Multidisciplinary, Nurse-Led Psychiatric Consultation in Nursing Homes: A Pilot Study in Clinical Practice.

Bauke Koekkoek, Carlijn van Baarsen, Mirella Steenbeek

Perspectives in Psychiatric Care 2016 July

PURPOSE: To determine the effects of multidisciplinary, nurse-led psychiatric consultation on behavioral problems of nursing home residents. Residents often suffer from psychiatric symptoms, while staff psychiatric expertise varies.

DESIGN AND METHODS: A pre-post study was conducted in seven homes using the Neuropsychiatric Inventory Nursing Home version (NPI-NH).

FINDINGS: In 71 consultations during 18 months, 56-75% of residents suffered from agitation/aggression, depression, anxiety, and disinhibition. Post-intervention (n = 54), frequency, and severity of psychiatric symptoms were significantly and clinically meaningfully reduced. Also, staff suffered from less work stress.

PRACTICE IMPLICATIONS: Nurse-led psychiatric consultation is valuable to both nursing home residents and staff.

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