PMID- 17945364
OWN - NLM
STAT- MEDLINE
DCOM- 20081118
LR  - 20151119
IS  - 0167-4943 (Print)
IS  - 0167-4943 (Linking)
VI  - 47
IP  - 1
DP  - 2008 Jul-Aug
TI  - Geriatric psychiatry home treatment (GHT): a pilot study on outcomes following 
      hospital discharge for depressive and delusional patients.
PG  - 109-20
AB  - Elderly people with mental health problems receive much worse outpatient care 
      than younger people. Although the health-promoting factors are known, there are 
      hardly any studies on effective biopsychosocial care models. A 1-year 
      longitudinal study examined the effectiveness of the GHT presented below. For 
      this purpose, 12 depressive and delusional patients discharged from inpatient 
      gerontopsychiatric care received mental and social treatment and care at home for 
      1 year. Functionality was surveyed by means of the Global Assessment of 
      Functioning Scale (GAF) and psychiatric symptoms by means of the Brief 
      Psychiatric Rating Scale (BPRS). Subjective quality of life (QoL) was surveyed by 
      means of the WHOQOL-BREF self-report questionnaire. The main findings were as 
      follows: (1) no patient had to receive inpatient psychiatric care or be admitted 
      to a nursing home during the study period; (2) mental QoL had improved 
      significantly after 1 year; (3) functionality remained stable; (4) the BPRS 
      scores did not deteriorate. We see this as confirmation that GHT is an effective 
      instrument for extramural care of elderly people with psychiatric disorders. The 
      limitations of the pilot study necessitate further studies to back up the 
      findings.
FAU - Klug, Gunter
AU  - Klug G
AD  - Association of Mental Health Development, Psychosocial Center Graz-East, 
      Hasnerplatz 4, A-8010 Graz, Austria. psz.hasnerplatz@gfsg.at
FAU - Hermann, Gerhard
AU  - Hermann G
FAU - Fuchs-Nieder, Brigitte
AU  - Fuchs-Nieder B
FAU - Stipacek, Andrea
AU  - Stipacek A
FAU - Zapotoczky, Hans Georg
AU  - Zapotoczky HG
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20071022
PL  - Netherlands
TA  - Arch Gerontol Geriatr
JT  - Archives of gerontology and geriatrics
JID - 8214379
SB  - IM
MH  - Aged
MH  - Depressive Disorder/*therapy
MH  - Female
MH  - Follow-Up Studies
MH  - Health Promotion/*methods
MH  - Home Care Services/*organization & administration
MH  - Humans
MH  - Male
MH  - Mental Health
MH  - *Patient Discharge
MH  - Pilot Projects
MH  - Prognosis
MH  - Schizophrenia, Paranoid/*therapy
MH  - Surveys and Questionnaires
EDAT- 2007/10/20 09:00
MHDA- 2008/11/19 09:00
CRDT- 2007/10/20 09:00
PHST- 2007/01/18 00:00 [received]
PHST- 2007/07/07 00:00 [revised]
PHST- 2007/07/09 00:00 [accepted]
PHST- 2007/10/20 09:00 [pubmed]
PHST- 2008/11/19 09:00 [medline]
PHST- 2007/10/20 09:00 [entrez]
AID - S0167-4943(07)00149-5 [pii]
AID - 10.1016/j.archger.2007.07.002 [doi]
PST - ppublish
SO  - Arch Gerontol Geriatr. 2008 Jul-Aug;47(1):109-20. doi: 
      10.1016/j.archger.2007.07.002. Epub 2007 Oct 22.