Abstract
Background: The worldwide ageing of the population is mirrored in the general hospital where the proportion of elderly patients is increasing. In Australia 31% of hospital discharges and 46% of bed days were over 65 years of age in 1997–98. In the US, over the last 15 years the proportion of elderly referrals to consultation liaison (CL) services has increased from around 20–30% to over 50%. Both CL and old age psychiatry are involved in service delivery in Australia without clear direction about which should be primarily responsible.Objective: To determine the most appropriate model of mental health service delivery for the elderly in general hospitals.Method: Literature review utilising Medline, PsychoInfo and Ageline databases supplemented by a manual search of references from relevant literature for studies of CL psychiatry in the elderly.Results: Twenty-seven studies were found that described service delivery in general hospital, 15 by old age psychiatry services and 12 by CL services. The patient pr...
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