To monitor key processes and outcomes in joint health and social services community psychogeriatric teams.
Six month follow-up of new referrals to 4 teams in Cambridge.
Data collected from structured clinical assessment forms at baseline and interviews with keyworkers at follow-up.
Data for groups with and without dementia were compared.
Two rural and two urban teams in area with relatively large long stay inpatient facility but low independent sector provision.
All were routine service teams, rather than run for research purposes.
The main outcome measures were survival, institutionalisation, key worker assessments of avoidable admissions, appropriateness of placement, unmet needs, carer stress and global outcome for patient and carers.
Rates of referral to urban teams were double rural rates.
Around forty percent of the dementia group had a social worker as assessor and keyworker.
The dementia group was significantly more dependent and received more informal and formal care.
After six months, only 54% of the dementia group were alive and living outside institutional care, compared to 79% in the functionally ill group.
Unplanned admissions to hospitals or homes were rarely judged avoidable by keyworkers.
Outcomes for carers were judged poor in 15% of both groups, and 13% and 11% of carers respectively were judged to be under severe stress. (...)
Mots-clés Pascal : Equipe travail, Service santé, Services sociaux, Démence sénile, Psychiatrie communautaire, Traitement communautaire, Royaume Uni, Europe, Organisation santé, Vieillard, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Maladie dégénérative
Mots-clés Pascal anglais : Work team, Health service, Social assistance, Senile dementia, Community psychiatry, Community treatment, United Kingdom, Europe, Public health organization, Elderly, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Degenerative disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0078555
Code Inist : 002B18H05B. Création : 21/05/1997.