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Domiciliary visits in old age psychiatry: Expectation and practice

Tullett, DC; Orrell, MW; Kalkat, GS; Katona, CLE; (1997) Domiciliary visits in old age psychiatry: Expectation and practice. Primary Care Psychiatry , 3 (4) pp. 195-198.

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Abstract

The views of GPs on the domiciliary visit service in old age psychiatry were ascertained by means of a postal questionnaire. This datum was compared with that from a retrospective review of visits in the same catchment area. The domiciliary visit service was judged to be very important by 86% of GPs and 76% rated the service excellent or good. The assessment of home circumstances was felt to be by far the most important reason for requesting a visit. Age of the GP and lack of psychiatric training both influenced the reasons for requesting domiciliary visits. Urgent visits were done significantly more quickly than non-urgent ones (p < 0.001). Most GPs (70%) said they tried to attend visits but in practice few (15%) did so. Dementia was by far the most common diagnosis given, followed by depression and schizophrenia/persecutory disorders. Physical illness was not frequently diagnosed. In conclusion, domiciliary visits in old age psychiatry appear to be valued and valuable but the guidelines for their use are out of line with current usage, and there are areas where improvements could be made, particularly in the requirement for patients to be unable to attend hospital.

Type: Article
Title: Domiciliary visits in old age psychiatry: Expectation and practice
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: http://discovery.ucl.ac.uk/id/eprint/1345260
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