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The Characteristics and Outcomes of People with Dementia in Inpatient Mental Health Care: A Review

Wolverson, Emma; Dunning, Rebecca; Crowther, George; Russell, Gregor; Underwood, Benjamin R.

Authors

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Dr Emma Wolverson E.Wolverson@hull.ac.uk
Senior Lecturer Ageing and Dementia. MSc Dementia programme co-director.

Rebecca Dunning

George Crowther

Gregor Russell

Benjamin R. Underwood



Abstract

Objectives: Inpatient mental health beds for people with dementia are a limited resource. Practitioners need an understanding of this population to provide high-quality care and design services. This review examines the characteristics, care, and outcomes of people with dementia admitted to inpatient mental health services. Methods: Systematic searches of key databases were undertaken up to November 2021. Findings were grouped into categories and then synthesized into a narrative review. Results: The review identified 36 international papers, the majority of which were retrospective audits. The literature describes significant psychiatric and medical comorbidity and significant risk of change in residence and death associated with admission. Conclusions: We found a limited literature describing the characteristics, care, and outcomes of people with dementia in inpatient mental health services. The lack of research is striking given the complexity and vulnerability of this client group. More research is needed to describe the needs of this group, current and best practice to optimize care. Clinical Implications: Professionals working in inpatient mental health services need to be aware of the evidence base available, consider how they evaluate patient outcomes, review their staffing and skills mix, and seek the views of patients and relatives in improving services.

Citation

Wolverson, E., Dunning, R., Crowther, G., Russell, G., & Underwood, B. R. (2022). The Characteristics and Outcomes of People with Dementia in Inpatient Mental Health Care: A Review. Clinical Gerontologist, https://doi.org/10.1080/07317115.2022.2104145

Journal Article Type Review
Acceptance Date Jul 17, 2022
Online Publication Date Jul 27, 2022
Publication Date Jul 27, 2022
Deposit Date Aug 12, 2022
Publicly Available Date Aug 25, 2022
Journal Clinical Gerontologist
Print ISSN 0731-7115
Electronic ISSN 1545-2301
Publisher Taylor and Francis Group
Peer Reviewed Peer Reviewed
DOI https://doi.org/10.1080/07317115.2022.2104145
Keywords Dementia; Geriatric psychiatry; Inpatient; Mental health; LOS; Medical burden; BPSD
Public URL https://hull-repository.worktribe.com/output/4051701

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