Service needs of depressed older adults following acute psychiatric care
Service needs of depressed older adults following acute psychiatric care
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DOI：
10.1080/713649968
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发表时间：
2000-11-01
影响因子：
3.4
通讯作者：
Thompson, S
中科院分区：
文献类型：
--
作者：
Morrow-Howell, NL;Proctor, EK;Thompson, S
患有精神障碍的老年人需要心理健康服务，但他们在其他领域（医疗、功能和心理社会）的服务需求程度尚不确定，尽管这些需求可能会影响精神治疗结果的实现。本研究的重点是169老年人住院抑郁症和文件的急性期后的服务需求在四个领域：精神，医疗，功能和心理社会。这些精神病患者中有75%有需要治疗的疾病。84%的人在日常活动中需要援助。近三分之二（67%）的人正在经历一个或多个需要干预的心理社会或环境问题。服务需求的平均数量为6.5（SD=1.5）。57%的人在所有四个领域都有需要。接受抑郁症急性护理的老年人有很高的服务需求，这些需求来自多个领域：精神病学，医学，功能和心理社会。我们扩展了生物心理社会模型，主要用于解决精神病理学的起源，概念化的多个领域的服务，老年人精神障碍的需要。这种生物心理社会模式表明，如果要达到预期的精神病学结果，就应该确定和解决每个领域的需求。
Older persons with mental disorder need mental health services, but the extent to which they have service needs in other domains (medical, functional and psychosocial) is not established, although these needs may compromise the attainment of psychiatric outcomes. This study focuses on 169 older adults hospitalized for depression and documents their post-acute service needs in four domains: psychiatric, medical, functional and psychosocial. Seventy-five per cent of these psychiatric patients had medical conditions that required treatment. Eighty-four per cent needed assistance with routine activities. Nearly two-thirds (67%) were experiencing one or more psychosocial or environmental problems that warranted intervention. The mean number of service needs was 6.5 (SD=1.5). Fifty-seven per cent had needs in all four domains. Older adults admitted to acute care for depression have high levels of service needs stemming from multiple domains: psychiatric, medical, functional and psychosocial. We extend the biopsychosocial model, largely used to address the origins of psychopathology, to conceptualize the multiple domains of service that older adults with mental disorder need. This biopsychosocial model suggests that needs in each domain should be identified and addressed if desired psychiatric outcomes are to be attained.