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A tiered model of psychogeriatric service delivery: an evidence- based approach

Draper, Brian; Brodaty, Henry; Low, Lee-Fay

Description

Background: Previous models of mental health care for older persons have not considered the full spectrum of mental disorders. Aim: To describe a tiered model for comprehensive evidence-based planning of service delivery for mental disorders in late life. Method: The model depictstiers of mental disorders in ascending order of severity and consequent interventions required. Results: Interventio ns aim both to avert individuals from moving up tiers (prevention) and to move individuals down tiers...[Show more]

dc.contributor.authorDraper, Brian
dc.contributor.authorBrodaty, Henry
dc.contributor.authorLow, Lee-Fay
dc.date.accessioned2015-12-07T22:39:01Z
dc.identifier.issn0885-6230
dc.identifier.urihttp://hdl.handle.net/1885/23683
dc.description.abstractBackground: Previous models of mental health care for older persons have not considered the full spectrum of mental disorders. Aim: To describe a tiered model for comprehensive evidence-based planning of service delivery for mental disorders in late life. Method: The model depictstiers of mental disorders in ascending order of severity and consequent interventions required. Results: Interventio ns aim both to avert individuals from moving up tiers (prevention) and to move individuals down tiers (treatment). Individuals in the lower tiers have no mental disorders and prevention strategies are targeted at known risk factors. In the middle tiers, individuals with mild-moderate mental disorders will mainly be treated in primary care, often in collaboration with specialist mental health services for older people. Individuals in the top tiers with severe mental disorders usually require institutional care. Conclusion: The tiered model provides a basis for planning comprehensive service delivery.
dc.publisherJohn Wiley & Sons Inc
dc.sourceInternational Journal of Geriatric Psychiatry
dc.subjectKeywords: aged; article; disease severity; elderly care; evidence based practice; gerontopsychiatry; health care delivery; health care planning; human; institutional care; mental disease; mental health care; mental health service; primary medical care; risk factor; Old age psychiatry; Prevention; Service delivery
dc.titleA tiered model of psychogeriatric service delivery: an evidence- based approach
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume21
dc.date.issued2006
local.identifier.absfor111714 - Mental Health
local.identifier.ariespublicationU4146231xPUB28
local.type.statusPublished Version
local.contributor.affiliationDraper, Brian, University of New South Wales
local.contributor.affiliationBrodaty, Henry, Prince of Wales Hospital
local.contributor.affiliationLow, Lee- Fay, College of Medicine, Biology and Environment, ANU
local.description.embargo2037-12-31
local.bibliographicCitation.startpage645
local.bibliographicCitation.lastpage653
local.identifier.doi10.1002/gps.1541
local.identifier.absseo920410 - Mental Health
dc.date.updated2015-12-07T10:44:25Z
local.identifier.scopusID2-s2.0-33746448682
CollectionsANU Research Publications

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