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The elderly mentally ill--whose responsibility?

P Pasker, J P Thomas, J S Ashley

    British Medical Journal
    |July 17, 1976
    PubMed
    Summary
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    A census revealed one-third of elderly individuals aged 65+ have psychiatric problems, with many outside hospitals. This highlights the crucial role of community nurses and residential homes in geriatric mental healthcare.

    Area of Science:

    • Geriatric Psychiatry
    • Public Health Services
    • Mental Health Policy

    Background:

    • Elderly individuals with mental illness place significant demands on health and social services.
    • Accurate assessment of needs is crucial for effective service provision.
    • Existing services may not fully meet the complex requirements of this demographic.

    Purpose of the Study:

    • To evaluate the demand for health and social services among the elderly mentally ill.
    • To determine the prevalence of psychiatric issues in the elderly population within a defined area.
    • To assess the distribution of care for elderly individuals with mental health needs.

    Main Methods:

    • A one-day census was conducted on individuals aged 65 and over in an area with a population of 220,000.

    Related Experiment Videos

  • Data collected included nursing needs and psychiatric status.
  • The study focused on elderly individuals in hospitals, residential homes, and receiving community nursing care.

    • Main Results:

    • Out of 2162 elderly individuals surveyed, one-third (approximately 33%) were identified as having psychiatric problems.
    • More than half of the elderly individuals with psychiatric issues were residing outside of hospital settings.
    • Community nursing services and residential homes are integral to the care of the elderly mentally ill.

    Conclusions:

    • A substantial portion of the elderly population experiences psychiatric problems, necessitating comprehensive service planning.
    • Community-based care and residential facilities are vital components of the support system for the elderly mentally ill.
    • An integrated and adaptable manpower strategy is essential for optimizing care delivery.