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Addressing Mental Health in Older Adults: The Wisconsin Geriatric Psychiatry Initiative

Explore the public health crisis of mental health among older adults, the introduction of the WGPI and the Star Method, early results, outcomes measurement plan, and future reach issues. Learn how this initiative aims to enhance mental health services for older adults in Wisconsin through consultative teaching sessions.

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Addressing Mental Health in Older Adults: The Wisconsin Geriatric Psychiatry Initiative

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  1. Mental Health & Older Adults:The Wisconsin Geriatric Psychiatry Initiative (WGPI) & “Star” Method Linda Buel RN May 8, 2009

  2. Overview • The public health crisis • Introduction of WGPI & the Star method • Early results • Outcomes measurement plan • Reach

  3. Issues – now and in 2030 • Population aged 65 and older will increase from 20 million in 1970 to 69.4 million • Older adults with mental illness will increase from 4 million in 1970 to 15 million • Ratio of Geropsychiatrists to older adults - 1:11,451 to 1:20,195 Jeste, Alexopoulus, Bartels, et al., 1999 Association of Directors of Geriatric Academic Programs' "Status of Geriatric Workforce Study"

  4. Consequences • compromised quality of life • increased morbidity and mortality- increased service visits, increased burden to medical care providers, and heightened annual costs of care. • premature nursing home placement • preventable hospitalizations Bartels Stephen J, Michael A. Smyer, Mental Disorders of Aging: An Emerging Public Health Crisis?

  5. Wisconsin Geriatric Psychiatry Initiative: Addressing Complexity in the Face of Scarcity Goal: to enhance the delivery of mental health services to older adults in Wisconsin Methods: indirect care via case-based consultative teaching sessions, using the Star Method more widely disseminate principles of geriatric psychiatry to different groups of providers: health care: medical and psychiatric long-term care aging network network weaving: shaping an infrastructure via the strength of weak ties Dr. Tim Howell

  6. Determinants of Health ( Evans and Stoddart, 1990)

  7. Understanding & Addressing Geriatric Problems: The Wisconsin “Star” Method Medication Issues Symptom, Problem Social Issues Medical Issues Personal Issues (Personality) Psychiatric Issues

  8. Early Results - 1 Community Health Partnership report • Patient • Dates of Service • Date of consultation • Activity before • Activity after

  9. Early Results - 2 Community Health Partnership report • Patient Issues • Team Issues • Organization Issues • CT Session results • Changes after consult

  10. Outcomes

  11. Outcomes

  12. Milwaukee: CCO (PACE/Partnership/Family Care), Aurora Geriatrics, & ALM (CBRF) Madison: Care Wisconsin, Family Services Eau Claire: CHP (Partnership/Family Care) AGS website: www.americangeriatrics.org San Antonio & Galveston TX (U Texas), Columbia MO (U Missouri), Rochester MN (Mayo), Baltimore MD (Johns Hopkins), & Milwaukee (MCW): geriatric medicine fellowship programs (by speaker phone from Aurora Geriatrics) Dr. Tim Howell Reach

  13. Acknowledgements • Tim Howell, MD, MA; WGPI Geriatric Psychiatrist Associate Professor, UW Dept of Psychiatry • Cathy Swanson-Hayes - DHS • Other members of the WGPI coalition • University of Wisconsin Hospital & Clinics

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