TITLE:
Integrating Psychiatric Services into Comprehensive Dementia Care in the Community
AUTHORS:
Hiroto Ito, Hideyuki Hattori, Hiroaki Kazui, Masamoto Taguchi, Manabu Ikeda
KEYWORDS:
Dementia, Integrated Care, Patient-Held Medical Record, Psychiatry
JOURNAL NAME:
Open Journal of Psychiatry,
Vol.5 No.2,
March
4,
2015
ABSTRACT: Purpose: This study was
conducted to clarify the utility of patient-held records as an integrated care
approach for patients with dementia in the community. Method: We analyzed the
family-held/patient-held records of patients with dementia in the community.
The inclusion criteria in the study were as follows: 1) patient-held/family
member-held records of patients with dementia in the community; 2) patient-held
records designed to share information across different professionals,
direct-care staff members, and local government staff; and 3) the continuous
participation of psychiatrists in the development and use of the patient-held
records. Results: We identified eight sets of family-held/patient-held records
in Japanese communities of various sizes, all of which were aimed at
integrating information from various services, including information provided
by medical and psychiatric professionals to the family and patient. Innovative
tools have been available in the areas of the hopes and preferences of the
patient, medication and monitoring, sharing information, and the use of
information technology. Conclusion and Discussion: Family-held/patient-held records
have potential as a tool to enhance the integrated care of people with dementia
in the community.