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[Psychiatry for the elderly--a specialty field in progress].

K Engedal1, K M Moksnes, J Hirsch

  • 1Geriatrisk avdeling, Ullevål sykehus, Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|August 10, 1991
PubMed
Summary

Specialized geriatric psychiatry services in Norway are underutilized, with most beds occupied by long-term patients. The study recommends dedicated county-level units and academic funding to improve care for mentally ill elderly individuals.

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Area of Science:

  • Geriatric Psychiatry
  • Mental Health Services Research

Background:

  • Societal changes necessitate specialized care for mentally ill elderly individuals.
  • Norway allocates over 600 hospital beds to geriatric psychiatry (gerontopsychiatry).
  • Current services lack outreach programs, and bed utilization is debated.

Purpose of the Study:

  • To evaluate the current state of geriatric psychiatry services in Norway.
  • To provide recommendations for improving care for mentally ill elderly patients.

Main Methods:

  • Analysis of existing geriatric psychiatry bed allocation and staffing in Norwegian hospitals.
  • Review of patient populations occupying long-term psychiatric beds.

Main Results:

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  • Over 600 beds are designated for geriatric psychiatry, staffed by 20 senior registrars and 19 trainees.
  • Most beds are occupied by long-term psychiatric patients, indicating potential misallocation.
  • Limited consensus exists on the primary patient group for these specialized beds.

    • Conclusions:

    • A need exists to reorganize geriatric psychiatry services in Norway.
    • The authors recommend establishing dedicated geriatric psychiatry units in each county.
    • Increased funding for professorships in geriatric psychiatry is advised to advance the field.