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Efficacy of integrated interventions combining psychiatric care and nursing home care for nursing home residents: a review of the literature
International Journal of Geriatric Psychiatry, 06/18/09
Important elements of a successful treatment strategy for DCD nursing home patients include a thorough assessment of psychiatric, medical and environmental causes as well as programmes for teaching behavioural management skills to nurses. DCD nursing home patients were found to benefit from short-term mental hospital admission.
Methods- A critical review of studies was done that involved integrated interventions combining both psychiatric care and nursing home care on psychiatric disorders and severe behavioural problems in nursing home patients.
- A systematic literature search was performed in a number of international databases.
- Eight intervention trials, including four RCTs (2b level of evidence), were identified as relevant studies for the purpose of this review.
- Seven studies, three of which were RCTs, showed beneficial effects of a comprehensive, integrated multidisciplinary approach combining medical, psychiatric and nursing interventions on severe behavioural problems in DCD nursing home patients.
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