Background
Falls are the most commonly reported patient-safety incident in mental health settings for older people [1] with approximately 36,000 falls reported in these settings annually in England alone [2]. Similar numbers of falls and injuries in mental health settings are also reported in other countries e.g. Australia [3] and the United States [4]. Risk of falling is exacerbated by mental health problems, such as impaired mental status due to dementia [5], depression [6] mania and anxiety [7]. In addition, treatments of mental health conditions, for example, with psychotropic medication [8, 9] and electroconvulsive therapy [10] also increase fall risk. Falls affect rehabilitation, physical and mental function, can increase length of stay in hospital settings and the likelihood of discharge to long-term care settings [11]. Health care costs associated with falls are increasing worldwide [12], with falls in older people with mental health conditions associated with greater costs compared to the general population of older people [4].
BackgroundFalls are the most commonly reported patient-safety incident in mental health settings for older people [1] with approximately 36,000 falls reported in these settings annually in England alone [2]. Similar numbers of falls and injuries in mental health settings are also reported in other countries e.g. Australia [3] and the United States [4]. Risk of falling is exacerbated by mental health problems, such as impaired mental status due to dementia [5], depression [6] mania and anxiety [7]. In addition, treatments of mental health conditions, for example, with psychotropic medication [8, 9] and electroconvulsive therapy [10] also increase fall risk. Falls affect rehabilitation, physical and mental function, can increase length of stay in hospital settings and the likelihood of discharge to long-term care settings [11]. Health care costs associated with falls are increasing worldwide [12], with falls in older people with mental health conditions associated with greater costs compared to the general population of older people [4].
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