Older adults in major trauma centre psychology provision

Abstract

Introduction Older adults (OAs) comprise a significant proportion of the Major Trauma (MT) population and the mean age of major trauma patients is rising. Over recent years increasing focus has been directed towards ensuring that the physical health needs of older MT patients are met and managed in a timely and appropriate manner during their acute care. This study aims to explore whether the psychological needs of older adults in major trauma centres are also being appropriately recognised and whether this population is appropriately referred for timely psychological support. The paper also briefly outlines the psychological needs identified in this group during their inpatient admission. The implications for major trauma teams and major trauma psychology services are discussed. Methods Retrospective review of referral data captured over a 6 month period as part of the routine service practice for new referrals. Demographic differences were analysed using chi-squared. Results There is a statistically significant relationship between major trauma patients’ age and their referral status to Clinical Psychology, with older adults receiving fewer referrals for psychological support. Conclusion The current literature understanding the impact of MT for OAs is sparse. Further exploration is needed with both staff and patients to better understand the service gaps and barriers for OAs accessing psychological support following MT.