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Morbidity of Homebound Versus Inpatient Elderly Psychiatric Patients

Published online by Cambridge University Press:  10 January 2005

Rona Pasternak ,
Andrew Rosenweig ,
Bridget Booth ,
Andrea Fox ,
Richard Morycz ,
Benoit Mulsant ,
Robert Sweet ,
George S. Zubenko ,
Charles F. Reynolds  and
M. Katherine Shear
Rona Pasternak
Affiliation:
Thomas Jefferson University, Philadelphia, Pennsylvania, USA
Andrew Rosenweig
Affiliation:
W. A. Foote Hospital, Jackson, Michigan, USA
Bridget Booth
Affiliation:
University of Pittsburgh School of Medicine, Western Psychiatry Institute and Clinic, Pittsburgh, Pennsylvania, USA
Andrea Fox
Affiliation:
University of Pittsburgh School of Medicine, Western Psychiatry Institute and Clinic, Pittsburgh, Pennsylvania, USA
Richard Morycz
Affiliation:
University of Pittsburgh School of Medicine, Western Psychiatry Institute and Clinic, Pittsburgh, Pennsylvania, USA
Benoit Mulsant
Affiliation:
University of Pittsburgh School of Medicine, Western Psychiatry Institute and Clinic, Pittsburgh, Pennsylvania, USA
Robert Sweet
Affiliation:
University of Pittsburgh School of Medicine, Western Psychiatry Institute and Clinic, Pittsburgh, Pennsylvania, USA
George S. Zubenko
Affiliation:
University of Pittsburgh School of Medicine, Western Psychiatry Institute and Clinic, Pittsburgh, Pennsylvania, USA
Charles F. Reynolds
Affiliation:
University of Pittsburgh School of Medicine, Western Psychiatry Institute and Clinic, Pittsburgh, Pennsylvania, USA
M. Katherine Shear
Affiliation:
University of Pittsburgh School of Medicine, Western Psychiatry Institute and Clinic, Pittsburgh, Pennsylvania, USA
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Abstract

This study compares the demographic and clinical characteristics of homebound (HB) elders referred for psychiatric services (N = 251) with those of inpatients (IP) admitted to a geriatric psychiatry unit (N = 594). Demographically, HB patients were older (78.8 vs. 74.7 years), were more likely to be women (83% vs. 68%), were widowed (54% vs. 44%), and had fewer years of education (10.3 vs. 11.1), but were similar in race, income, and proportion living alone. Clinically, HB patients had less functional disability, less severe depression, less cognitive impairment, and fewer medical problems. However, they were similar in the distribution of most psychiatric diagnoses except dementia (higher in the IP group) and dementia with depression (higher in the HB group). Outcome data for the HB group over 15 (range, 1 to 38) months revealed medical hospitalization in 20.7%, psychiatric hospitalization in 16.3%, nursing home placement in 9.2%, and mortality in 8.4%. These preliminary data show that the HB group had psychiatric problems that were comparable to those of the IP group but were not as severely impaired.

Type
Location of Patient
Information
International Psychogeriatrics , Volume 10 , Issue 2 , June 1998 , pp. 117 - 125
Copyright
© 1998 International Psychogeriatric Association

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