Donovan Maust, M.D., M.S.
Dr. Maust’s research interests include serious mental illness in older adults and treatment-resistant depression. He is also interested in psychotropic use in older adults, potentially preventable hospitalization of patients with dementia, and the impact of new payment models on quality of healthcare delivery to older adults with mental illness. Additionally, Dr. Maust serves on IHPI’s Early Career Faculty Advisory Council (ECFAC).
- M.D., Johns Hopkins University
- B.S., The College of William and Mary
Health Services Research & Policy Focus
IHPI-Affiliated Centers and Programs
What are you thinking about?
I am thinking about how the non-cognitive symptoms of dementia (such as aggression or delusions) influence how patients utilize the healthcare system. Many people think of dementia primarily in terms of memory loss, though often these non-cognitive symptoms are the most distressing and challenging parts of dementia for patients, caregivers, and providers.
What are the practical implications for healthcare?
With the aging of the population and increased lifespan, these behaviors have huge practical implications for healthcare as the number of patients with dementia grows. When patients and caregivers are in distress, they will often first turn to the healthcare system for assistance. However, they might really need education, training, or psychosocial services that the healthcare system is not necessarily well-equipped to provide. It is important that we figure out ways to identify and help patients and providers in distress in order to proactively provide the care that they need.
Why is this interesting to you?
As a psychiatrist, these behaviors are interesting as they can arise from a host of factors, both internal (pain or an acute medical problem) and external (crowded environment) to the patient. But due to the patient’s cognitive changes, he or she may not be able to help describe the cause of their distress. As a health services researcher, it is exciting to think about how a healthcare system can be pro-active in identifying and delivering care to patients with dementia and their caregivers.