The care needs of older patients with bipolar disorder

Abstract

Older bipolar patients report fewer needs and unmet needs compared to older patients with depression, schizophrenia, and dementia. A plausible explanation is that older bipolar patients had higher Global Assessment of Functioning scores, were better socially integrated, and had fewer actual mood symptoms, all of which correlated with the number of needs in this study. The results emphasize the necessity to assess the needs of bipolar patients with special attention to social functioning, as it is suggested that staff fail to recognize or anticipate these needs.

Unmet care needs, care provision and patient satisfaction in patients with a late life depression: a cross-sectional study

“…And this is striking because in an ambulatory health care setting one should expect that the ambulatory healthcare professionals also address the needs in the social domain. This is also discussed in another study on bipolar patients in a similar setting (Dautzenberg et al, 2016). We agree with Dautzenberg et al (2016) that it is probably a demarcation problem in which ambulatory health care professionals do not regard these problems within their scope of attention and address care needs in the social domain to other health care facilities (e.g.…”

“…From the results of this study, we have some concerns about the provided care in the social domain. From other studies (Dautzenberg et al, 2016;Houtjes et al, 2010) we know that most of the unmet needs are found in the social domain. The results of this study show that in about 30% of the unmet needs remain undetected (e.g.…”

“…In recent decades, there has been increased research on care needs for various psychiatric disorders, including depression, schizophrenia, bipolar disorder and dementia (Cummings & McClure, 2008;Dautzenberg et al, 2016;Futeran & Draper, 2012;Houtjes et al, 2010;Meesters et al, 2013;Orrell et al 2008;Passos, Sequeira, & Fernandes, 2012). Regarding LLD, it has been shown that nearly 30% of reported care needs remain unmet (Houtjes et al, 2010).…”

“More Life, Not Less”: Using Narrative Therapy With Older Adults With Bipolar Disorder

“…Finally, Dautzenberg et al () conducted a needs assessment among patients age 60 years and older who were receiving services for BD. They found that, overall, needs were low; however, the most common unmet individual needs included household skills, physical health, medication, and psychological distress.…”

Filling the gaps? The role of voluntary organizations in supporting older people with severe mental illnesses

“…International studies project that the population of older people with severe mental illness (SMI) will increase in the coming decades (Clifton, Marples, and Clarke 2013; NBHW (National Board of Health and Welfare) 2013). This implies a challenge for the provision of health and welfare services in many countries (OECD 2011), due the deficient understanding of the living situation and care needs of older people with SMI (Dautzenberg et al 2016;Warner and Jenkinson 2013).…”