12-month incidence, prevalence, persistence, and treatment of mental disorders among individuals recently admitted to assisted living facilities in Maryland.
12-month incidence, prevalence, persistence, and treatment of mental disorders among individuals recently admitted to assisted living facilities in Maryland.
复制标题
最近入住马里兰州辅助生活机构的个体精神障碍的 12 个月发病率、患病率、持续性和治疗。
DOI：
10.1017/s1041610212002244
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发表时间：
2013
影响因子：
7
通讯作者：
Rosenblatt,Adam
中科院分区：
文献类型：
--
作者：
Samus,QuincyM;Onyike,ChiadiU;Johnston,Deirdre;Mayer,Lawrence;McNabney,Matthew;Baker,AlvaS;Brandt,Jason;Rabins,PeterV;Lyketsos,ConstantineG;Rosenblatt,Adam
BackgroundTo估计12个月的发病率，患病率和持续性的精神障碍最近承认的辅助生活（AL）居民和描述这些disorders.MethodsTwo百位最近承认AL居民在21个随机选择的AL设施在马里兰州接受全面的基于医生的认知和神经精神评估在基线和12个月后。专家共识小组裁定精神病诊断（使用DSM-IV-TR标准）和检查和治疗的完整性。发病率、患病率和持续性来自专家组的评估。家庭和直接护理人员承认的精神disorders.ResultsAt基线，四分之三患有认知障碍（56%痴呆症，19%认知障碍未另行说明）和15%的活动性非认知性精神障碍。痴呆和非认知性精神障碍的两个月发病率分别为17%和3%，持续率分别为89%和41%。工作人员对持续性痴呆的识别率在12个月内有所增加，但仍有25%的病例在12个月内未被识别。治疗完成在12个月为71%的持续性痴呆病例和43%的持续性非认知精神疾病cases.ConclusionsIndividuals最近承认AL是在高风险有或发展中国家的精神障碍和高比例的情况下，无论是持续性和事件，去不承认或未经治疗。常规的痴呆症和精神病筛查和重新评估应被视为标准的护理实践。需要进一步的研究，以确定纵向的影响，精神科护理居民的结果和设施资源的使用。
BackgroundTo estimate the 12-month incidence, prevalence, and persistence of mental disorders among recently admitted assisted living (AL) residents and to describe the recognition and treatment of these disorders.MethodsTwo hundred recently admitted AL residents in 21 randomly selected AL facilities in Maryland received comprehensive physician-based cognitive and neuropsychiatric evaluations at baseline and 12 months later. An expert consensus panel adjudicated psychiatric diagnoses (using DSM-IV-TR criteria) and completeness of workup and treatment. Incidence, prevalence, and persistence were derived from the panel's assessment. Family and direct care staff recognition of mental disorders was also assessed.ResultsAt baseline, three-quarters suffered from a cognitive disorder (56% dementia, 19% Cognitive Disorders Not Otherwise Specified) and 15% from an active non-cognitive mental disorder. Twelve-month incidence rates for dementia and non-cognitive psychiatric disorders were 17% and 3% respectively, and persistence rates were 89% and 41% respectively. Staff recognition rates for persistent dementias increased over the 12-month period but 25% of cases were still unrecognized at 12 months. Treatment was complete at 12 months for 71% of persistent dementia cases and 43% of persistent non-cognitive psychiatric disorder cases.ConclusionsIndividuals recently admitted to AL are at high risk for having or developing mental disorders and a high proportion of cases, both persistent and incident, go unrecognized or untreated. Routine dementia and psychiatric screening and reassessment should be considered a standard care practice. Further study is needed to determine the longitudinal impact of psychiatric care on resident outcomes and use of facility resources.