Academic literature on the topic 'Geriatric psychiatry Australia'

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Journal articles on the topic "Geriatric psychiatry Australia"

1

Williams, Sid. "Geriatric Psychiatry in Australia." International Journal of Geriatric Psychiatry 2, no. 1 (January 1987): 67–69. http://dx.doi.org/10.1002/gps.930020109.

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2

AMES, D. "Geriatric Psychiatry in Australia." International Journal of Geriatric Psychiatry 12, no. 2 (February 1997): 143–44. http://dx.doi.org/10.1002/(sici)1099-1166(199702)12:2<143::aid-gps604>3.0.co;2-s.

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3

Draper, Brian. "Geriatric psychiatry in Australia." International Journal of Geriatric Psychiatry 13, no. 2 (February 1998): 127. http://dx.doi.org/10.1002/(sici)1099-1166(199802)13:2<127::aid-gps692>3.0.co;2-b.

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4

Sachdev, Perminder S. "Geriatric Psychiatry Research in Australia." American Journal of Geriatric Psychiatry 15, no. 6 (June 2007): 451–54. http://dx.doi.org/10.1097/jgp.0b013e31805d7ec7.

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5

SHAH, AJIT. "DOWN UNDER AND OVER THE TOP: GERIATRIC PSYCHIATRY IN MELBOURNE AND LONDON. A British Psychogeriatrician's Experience in Australia." International Journal of Geriatric Psychiatry 12, no. 2 (February 1997): 263–66. http://dx.doi.org/10.1002/(sici)1099-1166(199702)12:2<263::aid-gps587>3.0.co;2-9.

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6

Lin, Xiaoping, Christina Bryant, Jennifer Boldero, and Briony Dow. "Psychological well-being of older Chinese immigrants living in Australia: a comparison with older Caucasians." International Psychogeriatrics 28, no. 10 (July 8, 2016): 1671–79. http://dx.doi.org/10.1017/s1041610216001010.

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ABSTRACTBackground:Few current studies explore psychological well-being among older Chinese immigrants in Australia. The study addressed this gap and provided preliminary data on psychological well-being among this group. Four indicators, namely depression, anxiety, loneliness, and quality of life, were used to present a comprehensive picture of psychological well-being.Methods:Participants were two groups of community-dwelling older people, specifically 59 Chinese immigrants and 60 Australian-born people (median age=77 and 73, respectively). Data were collected through standardized interviews. The Geriatric Depression Scale, the Hospital Anxiety and Depression Scale, the de Jong Gierveld Loneliness Scale and the WHO Quality of Life questionnaire were used to measure depression, anxiety, loneliness, and quality of life, respectively.Results:Chinese participants’ median quality of life score was higher than the scale mid-point, indicating relatively high levels of quality of life. However, 10% exhibited symptoms of depression, 6% had symptoms of anxiety, and 49% felt lonely. Compared to Australian participants, Chinese participants reported poorer quality of life and higher levels of loneliness. Importantly, the difference in quality of life remained when the impact of socio-demographic factors was controlled for.Conclusions:This study was the first to use multiple indicators to explore psychological well-being among older Chinese immigrants in Australia. Its results suggest that their psychological well-being might be worse than that of Australian-born people when using loneliness and quality of life as indicators. In particular, loneliness is a common psychological problem among this group, and there is a need for public awareness of this problem.
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Mitchell, Terry, Michael Woodward, and Yuichi Hirose. "A survey of attitudes of clinicians towards the diagnosis and treatment of mild cognitive impairment in Australia and New Zealand." International Psychogeriatrics 20, no. 1 (February 2008): 77–85. http://dx.doi.org/10.1017/s1041610207005583.

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ABSTRACTObjectives: The aim of the study was to assess the attitudes of clinicians to the diagnostic construct of mild cognitive impairment (MCI), their approach to relaying the diagnosis to patients and families, and recommended treatment and follow-up.Method: An anonymous questionnaire was sent out to 503 members of the Australian Society for Geriatric Medicine (ASGM) and New Zealand Geriatrics Society (NZGS), of whom 163 replied.Results: Most responders (83%) had diagnosed MCI. About 70% rated the importance of separating MCI from dementia, or MCI from normal cognition, as 4 or 5 on a scale from 1 (not very important) to 5 (very important). Most responders reported that they would inform their patients and families of a diagnosis of MCI, and used that term. A minority used the term “early Alzheimer's disease,” but 44% of NZGS members used other terms to relay the diagnosis compared to 13% of ASGM members. Follow-up was most often recommended at 6–12 months. Non-pharmacological treatment (such as mental stimulation strategies) was recommended most often, followed by no treatment.Conclusions: The diagnostic entity of MCI appears to have a general acceptance among those who responded to the survey, and the term has gained use in clinical practice. Most clinicians are recommending follow-up, recognizing the high risk for progression. Treatment recommendations do not favor pharmaceuticals, reflecting the current evidence for lack of effect.
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8

