Cargando…
Efficacy of a dementia intensive support (DIS) service at preventing admissions to medical and psychiatric wards: qualitative and quantitative evaluation
AIMS AND METHOD: To establish whether a dementia intensive support (DIS) service that is part of a crisis resolution and home treatment team for older people is preventing admissions to acute hospital and psychiatric wards. The number of referrals in 2017 to the DIS service was established and those...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7684782/ https://www.ncbi.nlm.nih.gov/pubmed/32200765 http://dx.doi.org/10.1192/bjb.2020.24 |
_version_ | 1783613067453530112 |
---|---|
author | Rubinsztein, Judy S. Hatfield, Catherine High, Liam Krishnan, Ramesh Arnaoutoglou, Nikitas A. Goulia, Panagiota Dudas, Robert Ruhi, Shamim Wildschut, Karel Chouliaras, Leonidas Underwood, Benjamin R. |
author_facet | Rubinsztein, Judy S. Hatfield, Catherine High, Liam Krishnan, Ramesh Arnaoutoglou, Nikitas A. Goulia, Panagiota Dudas, Robert Ruhi, Shamim Wildschut, Karel Chouliaras, Leonidas Underwood, Benjamin R. |
author_sort | Rubinsztein, Judy S. |
collection | PubMed |
description | AIMS AND METHOD: To establish whether a dementia intensive support (DIS) service that is part of a crisis resolution and home treatment team for older people is preventing admissions to acute hospital and psychiatric wards. The number of referrals in 2017 to the DIS service was established and those admitted to hospital ascertained. Senior doctors examined 30 sets of notes in detail and reached a conclusion on whether DIS had contributed to admission prevention. This information was then re-examined in two meetings with at least eight senior psychiatrists present. A consensus opinion was then reached as to whether DIS had contributed to admission prevention in each case. RESULTS: Over 12 months, 30/171 patients (18%) referred were admitted to hospital. For the subset of 30 referrals examined in detail, DIS contributed to admission avoidance in 21 cases (70%). CLINICAL IMPLICATIONS: Our evaluation demonstrates that the DIS service is an effective way of preventing admission. |
format | Online Article Text |
id | pubmed-7684782 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-76847822020-12-04 Efficacy of a dementia intensive support (DIS) service at preventing admissions to medical and psychiatric wards: qualitative and quantitative evaluation Rubinsztein, Judy S. Hatfield, Catherine High, Liam Krishnan, Ramesh Arnaoutoglou, Nikitas A. Goulia, Panagiota Dudas, Robert Ruhi, Shamim Wildschut, Karel Chouliaras, Leonidas Underwood, Benjamin R. BJPsych Bull Original Papers AIMS AND METHOD: To establish whether a dementia intensive support (DIS) service that is part of a crisis resolution and home treatment team for older people is preventing admissions to acute hospital and psychiatric wards. The number of referrals in 2017 to the DIS service was established and those admitted to hospital ascertained. Senior doctors examined 30 sets of notes in detail and reached a conclusion on whether DIS had contributed to admission prevention. This information was then re-examined in two meetings with at least eight senior psychiatrists present. A consensus opinion was then reached as to whether DIS had contributed to admission prevention in each case. RESULTS: Over 12 months, 30/171 patients (18%) referred were admitted to hospital. For the subset of 30 referrals examined in detail, DIS contributed to admission avoidance in 21 cases (70%). CLINICAL IMPLICATIONS: Our evaluation demonstrates that the DIS service is an effective way of preventing admission. Cambridge University Press 2020-12 /pmc/articles/PMC7684782/ /pubmed/32200765 http://dx.doi.org/10.1192/bjb.2020.24 Text en © The Authors 2020 http://creativecommons.org/licenses/by-nc-nd/4.0/ http://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work. |
spellingShingle | Original Papers Rubinsztein, Judy S. Hatfield, Catherine High, Liam Krishnan, Ramesh Arnaoutoglou, Nikitas A. Goulia, Panagiota Dudas, Robert Ruhi, Shamim Wildschut, Karel Chouliaras, Leonidas Underwood, Benjamin R. Efficacy of a dementia intensive support (DIS) service at preventing admissions to medical and psychiatric wards: qualitative and quantitative evaluation |
title | Efficacy of a dementia intensive support (DIS) service at preventing admissions to medical and psychiatric wards: qualitative and quantitative evaluation |
title_full | Efficacy of a dementia intensive support (DIS) service at preventing admissions to medical and psychiatric wards: qualitative and quantitative evaluation |
title_fullStr | Efficacy of a dementia intensive support (DIS) service at preventing admissions to medical and psychiatric wards: qualitative and quantitative evaluation |
title_full_unstemmed | Efficacy of a dementia intensive support (DIS) service at preventing admissions to medical and psychiatric wards: qualitative and quantitative evaluation |
title_short | Efficacy of a dementia intensive support (DIS) service at preventing admissions to medical and psychiatric wards: qualitative and quantitative evaluation |
title_sort | efficacy of a dementia intensive support (dis) service at preventing admissions to medical and psychiatric wards: qualitative and quantitative evaluation |
topic | Original Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7684782/ https://www.ncbi.nlm.nih.gov/pubmed/32200765 http://dx.doi.org/10.1192/bjb.2020.24 |
work_keys_str_mv | AT rubinszteinjudys efficacyofadementiaintensivesupportdisserviceatpreventingadmissionstomedicalandpsychiatricwardsqualitativeandquantitativeevaluation AT hatfieldcatherine efficacyofadementiaintensivesupportdisserviceatpreventingadmissionstomedicalandpsychiatricwardsqualitativeandquantitativeevaluation AT highliam efficacyofadementiaintensivesupportdisserviceatpreventingadmissionstomedicalandpsychiatricwardsqualitativeandquantitativeevaluation AT krishnanramesh efficacyofadementiaintensivesupportdisserviceatpreventingadmissionstomedicalandpsychiatricwardsqualitativeandquantitativeevaluation AT arnaoutoglounikitasa efficacyofadementiaintensivesupportdisserviceatpreventingadmissionstomedicalandpsychiatricwardsqualitativeandquantitativeevaluation AT gouliapanagiota efficacyofadementiaintensivesupportdisserviceatpreventingadmissionstomedicalandpsychiatricwardsqualitativeandquantitativeevaluation AT dudasrobert efficacyofadementiaintensivesupportdisserviceatpreventingadmissionstomedicalandpsychiatricwardsqualitativeandquantitativeevaluation AT ruhishamim efficacyofadementiaintensivesupportdisserviceatpreventingadmissionstomedicalandpsychiatricwardsqualitativeandquantitativeevaluation AT wildschutkarel efficacyofadementiaintensivesupportdisserviceatpreventingadmissionstomedicalandpsychiatricwardsqualitativeandquantitativeevaluation AT chouliarasleonidas efficacyofadementiaintensivesupportdisserviceatpreventingadmissionstomedicalandpsychiatricwardsqualitativeandquantitativeevaluation AT underwoodbenjaminr efficacyofadementiaintensivesupportdisserviceatpreventingadmissionstomedicalandpsychiatricwardsqualitativeandquantitativeevaluation |