Homebound Aged: The Dilemma of Psychiatric Intervention
| Autor: | Davis E, Kravitz H, Rodrigue C, Grauer H |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Male
medicine.medical_specialty Physical disability Referral Frail Elderly media_common.quotation_subject Social Environment Community support Intervention (counseling) Activities of Daily Living medicine Humans Psychiatry Referral and Consultation Aged media_common Aged 80 and over Patient Care Team Depressive Disorder Teamwork Office practice business.industry Home Care Services Mental health Hospitalization Dilemma Psychiatry and Mental health Crisis Intervention Dementia Female business |
| Zdroj: | The Canadian Journal of Psychiatry. 36:497-501 |
| ISSN: | 1497-0015 0706-7437 |
| DOI: | 10.1177/070674379103600706 |
| Popis: | This study reports the 12 month experience of a hospital-based, multidisciplinary psychogeriatric community team. The patients evaluated were unable to come to the hospital clinics because of a psychiatric and/or physical disability. The group included some patients rarely seen in psychiatric office practice and outpatient facilities, but who posed problems for their families and the community. Some required referral to a clinic, crisis management or emergency hospitalization. Others however, required only minimal intervention. A total of 151 patients (119 females and 32 males) whose average age was 78.2, were seen. Seventy percent were widowed, single, divorced or separated; 43% lived alone. The patients were grouped according to the method of intervention used: psychiatric and social intervention—55%; social and nursing intervention — 28%; no follow-up —11% and; emergency hospitalization — 6%. Seventeen patients were left “untreated”. These patients usually had more adequate family or community support than was initially apparent. They were referred for a crisis which was resolved quickly. An attempt is made to explain our approach, and several case examples are given. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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