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Psychiatric commitment of the elderly.

K Blank1, W Vingiano, H I Schwartz

  • 1Mount Sinai School of Medicine, New York, NY.

Journal of Geriatric Psychiatry and Neurology
|July 1, 1989
PubMed
Summary
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Involuntary hospitalization for seniors is controversial. Involuntary patients often have organic disorders and exhibit aggression, while voluntary patients have mood disorders, suggesting differing criteria may be needed for geriatric care.

Area of Science:

  • Geriatric Psychiatry
  • Mental Health Law
  • Sociology of Aging

Background:

  • Involuntary hospitalization for the elderly is a contentious issue, with varying commitment criteria across jurisdictions.
  • Narrowly defined criteria requiring 'dangerousness' can impede necessary treatment for older adults.
  • Broader criteria raise concerns about potential misuse and unnecessary institutionalization of the elderly.

Purpose of the Study:

  • To compare characteristics of voluntary and involuntary patients aged 55 and over.
  • To analyze factors influencing involuntary commitment decisions in the geriatric population.
  • To inform the debate on appropriate commitment standards for elderly individuals.

Main Methods:

  • Retrospective analysis of 274 consecutive admissions aged 55 years and older.

Related Experiment Videos

  • Comparison of demographic and clinical characteristics between voluntary and involuntary patient groups.
  • Statistical analysis to identify significant differences between the two groups.

    • Main Results:

    • Involuntary patients were more likely to have organic mental disorders, exhibit pre-admission violence, disorientation, withdrawal, and apathy.
    • Voluntary patients were more frequently diagnosed with major mood disorders.
    • Elderly individuals living with others were more likely to be involuntarily committed compared to those living alone.

    Conclusions:

    • Findings suggest distinct clinical profiles between voluntary and involuntary geriatric admissions.
    • The study highlights the complexities of applying commitment criteria to the elderly population.
    • Results warrant consideration of tailored legal and clinical approaches for involuntary hospitalization of older adults.