Llewellyn-Jones, Robert H., Karen A. Baikie, Sally Castell, Carol L. Andrews, Anne Baikie, C. Dimity Pond, Simon M. Willcock, John Snowdon, and Chris C. Tennant. "How to Help Depressed Older People Living in Residential Care: A Multifaceted Shared-Care Intervention for Late-Life Depression." International Psychogeriatrics 13, no. 4 (December 2001): 477–92. http://dx.doi.org/10.1017/s104161020100789x.

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Objective: To describe a population-based, multifaceted shared-care intervention for late-life depression in residential care as a new model of geriatric practice, to outline its development and implementation, and to describe the lessons learned during the implementation process. Setting: A large continuing-care retirement community in Sydney, Australia, providing three levels of care (independent living units, assisted-living complexes, and nursing homes). Participants:) The intervention was implemented for the entire non-nursing home population (residents in independent and assisted living: N = 1,466) of the facility and their health care providers. Of the 1,036 residents who were eligible and agreed to be interviewed, 281 (27.1%) were classified as depressed according to the Geriatric Depression Scale. Intervention Description: The intervention included: (a) multidisciplinary collaboration between primary care physicians, facility health care providers, and the local psychogeriatric service; (b) trainning for primary care physicians and other facility health care providers about detecting and managing depression; and (c) depression-related health education/promotion programs for residents. Conclusions: The intervention was widely accepted by residents and their health care providers, and was sustained and enhanced by the facility after the completion of the study. It is possible to implement and sustain a multifaceted shared-care intervention for late-life depression in a residential care facility where local psychogeriatric services are scarce, staff-to-resident ratios are low, and the needs of depressed to residents are substantial.
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9

Storey, Joella E., Jeffrey T. J. Rowland, David Basic, and David A. Conforti. "Accuracy of the Clock Drawing Test for Detecting Dementia in a Multicultural Sample of Elderly Australian Patients." International Psychogeriatrics 14, no. 3 (September 2002): 259–71. http://dx.doi.org/10.1017/s1041610202008463.

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Objective: To assess the accuracy of clock drawing for detecting dementia in a multicultural, non-English-speaking-background population. Design: A prospective cohort study. Setting: A general geriatric medical outpatient clinic in southwest Sydney, Australia. Participants: Ninety-three consecutive new patients to the clinic who had a non-English-speaking-background country of birth (mean age 78.0 years). Measurements: The clock drawing test was conducted at the beginning of each clinic visit by a blinded investigator. Each patient was then assessed by a geriatrician who collected demographic data, administered the Modified Barthel Index, the Geriatric Depression Scale, and the Folstein Mini-Mental State Examination, and categorized each patient as normal or demented, according to DSM-IV criteria. Interpreters were used for participants who spoke a language other than English or who requested them. Each clock drawing was scored according to the 4-point CERAD scale and the previously published methods of Mendez, Shulman, Sunderland, Watson, and Wolf-Klein. Scoring was evaluated for reliability and predictive accuracy, using receiver operating characteristic (ROC) curve analysis. Logistic regression analysis was used to assess the potential interaction between level of education and each of the clock scoring methods. Results: Using ROC curve analysis, there was no significant difference between the clock scoring methods (area under the curve varied from 0.60 to 0.72). The most sensitive was the Mendez scoring method (98%), with a specificity of 16%. Specificity above 50% was found only for the Wolf-Klein method, with an intermediate sensitivity of 78%. Conclusions: There were no significant differences in the clock scoring methods used to detect dementia. Performance of the clock drawing test was modest at best with low levels of specificity across all methods. Scored according to these methods, clock drawing was not a useful predictor of dementia in our multicultural population.
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10

Wand, Anne P. F., and James George. "Observations of a traveling fellow: consultation–liaison psychiatry versus joint units for delirium management." International Psychogeriatrics 25, no. 7 (February 21, 2013): 1204–6. http://dx.doi.org/10.1017/s1041610213000124.

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There are various approaches to providing specialist care for patients with delirium in general hospitals. Those described in the literature include joint geriatric/psychiatric units and consultation–liaison (CL) psychiatry services. The Ferdinande Johanna Kanjilal Travelling Fellowship, from the Royal College of Psychiatrists, UK, provided an opportunity to more fully understand each model. This letter outlines observations of the Australian Fellow (AW) of different service structures in the care of hospitalized older people with delirium in the United Kingdom and Ireland.
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