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Consultation Liaison Geriatric Psychiatry in an Integrated Healthcare Model: An AAGP and APM Synergy Symposium
2017 AAGP Annual Meeting “MAXIMIZING INDEPENDENCE AT HOME” FOR PEOPLE WITH DEMENTIA AND THEIR CAREGIVERS: DEVELOPING, IMPLEMENTING, AND DISSEMINATING BEST PRACTICES SESSION 201 Deirdre Johnson Abstract: This panel will review the development of Maximizing Independence (MIND) at Home, incorporating the DICE approach to managing behavioral symptoms, the use of telehealth to support and coach non-clinical care coordinators in the field, and protocolizing reproducible, disseminatable models of multidimensional, home-based, person-centered dementia care. Faculty Disclosures: Deirdre Johnston Nothing to Disclose
CONSULTATION LIAISON GERIATRIC PSYCHIATRY IN AN INTEGRATED HEALTHCARE MODEL: AN AAGP AND APM SYNERGY SYMPOSIUM Session 202 Aarti Gupta1; Rajesh Tampi2; Kirsten Wilkins3; Iqbal Ahmed4 1
Yale University School of Medicine, New Haven, CT Case Western Reserve University School of Medicine, Cleveland, OH 3 Yale University School of Medicine, Milford, CT 4 Tripler Army Medical Center, Honolulu, HI 2
Abstract: As the population of the United States ages, the number of older adults admitted to acute health care settings will increase. Available evidence indicates that over one-fifth of individuals with medical and/or surgical illnesses who are admitted to acute care have co-morbid psychiatric disorders. These individuals with co-morbid medical/surgical and psychiatric disorders have higher rates morbidity and mortality than individuals without the comorbidities. Additionally, the cost of care of individuals with comorbidities is significantly greater than the cost of care of individuals without the comorbidities. Given the available evidence it is important for older individuals with comorbid medical/surgical and psychiatric disorders who receive services in acute care settings are provided appropriate follow-up from a geriatric psychiatric clinician. Furthermore, in the era of integrated healthcare the provision of comprehensive care to these high risk individuals is the expectation. In this symposium, we will first describe the data for comorbid medical and psychiatric disorders in older adults in acute care settings. Next, we will enumerate the evidence for a consultation liaison geriatric psychiatric service in the care of these individuals. Then we will discuss the role of telemedicine in the practice of consultation liaison geriatric psychiatry. We will also discuss the role of a geriatric psychiatry consultation liaison service in an integrated healthcare system. Lastly we will have a discussion chaired the President Elects of the two main national organizations representing geriatric and consultation liaison psychiatry; the AAGP and APM discuss the need for synergy between these two subspecialties to provide the highest quality of care in an evolving healthcare world. Faculty Disclosures: Aarti Gupta Nothing to disclose Rajesh Tampi Nothing to disclose Kirsten Wilkins Nothing to disclose Iqbal Ahmed Nothing to disclose
Am J Geriatr Psychiatry 25:3S, Supplement 1
S11
CONSULTATION LIAISON GERIATRIC PSYCHIATRY IN AN INTEGRATED HEALTHCARE MODEL: AN AAGP AND APM SYNERGY SYMPOSIUM Session 202 Aarti Gupta1; Rajesh Tampi2; Kirsten Wilkins3; Iqbal Ahmed4 1
Yale University School of Medicine, New Haven, CT Case Western Reserve University School of Medicine, Cleveland, OH 3 Yale University School of Medicine, Milford, CT 4 Tripler Army Medical Center, Honolulu, HI 2
Abstract: As the population of the United States ages, the number of older adults admitted to acute health care settings will increase. Available evidence indicates that over one-fifth of individuals with medical and/or surgical illnesses who are admitted to acute care have co-morbid psychiatric disorders. These individuals with co-morbid medical/surgical and psychiatric disorders have higher rates morbidity and mortality than individuals without the comorbidities. Additionally, the cost of care of individuals with comorbidities is significantly greater than the cost of care of individuals without the comorbidities. Given the available evidence it is important for older individuals with comorbid medical/surgical and psychiatric disorders who receive services in acute care settings are provided appropriate follow-up from a geriatric psychiatric clinician. Furthermore, in the era of integrated healthcare the provision of comprehensive care to these high risk individuals is the expectation. In this symposium, we will first describe the data for comorbid medical and psychiatric disorders in older adults in acute care settings. Next, we will enumerate the evidence for a consultation liaison geriatric psychiatric service in the care of these individuals. Then we will discuss the role of telemedicine in the practice of consultation liaison geriatric psychiatry. We will also discuss the role of a geriatric psychiatry consultation liaison service in an integrated healthcare system. Lastly we will have a discussion chaired the President Elects of the two main national organizations representing geriatric and consultation liaison psychiatry; the AAGP and APM discuss the need for synergy between these two subspecialties to provide the highest quality of care in an evolving healthcare world. Faculty Disclosures: Aarti Gupta Nothing to disclose Rajesh Tampi Nothing to disclose Kirsten Wilkins Nothing to disclose Iqbal Ahmed Nothing to disclose
Am J Geriatr Psychiatry 25:3S, Supplement 1
S11