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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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References

Banerjee, S. (1993) Prevalence and recognition rates of psychiatric disorder in the elderly clients of a local authority community care service. International Journal of Geriatric Psychiatry, 8, 125–131.Google Scholar
Bird, A. S., Macdonald, A. J. D., Mann, A. H., et al (1987) Preliminary experience with the Self-CARE D. International Journal of Geriatric Psychiatry, 2, 31–38.Google Scholar
Blazer, D. & Williams, C. D. (1980) Epidemiology of dysphoria and depression in an elderly population. American Journal of Psychiatry, 137, 439–444.Google Scholar
Copeland, J. R. M. (1987) Prevalence of depressive illness in the elderly community. In The Presentation of Depression: Current Approaches. Occasional paper 36 (eds Freeling, P., Downey, L. J. & Malkin, J. C.). London: Royal College of General Practitioners.Google Scholar
Copeland, J. R. M., Dewey, M. & Griffiths-Jones, H. (1986) Computerised psychiatric diagnostic system and case nomenclature for elderly subjects: GMS and AGECAT. Psychological Medicine, 16, 89–99.Google Scholar
Copeland, J. R. M., Wood, M., et al (1987) Range of mental illness among the elderly in the community prevalence in Liverpool using the GMS-AGECAT package. British Journal of Psychiatry, 150, 815–823.CrossRefGoogle ScholarPubMed
Davies, B. P., Bebbington, A., Charnley, H., et al (1990) Resources, Needs and Outcomes in Community-Based Care. Aldershot: Ashgate.Google Scholar
Dexter, M. & Harbert, W. (1983) The Home Help Service. London: Tavistock Publications.Google Scholar
Harrison, R., Savla, N. & Kaftez, K. (1990) Dementia, depression and physical disability in a London borough: a survey of elderly people in and out of residential care and implications for future developments. Age and Aging, 19, 97–103.Google Scholar
Iliffe, S., See Tai, S., Haines, A., et al (1993) Assessment of elderly people in general practice. 4. Depression, functional ability and contact with services. British Journal of General Practice, 43, 371–374.Google Scholar
Katz, S., Ford, A. B., Moskowitz, R. W., et al (1963) Studies of illness in the aged. The index of ADL: a standardised measure of biological and psychosocial function. Journal of the American Medical Association, 185, 914–919.Google Scholar
Lawson, R., Davies, B. & Bebbington, A. (1991) The home-help service in England and Wales. In Home Care for Older People in Europe: a Comparison of Policies and Practices (ed. Jamieson, A.). Oxford: Oxford University Press.Google Scholar
Lindesay, J. (1990a) The Epidemiology of Anxiety Disorders in the Elderly. DM Thesis. Oxford University.Google Scholar
Lindesay, J. (1990b) The Guy's/Age Concern Survey: physical health and psychiatric disorder in an urban elderly community. International Journal of Geriatric Psychiatry, 5, 171–178.Google Scholar
O'Connor, D. W., Pollitt, P. A., Hyde, J. B., et al (1988) Do general practitioners miss dementia in elderly patients? British Medical Journal, 297, 1107–1110.CrossRefGoogle ScholarPubMed
OPCS (1988) General Household Survey 1985. London: HMSO.Google Scholar
OPCS Population Estimates Unit (1993) OPCS Monitor PP1 93/2. London: HMSO.Google Scholar
Social Services Inspectorate (1988) Managing Policy Change in Home Help Services. London: DHSS.Google Scholar
Statistical and Epidemiological Research Corporation (1991) EGRET Reference Manual. Seattle: Statistical and Epidemiological Research Corporation.Google Scholar
Yesavage, J. A., Brink, T. L., Rose, T. L., et al (1983) Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatry Research, 17, 37–49.Google Scholar
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