Mental disorder in an elderly home care population : Associations with health and social service use.
Home care services maintain people in their own households by providing practical help such as with housework, shopping and personal care.
In this study associations between mental disorder and health and social service use, demographics and activity limitation are investigated.
A cross-sectional study with random cluster sampling of people over 65 receiving home care in Lewisham.
Mental disorder was rated using the GMS/AGECATsystem.
We interviewed 169/177 eligible individuals, a response rate of 96%. Forty-six per cent of this population were rated as cases of mental disorder (15% organic and 26% depressive).
Most (84%) of those with depression did not appear to be receiving appropriate treatment.
Home care provision to those with depression (unlike dementia) was only partially explicable in terms of activity limitation.
There is a high level of depressive disorder in this population with little in the way of appropriate primary or secondary care management.
Those in sheltered housing seem particularly at risk ; depression may lead to increased service use independent of disability.
Mots-clés Pascal : Trouble psychiatrique, Traitement communautaire, Psychiatrie communautaire, Soin, A domicile, Vieillard, Homme, Etat dépressif, Trouble humeur, Prévalence, Utilisation, Services sociaux, Service santé, Royaume Uni, Europe, Soin coordonné
Mots-clés Pascal anglais : Mental disorder, Community treatment, Community psychiatry, Care, At home, Elderly, Human, Depression, Mood disorder, Prevalence, Use, Social assistance, Health service, United Kingdom, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0328328
Code Inist : 002B18I11. Création : 10/04/1997.