Nurse-led liaison psychiatry service for older adults: service evaluation

Anderson, Duwayne M.; Cattell, Howard; Bentley, Elaine

doi:10.1192/pb.bp.107.016725

Cited by 5 publications

(3 citation statements)

References 13 publications

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“…One study did suggest that a nurse-led psychiatric consultation service model functioned well in comparison with traditional medically-led consultation models and could lead to cost savings [106] (M) .…”

Section: Resultsmentioning

confidence: 99%

“…Similarly, our review did not identify any high quality work directly relating to the role of community nursing in dementia services and care: references tended to relate to CPNs as part of specialist teams [ 48 ]. One study did suggest that a nurse-led psychiatric consultation service model functioned well in comparison with traditional medically-led consultation models and could lead to cost savings [ 106 ] (M) .…”

Section: Resultsmentioning

confidence: 99%

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Evidence of what works to support and sustain care at home for people with dementia: a literature review with a systematic approach

et al. 2015

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BackgroundThis paper synthesises research evidence about the effectiveness of services intended to support and sustain people with dementia to live at home, including supporting carers. The review was commissioned to support an inspection regime and identifies the current state of scientific knowledge regarding appropriate and effective services in relation to a set of key outcomes derived from Scottish policy, inspection practice and standards. However, emphases on care at home and reduction in the use of institutional long term care are common to many international policy contexts and welfare regimes.MethodsSystematic searches of relevant electronic bibliographic databases crossing medical, psychological and social scientific literatures (CINAHL, IngentaConnect, Medline, ProQuest, PsychINFO and Web of Science) in November 2012 were followed by structured review and full-text evaluation processes, the latter using methodology-appropriate quality assessment criteria drawing on established protocols.ResultsOf 131 publications evaluated, 56 were assessed to be of ‘high’ quality, 62 of ‘medium’ quality and 13 of ‘low’ quality. Evaluations identified weaknesses in many published accounts of research, including lack of methodological detail and failure to evidence conclusions. Thematic analysis revealed multiple gaps in the evidence base, including in relation to take-up and use of self-directed support by people with dementia, use of rapid response teams and other multidisciplinary approaches, use of technology to support community-dwelling people with dementia, and support for people without access to unpaid or informal support.ConclusionsIn many areas, policy and practice developments are proceeding on a limited evidence base. Key issues affecting substantial numbers of existing studies include: poorly designed and overly narrowly focused studies; variability and uncertainty in outcome measurement; lack of focus on the perspectives of people with dementia and supporters; and failure to understanding the complexities of living with dementia, and of the kinds of multifactorial interventions needed to provide holistic and effective support. Weaknesses in the evidence base present challenges both to practitioners looking for guidance on how best to design and deliver evidence-based services to support people living with dementia in the community and their carers and to those charged with the inspection of services.Electronic supplementary materialThe online version of this article (doi:10.1186/s12877-015-0053-9) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Evidence of what works to support and sustain care at home for people with dementia: a literature review with a systematic approach

et al. 2015

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“…diagnosis of dementia or fewer depressive symptoms at follow-up) with a nurse-only liaison service. 67,68 Sax Institute | Psychiatric service delivery for older people with mental disorders and dementia 25…”

Section: Service Features Associated With Effectivenessmentioning

confidence: 99%

Psychiatric service delivery for older people with mental disorders and dementia in hospitals and residential aged care

Cations¹,

Wilton-Harding²,

Draper³

et al. 2021

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This Evidence Check aimed to summarise the evidence on effective models of psychiatry service delivery for older people in four types of hospital and residential / long-stay care services. The review found that hospital mental health wards for older people were effective in improving neuropsychiatric symptoms, mood, anxiety and quality of life. Specialist consultations and liaison services enhanced the quality of hospital care and the adoption of best practice approaches by clinicians. They also reduced hospital stay and carer stress, and increased patient satisfaction with care. The authors compared outcomes for older people being treated in dedicated mental health services with mainstream (or ‘ageless’) mental health services and identified a gap in evidence. The review found the need for more research on psychiatric services in residential and long-stay care settings, and effective care models in particular populations, such as Aboriginal and Torres Strait Islander peoples.

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