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Mental Disorder in an Elderly Home Care Population: Associations with Health and Social Service Use

Published online by Cambridge University Press:  02 January 2018

Sube Banerjee  and
Alastair J. D. Macdonald
Sube Banerjee*
Affiliation:
Institute of Psychiatry
Alastair J. D. Macdonald
Affiliation:
UMDS (Guy's Campus), Hither Green Hospital, Hither Green Lane, London SE13
*
Dr S. Banerjee, Section of Epidemiology and General Practice, Institute of Psychiatry, London SE5 8AF
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Abstract

Background

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.

Method

A cross-sectional study with random cluster sampling of people over 65 receiving home care in Lewisham. Mental disorder was rated using the GMS/AGECAT system.

Results

We interviewed 169/177 eligible individuals, a response rate of 96%. Forty-six percent 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.

Conclusions

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.

Type
Papers
Information
The British Journal of Psychiatry , Volume 168 , Issue 6 , June 1996 , pp. 750 - 756
Copyright
Copyright © 1996 The Royal College of Psychiatrists 

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