Objective: The aim of the present paper is to review current opinion relating to the provision of mental health consultation to nursing homes, and to provide recommendations for future research.
Method: The current literature pertaining to consultation–liaison psychi atry within nursing homes was reviewed.
Results: There is a paucity of well-designed empirical studies of mental health service provision to Australian nursing homes. This is of particular concern given the ageing Australian population and the prevalence of psychiatric symptoms in nursing home residents. Psychiatric consultation and liaison to nursing homes may result in reduced need for crisis inter vention, improved use of behavioural management strategies for the symp toms associated with dementia, and reduced nursing home staff stress and burnout.
Conclusions: Further research is required to evaluate the costs and benefits of providing regular mental health services to nursing homes in Australia, particularly in rural areas. Future service development should be complemented by methodologically sound evaluation.
FahyS TLawlorB A. Liaison psychiatry in old age practice. Reviews in Clinical Gerontology2002; 12: 52–61.
2.
LipowskiZ JWiseT N. History of consultation–liaison psychiatry. Textbook of Consultation–Liaison Psychiatry, WiseM GRundellJ R. American Psychiatric Press, Washington, DC2002; 3–11.
3.
AlajaRTienariPSeppaK. Patterns of comorbidity in relation to functioning (GAF) among general hospital psychiatric referrals. Acta Psychiatrica Scandinavica1999; 99: 135–140.
4.
GomezJ. Liaison Psychiatry: Mental Health Problems in the General Hospital. Free Press, New York1987.
5.
DiefenbacherAStrainJ J. Consultation–liaison psychiatry: stability and change over a 10-year-period. General Hospital Psychiatry2002; 24: 249–256.
6.
WancataJBendaNWindhaberJNowotnyM. Does psychiatric comorbidity increase the length of stay in general hospitals?. General Hospital Psychiatry2001; 23: 8–14.
7.
DraperBMearesSMcIntoshH. A psychogeriatric outreach service to nursing homes in Sydney. Australasian Journal on Ageing1998; 17: 184–186.
8.
LieD. Mental health issues in Australian nursing homes. Australian Family Physician2003; 32: 519–522.
9.
SnowdonJ. Psychiatric care in nursing homes: more must be done. Australasian Psychiatry2001; 9: 108–112.
10.
BartelsS JMoakG SDumsA R. Models of mental health services in nursing homes: a review of the literature. Psychiatric Services2002; 53: 1390–1396.
11.
BienenfeldDWheelerB G. Psychiatric services to nursing homes: a liaison model. Hospital and Community Psychiatry1989; 40: 793–794.
Human Rights and Equal Opportunity Commission. Report of the National Inquiry into the Human Rights of People with Mental Illness. Australian Government Publishing Service, Canberra1993.
14.
SnowdonJVaughanRMillerR. Mental health services in Sydney nursing homes. Australian Journal of Public Health1995; 19: 403–406.
15.
SakauyeK MCampC J. Introducing psychiatric care into nursing homes. The Gerontologist1992; 32: 849–852.
16.
LippertG PConnDSchogtBIckowiczA. Psychogeriatric consultation: general hospital versus home for the aged. General Hospital Psychiatry1990; 12: 313–318.
17.
SmithMMitchellSBuckwalterK CGarandL. Geropsychiatric nursing consultation: a valuable resource in rural long-term care. Archives of Psychiatric Nursing1994; 8: 272–279.
18.
GoldmanL SKlugmanA. Psychiatric consultation in a teaching nursing home. Psychosomatics1990; 31: 277–281.
19.
FullerKLillquistD. Geropsychiatric public sector nursing: placement challenges. Journal of Psychosocial Nursing and Mental Health Services1995; 33: 20–22.
20.
Tourigny-RivardM-FDruryM. The effects of monthly psychiatric consultation in a nursing home. The Gerontologist1987; 27: 363–366.
21.
BenjaminL CSpectorJ. The relationship of staff, resident and environmental characteristics to stress experienced by staff caring for the dementing. International Journal of Geriatric Psychiatry1990; 5: 25–31.
22.
CoccoEGattiMde Mendonca LimaC ACamusV. A comparative study of stress and burnout among staff caregivers in nursing homes and acute geriatric wards. International Journal of Geriatric Psychiatry2003; 18: 78–85.
23.
SmyerMBrannonDCohnM. Improving nursing home care through training and job redesign. The Gerontologist1992; 32: 327–333.
24.
GuptaSGoldsteinM Z. Psychiatric consultation to nursing homes. Psychiatric Services1999; 50: 1547–1550.
