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(searched for: 10.29328/journal.apmh.1001030)
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Gómez Elena, Guzmán Marianela,
Archives of Psychiatry and Mental Health, Volume 5, pp 018-021; https://doi.org/10.29328/journal.apmh.1001030

Abstract:
Introduction: Psychiatric emergencies constitute between 1% - 10% of general emergencies in Spain, of which a quarter will end up being hospital admissions. There is little literature on patients who are referred from general to specialized hospitals. Methods: Cross-Sectional study of all the patients referred in 2018. Sociodemographic variables and clinical variables, such as diagnosis and discharge destination, were analyzed. An analysis was performed by comparing means with the Chi Square test. Results: 433 derived emergencies were analyzed. Most of the patients were women. The main reason for derivation were suicide attempts. Of those patients, 40% required hospitalizations. More than 50% of the derived emergencies were referred to the home and followed up on an outpatient basis. Conclusion: Most derived emergencies are referred to the home after evaluation. This implies that most are not life-threatening and that with adequate tools for evaluating suicide risk, we could avoid transfers and improve the resolution of these cases.
, Andrea McIlvena
Journal of Psychosocial Nursing and Mental Health Services, Volume 53, pp 17-21; https://doi.org/10.3928/02793695-20150622-03

Abstract:
Aging Matters Paul Sadler, MAPS, CCLP; Andrea McIlvena, RN, CMHN Community Aged Intensive Recovery (CAIR) programs are an integral part of Aged Persons Mental Health Services (APMHS); however, no study has investigated whether a rural-based intensive program benefits older clients with severe mental illness. The current sample comprised 119 older adults who were being managed by a CAIR program from July 2011 to June 2013. Three key results were found: (a) approximately three quarters of clients admitted to the CAIR program remained treated in the community; (b) the program assisted in significantly reducing the level of psychiatric symptom severity from CAIR entry to CAIR exit; and (c) the APMHS team with the CAIR program had a lower psychiatric inpatient rate compared to the APMHS team without the program. The current study highlights the importance of delivering effective rural-based CAIR programs to older adults experiencing severe mental illness. [Journal of Psychosocial Nursing and Mental Health Services, 53(9), 17–21.] Mr. Sadler is Clinical Psychologist, and Ms. McIlvena is Mental Health Nurse and Team Leader, Latrobe Regional Hospital’s South West Gippsland Aged Persons Mental Health Service, Wonthaggi Hospital, Wonthaggi, Victoria, Australia. Ms. McIlvena is the team leader of the Community Aged Intensive Recovery (CAIR) program, and Paul Sadler consults within Latrobe Regional Hospital’s Aged Persons Mental Health Service. The authors acknowledge the late Associate Professor Bruce Osborne (Psychogeriatrician) who pioneered and introduced the CAIR program to rural Victoria, Australia. The authors thank Latrobe Regional Hospital for supporting the CAIR program as well as the clients and their carers for participating. The authors also acknowledge the skill and dedication of each mental health practitioner who works in community rural aged psychiatry. Address correspondence to Paul Sadler, MAPS, CCLP, Clinical Psychologist, Latrobe Regional Hospital’s South West Aged Persons Mental Health Service, Wonthaggi Hospital, Graham Street, Wonthaggi, Victoria, Australia, 3995; e-mail: [email protected] 10.3928/02793695-20150622-03 Community Aged Intensive Recovery (CAIR) programs are an integral part of Aged Persons Mental Health Services (APMHS); however, no study has investigated whether a rural-based intensive program benefits older clients with severe mental illness. The current sample comprised 119 older adults who were being managed by a CAIR program from July 2011 to June 2013. Three key results were found: (a) approximately three quarters of clients admitted to the CAIR program remained treated in the community; (b) the program assisted in significantly reducing the level of psychiatric symptom severity from CAIR entry to CAIR exit; and (c) the APMHS team with the CAIR program had a lower psychiatric inpatient rate compared to the APMHS team without the program. The current study highlights the importance of delivering effective rural-based CAIR programs to older adults experiencing severe mental illness. [Journal of Psychosocial Nursing and Mental Health Services, 53(9), 17–21.] Mr. Sadler is Clinical Psychologist, and Ms. McIlvena is Mental Health Nurse and Team Leader, Latrobe Regional Hospital’s South West Gippsland Aged Persons Mental Health Service, Wonthaggi Hospital, Wonthaggi, Victoria, Australia. Ms. McIlvena is the team leader of the Community Aged Intensive Recovery (CAIR) program, and Paul Sadler consults within Latrobe Regional Hospital’s Aged Persons Mental Health Service. The authors acknowledge the late Associate Professor Bruce Osborne (Psychogeriatrician) who pioneered and introduced the CAIR program to rural Victoria, Australia. The authors thank Latrobe Regional Hospital for supporting the CAIR program as well as the clients and their carers for participating. The authors also acknowledge the skill and dedication of each mental health practitioner who works in community rural aged psychiatry. Address correspondence to Paul Sadler, MAPS, CCLP, Clinical Psychologist, Latrobe Regional Hospital’s South West Aged Persons Mental Health Service, Wonthaggi Hospital, Graham Street, Wonthaggi, Victoria, Australia, 3995; e-mail: [email protected]
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