+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Relationships between requests for psychiatric consultations and psychiatric diagnoses in long-term-care facilities



Relationships between requests for psychiatric consultations and psychiatric diagnoses in long-term-care facilities



American Journal of Psychiatry 148(7): 898-903



Objective: The author's objective was to investigate reasons for referral of elderly nursing home residents for psychiatric consultation and the relationship of these reasons for referral to psychiatric diagnoses. Method: They examined 197 nursing home residents consecutively referred to a consulting team in a university-affiliated mental health center. These patients represented all patients evaluated by the consulting team at six nursing homes over a 2-year period (Sept. 1, 1984, through Aug. 30, 1986). Results: Reasons for referral were diverse but fell into seven broad clusters: behavioral problems; mood-related problems; consultations requested by involuntary treatment services, patients, physicians, or other referring agencies; psychotic features; physical signs; impaired activities of daily living; and other. Behavioral problems were most commonly cited and tended to be associated with dementia diagnoses. Mood-related reasons for referral were most strongly associated with diagnoses of affective disorders, and diagnoses of schizophrenia and adjustment disorder were each associated with two or more reasons for referral. However, reasons for referral were distributed widely across diagnostic groups and were relatively weak predictors of diagnoses. Conclusions: The results illustrate the variety of problems for which nursing home staff are willing to seek psychiatric consultation but emphasize the need for professional psychiatric evaluation to establish a diagnostic base on which treatment interventions can be built.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 041225097

Download citation: RISBibTeXText

PMID: 2053630

DOI: 10.1176/ajp.148.7.898


Related references

Diagnoses, requests and timing of 503 psychiatric consultations in two general hospitals. Acta Medica Iranica 50(1): 53-60, 2012

Requests by hospitals specializing in psychiatric care (facilities with permission to charge for emergency admission to psychiatric departments) to psychiatric departments of general hospitals--based on the conditions of the patients hospitalized with somatic complications in a 3-year period. Seishin Shinkeigaku Zasshi 111(9): 1138-1142, 2010

New hot-water standards for psychiatric and long term care facilities. Jcah Perspectives. Joint Commission on Accreditation of Hospitals 3(1): 4-4, 1982

Residential facilities as the new scenario of long-term psychiatric care. Current Opinion in Psychiatry 17(4): 275-281, 2004

Prevalence of select psychiatric diagnoses in long-term care: 1997-2007. Health Care Financing Review 30(2): 105-114, 2009

Are long-term psychiatric patients causing more crisis consultations outside office hours in mental health care?. International Journal of Social Psychiatry 59(6): 555-560, 2014

Psychiatric diagnoses as predictors of suicide. A comparison of diagnoses at conscription and in psychiatric care in a cohort of 50,465 young men. British Journal of Psychiatry 157: 339-344, 1990

Social rehabilitation of patients from long-term psychiatric care facilities. Deutsche Krankenpflegezeitschrift 45(8): 539-541, 1992

Guidelines for psychiatric practice in public sector psychiatric inpatient facilities. Committee on State and Community Psychiatric Systems of the Council on Psychiatric Services. American Psychiatric Association. American Journal of Psychiatry 151(5): 797-798, 1994

Clinical assessment of psychiatric consultations in a medical long term care facility interrater reliability for dsm iii diagnostic groups. International Journal of Geriatric Psychiatry 4(5): 283-292, 1989

Clinical assessment of psychiatric consultations in a medical long-term care facility: Interrater reliability for DSM-III diagnostic groups. International Journal of Geriatric Psychiatry 4(5): 283-291, 1989

Psychiatric diagnoses in patients with burning mouth syndrome and atypical odontalgia referred from psychiatric to dental facilities. Neuropsychiatric Disease and Treatment 6: 699-705, 2010

Psychiatric illness and resident assaults among veterans in long-term care facilities. Journal of Gerontological Nursing 40(4): 25-30, 2014

Alternatives to the mental hospital: use of residential facilities for long-term psychiatric care. Archives of General Psychiatry 34(8): 909-912, 1977

The need for psychiatric nurse clinical specialists in geriatric long-term-care facilities. Nursing Homes and Senior Citizen Care 36(4): 32-33, 1987