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The benefits of in-home mental healt...

Zeltzer, Barry Bruce.

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The benefits of in-home mental health care for the homebound elderly.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	The benefits of in-home mental health care for the homebound elderly./
Author:	Zeltzer, Barry Bruce.
Description:	275 p.
Notes:	First Core: George Olshin.
Contained By:	Dissertation Abstracts International63-10B.
Subject:	Gerontology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3069008
ISBN:	049388470X

The benefits of in-home mental health care for the homebound elderly.
Zeltzer, Barry Bruce.

The benefits of in-home mental health care for the homebound elderly. - 275 p.

First Core: George Olshin.

Thesis (Ph.D.)--Union Institute and University, 2002.

This quantitative and descriptive study investigated the availability of mental health services to homebound elders and the delivery of service by home health nursing agencies. More specifically, this study was divided into two parts, the first evaluated services available in Rhode Island for homebound mentally ill elders, and the second investigated the needs of individuals identified as being homebound with mental illness. The primary objective of the second phase of the study was to demonstrate degree of impairment and the disabilities associated with individuals in need of psychiatric treatment among elders who were mentally ill and homebound, receiving home health nursing services. One prediction is that services are essentially not available to homebound elders in Rhode Island, who are in need of mental health services, and that only a small proportion of those in need get serviced. Another prediction is that those individuals who are identified as being homebound are those who are severely impaired and are in need of services and may require long-term type interventions beyond what is normally provided by homecare nursing agencies. The first prediction was tested by conducting a survey of all of the homecare and nursing agencies in Rhode Island. The second prediction was tested by evaluating, those homebound individuals with mental illness, who were identified by one specific agency. Individuals who were homebound were assessed for their activities of daily living (ADLs), instrumental activities of daily living (IADLs), depression severity, cognitive functioning, physical health problems, delirium, disability, and quality of life and degree of homeboundness, as well as behavioral and emotional problems in their caregivers. Results of the homecare nursing survey indicated a lack of available psychiatric services for the homebound elderly population with mental health problems, while the results of the in-home psychiatric study, as indicated by the outcome measures, demonstrated a true need for more outreach services. Although the economic feasibility of providing in-home psychiatric services to the homebound elderly remains unknown, the psychological benefits may outweigh any economic consideration. All of the participants reported favorable reaction to the pilot program, highly recommending that we continue reaching out to them.

ISBN: 049388470XSubjects--Topical Terms:

533633
Gerontology.

The benefits of in-home mental health care for the homebound elderly.
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005 20110429
008 110429s2002 eng d
020 $a 049388470X
035 $a (UnM)AAI3069008
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040 $a UnM $c UnM
100 1 $a Zeltzer, Barry Bruce. $3 1255133
245 1 0 $a The benefits of in-home mental health care for the homebound elderly.
300 $a 275 p.
500 $a First Core: George Olshin.
500 $a Source: Dissertation Abstracts International, Volume: 63-10, Section: B, page: 4590.
502 $a Thesis (Ph.D.)--Union Institute and University, 2002.
520 $a This quantitative and descriptive study investigated the availability of mental health services to homebound elders and the delivery of service by home health nursing agencies. More specifically, this study was divided into two parts, the first evaluated services available in Rhode Island for homebound mentally ill elders, and the second investigated the needs of individuals identified as being homebound with mental illness. The primary objective of the second phase of the study was to demonstrate degree of impairment and the disabilities associated with individuals in need of psychiatric treatment among elders who were mentally ill and homebound, receiving home health nursing services. One prediction is that services are essentially not available to homebound elders in Rhode Island, who are in need of mental health services, and that only a small proportion of those in need get serviced. Another prediction is that those individuals who are identified as being homebound are those who are severely impaired and are in need of services and may require long-term type interventions beyond what is normally provided by homecare nursing agencies. The first prediction was tested by conducting a survey of all of the homecare and nursing agencies in Rhode Island. The second prediction was tested by evaluating, those homebound individuals with mental illness, who were identified by one specific agency. Individuals who were homebound were assessed for their activities of daily living (ADLs), instrumental activities of daily living (IADLs), depression severity, cognitive functioning, physical health problems, delirium, disability, and quality of life and degree of homeboundness, as well as behavioral and emotional problems in their caregivers. Results of the homecare nursing survey indicated a lack of available psychiatric services for the homebound elderly population with mental health problems, while the results of the in-home psychiatric study, as indicated by the outcome measures, demonstrated a true need for more outreach services. Although the economic feasibility of providing in-home psychiatric services to the homebound elderly remains unknown, the psychological benefits may outweigh any economic consideration. All of the participants reported favorable reaction to the pilot program, highly recommending that we continue reaching out to them.
590 $a School code: 1414.
650 4 $a Gerontology. $3 533633
650 4 $a Health Sciences, Mental Health. $3 1017693
650 4 $a Health Sciences, Public Health. $3 1017659
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710 2 0 $a Union Institute and University. $3 1017694
773 0 $t Dissertation Abstracts International $g 63-10B.
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790 1 0 $a Olshin, George, $e advisor
791 $a Ph.D.
792 $a 2002
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3069008