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Screening of the mental state of the over-75s in the community: what are GPs doing?

  • D. M. Mackenzie (a1)
Extract

The new general practitioners' contract requires the primary health care team to perform a yearly assessment of their patients of 75 and over. This includes an assessment of the ‘mental condition’. In a list size of 2,000, typically 130 fall within this age group. Screening does not have to be carried out by the doctor and as 90% are already seen at least once a year, there is scope for opportunistic screening. Nonetheless, screening increases the general practitioner's workload and while it improves the morale of elderly people, it may have little impact on medical and functional problems.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Bond, J. (1987) Psychiatric illness in later life. International Journal of Geriatric Psychiatry, 2, 3957.
Hodkinson, H. M. (1972) Evaluation of a mental test score for assessment of mental impairment in the elderly. Age and Ageing, 1, 233238.
Iliffe, S., Haines, A., Gallivan, S. et al (1991) Assessment of elderly people in general practice. 1. Social circumstances and mental state. British Journal of General Practice, 41, 912.
McEwan, R. T., Davison, N., Forster, D. P. et al (1990). Screening elderly people in primary care: a randomised controlled trial. British Journal of General Practice, 40, 9497.
Wilson, L. A. & Brass, W. (1973) Brief assessment of the mental state in domicilliary practice. The usefulness of the Mental Status Questionnaire. Age and Ageing, 2, 92101.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Screening of the mental state of the over-75s in the community: what are GPs doing?

  • D. M. Mackenzie (a1)
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