Delirium in Nursing Home Residents: A Narrative Review.

Delirium is an important component of the geriatric syndromes and has been recognized to negatively influence the prognosis of older people in hospital and in a post-acute setting. About 2-5% of older people world-wide live in nursing homes and are characterized by functional impairment, cognitive decline, dementia, comorbidities, and polypharmacotherapy, all factors which influence the development of delirium. However, in this setting, delirium remains often understudied.

[A review of the experience, the effectiveness and the spread of behavioral-cognitive group intervention in psychiatric ward].

The use of Cognitive-Behavioral Group Intervention (CBGI) in Psychiatric Ward (SPDC) in Italy began in the year 2000 and it became more and more popular in different geographic areas of our country. In this paper we briefly describe the intervention, the theoretical framework, the effectiveness and efficiency in Italy as well as in the international context. Based on the theoretical model "stress-vulnerability-coping", the ICCG is a manualized treatment, innovative and effective in the acute care, using the group setting to foster a climate of collaboration between users and operators, to raise awareness, the adherence to the treatment plan and the satisfaction.

Effectiveness and efficiency of cognitive-behavioral group therapy for inpatients: 4-year follow-up study.

Objectives: The goals of this study were to evaluate the effectiveness of manualized cognitive-behavioral group therapy (CBGT) integrated into routine care on a psychiatric inpatient unit and to compare the impact of the intervention on patients with the following diagnoses: schizophrenia, major depression, bipolar disorder, or personality disorders. The results presented here expand on those presented in a previous publication by including 2 more years of data and additional analyses concerning diagnosis and economic outcomes.

Method: A pre-post design was used to measure voluntary and compulsory readmissions, ward atmosphere, patient satisfaction, mean length of stay, and cost-income in the year before CBGT was introduced (2001) compared with the next 4 years.