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<p>Provision of mental health services for older adults in sub-Saharan Africa needs to be organised and tailored to cater for unmet mental health needs of this population. This study sought to describe and compare the patterns of presentation of patients and trends in service utilization as the psychogeriatric service transitioned from a stand-alone to an interdisciplinary model over an 18-year period; identify factors associated with specific mental health disorders; and highlight the need for multidisciplinary geriatric care facilities. This study was conducted among patients attending the outpatient psychogeriatric clinic at the University College Hospital, Ibadan, Nigeria. A retrospective review of records of older persons who were first seen at the outpatient psychogeriatric clinic between January 2004 and December 2021 was performed. The mean age of the participants was 72.3(± 8.1) years. The commonest mental illness is dementia (42.4%) and 55.1% of the cohort had at least one medical comorbidity. The number of new referrals to the clinic grew steadily over the 18-year period with 88.2% of patients seen in the clinic in the last nine years in the interdisciplinary service compared to the standalone psychogeriatric service. Dementia is the primary reason for referrals to this facility, and frequent comorbidities underscore the necessity for an interdisciplinary geriatric health service.</p>

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The Evolution of an Outpatient Psychogeriatric Clinic in Southwestern Nigeria: an 18-Year Overview

  • 期刊论文

  • 发表日期：

    2025年11月29日

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  • Olufisayo Elugbadebo,
  • Oluwagbemiga Oyinlola,
  • Temitope Alonge,
  • Olusegun Baiyewu

摘要

Provision of mental health services for older adults in sub-Saharan Africa needs to be organised and tailored to cater for unmet mental health needs of this population. This study sought to describe and compare the patterns of presentation of patients and trends in service utilization as the psychogeriatric service transitioned from a stand-alone to an interdisciplinary model over an 18-year period; identify factors associated with specific mental health disorders; and highlight the need for multidisciplinary geriatric care facilities. This study was conducted among patients attending the outpatient psychogeriatric clinic at the University College Hospital, Ibadan, Nigeria. A retrospective review of records of older persons who were first seen at the outpatient psychogeriatric clinic between January 2004 and December 2021 was performed. The mean age of the participants was 72.3(± 8.1) years. The commonest mental illness is dementia (42.4%) and 55.1% of the cohort had at least one medical comorbidity. The number of new referrals to the clinic grew steadily over the 18-year period with 88.2% of patients seen in the clinic in the last nine years in the interdisciplinary service compared to the standalone psychogeriatric service. Dementia is the primary reason for referrals to this facility, and frequent comorbidities underscore the necessity for an interdisciplinary geriatric health service.