Utilization Patterns of Psychiatric Emergency Services by Elderly Patients

Woo, Benjamin K.P.

doi:10.1111/j.1532-5415.2009.02061.x

Cited by 7 publications

(7 citation statements)

References 8 publications

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“…Many studies assessing PES use by the elderly suggest that they are underrepresented in this service [10-13]. In the present study they accounted for 7.2% of all PES visits, about half of their proportion in the surrounding population.…”

Section: Discussionmentioning

confidence: 53%

“…Using an "admission and/or observation" outcome as a less subjective index one might speculate that the elderly make better use of the PES than their younger counterparts (51% admission/observation rate versus 38% for those < 65). Indeed, a higher admission rate has been reported in several other studies [11-13,24,28]. However, many non-psychiatric reasons, such as transportation problems or a poor social support network, may mitigate admitting an elderly, but not a younger, comparably ill patient.…”

Section: Discussionmentioning

confidence: 83%

“…Given this relationship it is possible that the elderly might less frequently visit the PES for minor psychiatric symptoms. With few exceptions [9], most studies assessing PES use by the elderly in Canada and in the United-States suggest that they are underrepresented in the overall PES population [10-13]. Furthermore, increases in PES use over time by the elderly have yet to be reported.…”

Section: Introductionmentioning

confidence: 99%

“…The elderly with severe mental illness are less likely to visit the psychiatric emergency room than their younger cohorts, making preferential use of mobile psychiatric emergency teams or case-management [13-15]. In addition, even the elderly with major depression are less likely to seek or to receive psychiatric care than those under 65 (< 65) [16-18].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, factors other than diagnosis may help differentiate the elderly PES user from those < 65. Gender differences (a higher proportion of women), fewer self referrals, a higher hospitalization rate following the visit and the frequent presence of a contributing medical condition, have all been reported [11-13,24,28]. As such, assessing diagnostic, demographic and patterns of PES use by the elderly may contribute to better defining the role and structure of future geropsychiatric emergency health care delivery.…”

Section: Introductionmentioning

confidence: 99%

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The elderly in the psychiatric emergency service (PES); a descriptive study

Chaput¹,

Beaulieu

Paradis

et al. 2011

BMC Psychiatry

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BackgroundThe impact of an aging population on the psychiatric emergency service (PES) has not been fully ascertained. Cognitive dysfunctions aside, many DSM-IV disorders may have a lower prevalence in the elderly, who appear to be underrepresented in the PES. We therefore attempted to more precisely assess their patterns of PES use and their clinical and demographic characteristics.MethodsClose to 30,000 visits to a general hospital PES (Montreal, Quebec, Canada) were acquired between 1990 and 2004 and pooled with over 17,000 visits acquired using the same methodology at three other services in Quebec between 2002 and 2004.ResultsThe median age of PES patients increased over time. However, the proportion of yearly visits attributable to the elderly (compared to those under 65) showed no consistent increase during the observation period. The pattern of return visits (two to three, four to ten, eleven or more) did not differ from that of patients under 65, although the latter made a greater number of total return visits per patient. The elderly were more often women (62%), widowed (28%), came to the PES accompanied (42%) and reported « illness » as an important stressor (29%). About 39% were referred for depression or anxiety. They were less violent (10%) upon their arrival. Affective disorders predominated in the diagnostic profile, they were less co-morbid and more likely admitted than patients under 65.ConclusionAlthough no proportional increase in PES use over time was found the elderly do possess distinct characteristics potentially useful in PES resource planning so as to better serve this increasingly important segment of the general population.

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Section: Discussionmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The elderly in the psychiatric emergency service (PES); a descriptive study

Chaput¹,

Beaulieu

Paradis

et al. 2011

BMC Psychiatry

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Unrecognized medical disorders among older patients in psychiatric emergency service

Woo

2011

Int J Geriat Psychiatry

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In this paper, we propose a “casting” strategy to prepare intrinsically fluorescent, uniform and porous gelatin microgels with multi‐responsiveness. Gelatin microgels with tunable size were obtained by copying the structure of a porous CaCO3 template. The diameter of the gelatin microgels was sensitive to salt concentration and pH. Doxorubicin and Rhodamine B as model drugs were loaded into the microgels via electrostatic interaction and release of the payload was triggered by changing the salt concentration and pH, respectively. Cell experiments demonstrated that the gelatin microgels had an excellent biocompatibility and biodegradability. The merits of gelatin microgels such as tunable size, biocompatibility, and stimulus responsive upload and release of positively charged small molecules will permit the microgels as excellent carriers for drug delivery. The whole manufacturing process is furthermore environmental‐friendly involving no organic solvents and surfactants.

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Substance misuse among older patients in psychiatric emergency service

Woo

Chen

2010

General Hospital Psychiatry

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Utilization Patterns of Psychiatric Emergency Services by Elderly Patients

Cited by 7 publications

References 8 publications

The elderly in the psychiatric emergency service (PES); a descriptive study

The elderly in the psychiatric emergency service (PES); a descriptive study

Unrecognized medical disorders among older patients in psychiatric emergency service

Substance misuse among older patients in psychiatric emergency service

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