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Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation. For...
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The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic symptoms in all...
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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Published on: September 30, 2020

Psychiatric Hospitalization Precipitants and Outcomes in a Comprehensive Dementia Care Program.

David R Lee1, Andrew S Endo2, Tahmineh R Kalbasi3

  • 1Division of Geriatrics (DRL, IAJ, KSS, AC, DBR), David Geffen School of Medicine at UCLA, Multicampus Program in Geriatric Medicine and Gerontology, University of California, Los Angeles, CA.

The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
|July 7, 2026
PubMed
Summary

Psychiatric hospitalizations for agitation in dementia patients often lead to higher-level care. Male patients experiencing agitation were also more likely to transition to assisted living or nursing homes.

Keywords:
Psychiatric hospitalizationscomprehensive dementia careneuropsychiatric symptomspsychotropic medications

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Area of Science:

  • Geriatric Psychiatry
  • Neuroscience
  • Health Services Research

Background:

  • Comprehensive dementia care programs aim to manage complex patient needs.
  • Psychiatric hospitalizations are a significant concern for patients with dementia.
  • Understanding predictors of discharge is crucial for care planning.

Purpose of the Study:

  • To characterize psychiatric hospitalizations in a dementia care program.
  • To identify factors influencing discharge to higher-level residential settings.
  • To analyze changes in Central Nervous System (CNS)-active medications.

Main Methods:

  • Retrospective cohort study at UCLA Alzheimer's and Dementia Care Program.
  • Analysis of 180 psychiatric hospitalizations in 150 dementia patients.
  • Examined precipitating reasons, patient/hospitalization characteristics, and discharge outcomes.

Main Results:

  • Agitation was the primary reason for hospitalization (71%).
  • 30% of patients were discharged to higher-level residential settings.
  • Agitation (aOR 4.7) and male sex (aOR 2.3) predicted higher-level discharge.

Conclusions:

  • Hospitalizations for agitation or involving male patients frequently result in residential care transitions.
  • Proactive placement planning and outpatient psychiatry involvement warrant further study.
  • Medication changes, particularly for CNS-active drugs, varied post-hospitalization.