title: Multidisciplinary, Nurse-Led Psychiatric Consultation in Nursing Homes: A Pilot Study in Clinical Practice.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  A pre-post study was conducted in seven homes using the Neuropsychiatric Inventory Nursing Home version (NPI-NH).
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  Nurse-led psychiatric consultation is valuable to both nursing home residents and staff.
authors.affiliation: Research Group Social Psychiatry & Mental Health Nursing, HAN University of Applied Sciences, Nijmegen, The Netherlands.|Pro Persona Mental Health Care, ProCES, Wolfheze, The Netherlands.
authors.forename: Bauke
authors.initials: B
authors.lastname: Koekkoek
authors.affiliation: Department of Specialized Geriatric psychiatry, Senior Division, Altrecht Mental Health Care, Zeist, The Netherlands.
authors.forename: Carlijn
authors.initials: C
authors.lastname: van Baarsen
authors.affiliation: Geriatric Psychiatry, Molemann Mental Health Care, Zeist, The Netherlands.
authors.forename: Mirella
authors.initials: M
authors.lastname: Steenbeek
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D001523:Mental Disorders / Q000145:classification / Q000451:nursing*; D008875:Middle Aged; D009426:Netherlands; D009735:Nursing Homes / Q000458:organization & administration*; D010865:Pilot Projects; D011568:Psychiatric Nursing / Q000592:standards*; D011569:Psychiatric Status Rating Scales; D012017:Referral and Consultation / Q000706:statistics & numerical data*
keywords: Consultation; geriatric psychiatry; neuropsychiatric symptom; nursing; nursing home