Survey of aged psychiatry services' support of older Australians with very severe, persistent behavioural symptoms of dementia

Australas J Ageing. 2018 Dec;37(4):E133-E138. doi: 10.1111/ajag.12573. Epub 2018 Aug 14.

Abstract

Objective: To map the provision of community, acute, non-acute and residential care-based state-funded mental health services to older people with severe, persistent behavioural symptoms of dementia.

Methods: An electronic survey was completed in 2015 by senior representatives of aged persons' mental health services across Australia's six states.

Results: Jurisdictions varied widely in the number, geographic spread and make-up of aged persons' mental health community teams when adjusted for aged population; their number of acute and non-acute beds, and especially in the provision of specialist residential beds or partnerships with non-government providers.

Conclusion: There is no nationally accepted pathway of care for this vulnerable group or understanding of what constitutes an adequate statewide mental health service.

Keywords: aged; dementia; health services need and demand; mental health services.

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Aging / psychology*
  • Australia / epidemiology
  • Community Mental Health Services*
  • Dementia / diagnosis
  • Dementia / epidemiology
  • Dementia / psychology
  • Dementia / therapy*
  • Female
  • Geriatrics*
  • Health Care Surveys
  • Healthcare Disparities
  • Homes for the Aged*
  • Humans
  • Male
  • Nursing Homes*
  • Severity of Illness Index
  • Vulnerable Populations