The Gerontologist
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The Gerontologist 42:109-113 (2002)
© 2002 The Gerontological Society of America

Home Visits in Geropsychiatry Fellowship Training

David M. Roane, MDa, J. Paul Teusink, MDa and Jennifer A. Wortham, CSWb

a Department of Psychiatry, Beth Israel Medical Center, New York, NY
b Jewish Association for Services for the Aged, New York, NY

Correspondence: David M. Roane, MD, Department of Psychiatry, Beth Israel Medical Center, First Avenue at 16th Street, New York, NY 10003. E-mail: droane{at}bethisraelny.org.

Decision Editor: Eleanor S. McConnell, RN, PhD

Purpose: The psychiatric home visit is an effective intervention for elderly patients who otherwise would not receive mental health services. Home visits also have potential to be useful for training. Here, the current practice of home visits in geropsychiatry fellowship programs is examined. Design and Methods: The directors of 55 current geropsychiatry fellowships in the United States were sent a 13-item questionnaire regarding the use of home visits for training. Results: Of the 51% of programs responding, 57% provide a formal home-visit experience for fellows. Respondents commented favorably regarding the educational value of home visits, but raised concerns about funding this time-intensive clinical activity. Implications:Training programs in geropsychiatry can benefit from the inclusion of home-visit programs. A description of a recently established home-visit program illustrates the feasibility of such an enterprise when developed as a collaboration between a teaching hospital and an appropriate community agency. This arrangement provides training for fellows and allows the agency to provide broad mental health services.

Key Words: Community psychiatry • Elderly people • Homebound






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Copyright © 2002 by The Gerontological Society of America.