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Psychiatric and psychosocial problems, including cognitive impairment, depression, anxiety and functional dependency, are highly prevalent in older acute medical inpatients. These problems are critical factors in prolonged hospital stays, which worsen patient’s mental and physical outcomes and reduce bed availability.

Could adding psychiatry in a proactive and integrated way help ward teams to provide better care for older inpatients and reduce the time they spend in hospital?

The HOME Study, probably the largest randomised trial ever done in psychiatry, aimed to answer these questions. We will present its findings and discuss their implications.