Psychogeriatric consultation in "reception centres": a descriptive account

"Centres d'accueil" (reception centres) for the aged will be required to become increasingly involved with seniors presenting psychological or psychiatric problems, because of both the increase in life expectancy and the philosophy of avoiding the institutionalization of such seniors in psychiatric settings. One of the activities of the consulting psychiatrist is to meet the patient to establish a diagnosis and suggest treatment; however, the support of the care-giving team is the consultant's primary concern. The psychogeriatric consultant makes a rapid, on-site decision on suitable treatment for the patient, thus avoiding a potentially upsetting transfer. In addition, the consultant encourages active involvement by staff in the management of the psychiatric problem.