{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T04:48:20Z","timestamp":1791866900467,"version":"4.3.4"},"reference-count":21,"publisher":"Royal College of Psychiatrists","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych Bull"],"abstract":"\n Aims and method<\/jats:title>\n To evaluate referrals to our local Young Onset Dementia Assessment Service (YODAS), analyse referral trends and re-referral patterns between 2020 and 2024, and review reasons for non-acceptance of referrals at triage. A retrospective review of electronic referral records was undertaken using descriptive analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Referrals to YODAS almost doubled over the study period, while non-acceptance rates remained relatively stable, rising from 52.6% in 2020 to 57.3% in 2024. Among 760 patients whose referrals were not accepted, the most common reasons for non-acceptance were: absence of features suggestive of neurodegeneration, cognitive symptoms better explained by mental health conditions, and insufficient referral information. Over one-quarter were re-referred, with two-thirds subsequently accepted. Only 6% of individuals whose referrals were initially not accepted later received a dementia diagnosis, indicating effective triage.<\/jats:p>\n <\/jats:sec>\n \n Clinical implications<\/jats:title>\n A rise in the demand for dementia assessment from a younger patient population requires a careful triage to ensure the individuals with possible features of neurodegeneration are appropriately assessed, and cases where alternative explanations are more likely are directed to more appropriate pathways.<\/jats:p>\n <\/jats:sec>","DOI":"10.1192\/bjb.2026.10280","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T04:26:38Z","timestamp":1791865598000},"page":"1-7","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Rising demand, robust triage? Service evaluation of the triage process in a young-onset dementia service"],"prefix":"10.1192","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8447-0506","authenticated-orcid":false,"given":"Amna","family":"Khalil","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/045wcpc71","id-type":"ROR","asserted-by":"publisher"}],"name":"Leicestershire Partnership NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timona","family":"Chetty","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/045wcpc71","id-type":"ROR","asserted-by":"publisher"}],"name":"Leicestershire Partnership NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeta B.","family":"Mukaetova-Ladinska","sequence":"additional","affiliation":[{"name":"University of Leicester"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Critchfield","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/045wcpc71","id-type":"ROR","asserted-by":"publisher"}],"name":"Leicestershire Partnership NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"key":"S2056469426102800_ref3","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-215552"},{"key":"S2056469426102800_ref5","doi-asserted-by":"publisher","DOI":"10.1002\/gps.5437"},{"key":"S2056469426102800_ref1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.4782"},{"key":"S2056469426102800_ref4","doi-asserted-by":"publisher","DOI":"10.1002\/pnp.391"},{"key":"S2056469426102800_ref14","doi-asserted-by":"publisher","DOI":"10.1177\/1471301208091157"},{"key":"S2056469426102800_ref11","year":"2024","journal-title":"National Audit of Dementia Spotlight Audit in Memory Assessment Services National Report 2023\/2024"},{"key":"S2056469426102800_ref10","volume-title":"Young-Onset Dementia in Mental Health Services: Recommendations for Service Provision (College Report CR217)","year":"2018"},{"key":"S2056469426102800_ref16","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awaa224"},{"key":"S2056469426102800_ref21","year":"2024","journal-title":"Joint Living Well with Dementia Strategy 2024\u20132028"},{"key":"S2056469426102800_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2023.111447"},{"key":"S2056469426102800_ref8","first-page":"20","article-title":"Developing criteria for appropriate referrals for younger patients (under 65) presenting with memory complaints to old age psychiatry services in UK.","volume":"66","author":"Sikdar","year":"2016","journal-title":"Old Age Psychiatrist"},{"key":"S2056469426102800_ref12","author":"Souris","year":"2020","journal-title":"The 2019 National Memory Service Audit"},{"key":"S2056469426102800_ref2","unstructured":"2 Alzheimer\u2019s Society. Young-Onset Dementia. Alzheimer\u2019s Society, 2026 (https:\/\/dementiaconnect.alzheimers.org.uk\/about-dementia\/types-dementia\/young-onset-dementia)."},{"key":"S2056469426102800_ref9","doi-asserted-by":"publisher","DOI":"10.1017\/cjn.2021.39"},{"key":"S2056469426102800_ref15","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-019-1410-x"},{"key":"S2056469426102800_ref6","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-54613-9"},{"key":"S2056469426102800_ref18","volume-title":"Dementia: Assessment, Management and Support for People Living with Dementia and Their Carers (NICE guideline NG97)","year":"2018"},{"key":"S2056469426102800_ref19","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-215514"},{"key":"S2056469426102800_ref7","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-32939-0"},{"key":"S2056469426102800_ref20","doi-asserted-by":"publisher","DOI":"10.1002\/alz.089754"},{"key":"S2056469426102800_ref13","doi-asserted-by":"publisher","DOI":"10.1002\/pnp.374"}],"container-title":["BJPsych Bulletin"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056469426102800","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T04:26:40Z","timestamp":1791865600000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056469426102800\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,13]]},"references-count":21,"alternative-id":["S2056469426102800"],"URL":"https:\/\/doi.org\/10.1192\/bjb.2026.10280","relation":{},"ISSN":["2056-4694","2056-4708"],"issn-type":[{"value":"2056-4694","type":"print"},{"value":"2056-4708","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,13]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike licence (https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the same Creative Commons licence is used to distribute the re-used or adapted article and the original article is properly cited. The written permission of Cambridge University Press or the rights holder(s) must be obtained prior to any commercial use.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}