023

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Some rights reserved 1 2 3 4 26 25 24 23This work is a product of the staff of The World Bank with external contributions. The findings, interpretations, and conclusions expressed in this work do not necessarily reflect the views of The World Bank, its Board of Executive Directors, or the governments they represent. The World Bank does not guarantee the accuracy, completeness, or currency of the data included in this work and does not assume responsibility for any errors, omissions, or discrepancies in the information, or liability with respect to the use of or failure to use the information, methods, processes, or conclusions set forth. The boundaries, colors, denominations, and other information shown on any map in this work do not imply any judgment on the part of The World Bank concerning the legal status of any territory or the endorsement or acceptance of such boundaries.Nothing herein shall constitute or be construed or considered to be a limitation upon or waiver of the privileges and immunities of The World Bank, all of which are specifically reserved.

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Integrated Community Collaborative Care for Seniors with Depression/Anxiety and any Physical Illness

Cited by 7 publications

References 23 publications

Defining Vision and Mission of a Medical Psychiatry Unit (MPU) for Older Adults: A Focus Group Study

Defining Vision and Mission of a Medical Psychiatry Unit (MPU) for Older Adults: A Focus Group Study

Integrated Care Models for Older Adults with Depression and Physical Comorbidity: A Scoping Review

Silver Opportunity: Building Integrated Services for Older Adults around Primary Health Care

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