The selection procedure excludes us from drawing any conclusions as to psychiatric activities in small prisons with low security profiles.
During medical school, experience of psychiatric enrichment activities (special studies modules and university psychiatry clubs), experience of acutely unwell patients and perceived clinical responsibility were all associated with choice of psychiatry.
The interviews were semistructured and included questions about changes in behaviour and cognitive function (eg, memory, intellectual ability, visuospatial function, language and executive function), personality changes, psychiatric symptoms, activities of daily living, and in the case of dementia, onset age and disease course, as described previously.
Experiences from the study and the relatively large defection from it demonstrate that there is a great need for close follow-up of psychiatric patients' physical activity levels when physical activity and lifestyle changes are included as part of their treatment program.
For the other three comparison categories geriatric teams, early psychiatric intervention and activity program for residents, we identifed only one study for inclusion in each category.
The quality of the evidence for the results from the three other interventions that were examined, medical care by a geriatric assessment team, early psychiatric intervention and activity programme for residents was graded as very low and no conclusions about their effect on drug use can be drawn.
Only one study was found for each of the interventions geriatric care teams, early psychiatric intervening or activities for the residents combined with education of health care personnel.
Other risk factors that have been identified include delirium, incontinence, falls, pressure ulcers, psychiatric symptoms, instrumental activities of daily living deficits, certain diagnoses, severity of the illness, and lack of informal support.
The majority of respondents considered initiating patients with the common medications, discharging patient suffering from schizophrenia, bipolar disorder or following a crisis admission, conducting risk assessments and managing psychiatric emergencies were activities that trainees could be entrusted with by the end of the first stage of training.
