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Psychogeriatrics and community care.

D M White

    Lancet (London, England)
    |January 4, 1975
    PubMed
    Summary

    Community care for the elderly mentally ill is often a facade for inadequate institutional care. True community care, offering full-time home services, is proposed as a superior alternative, despite potential community conflicts.

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    Area of Science:

    • Geriatric Psychiatry
    • Social Work in Healthcare
    • Mental Health Services Research

    Background:

    • Current community care models for the elderly mentally ill are critically examined.
    • The phrase "community care" may mask deficiencies in traditional institutional care.
    • Community care is often perceived as a less expensive alternative to institutionalization.

    Purpose of the Study:

    • To critically evaluate the current organization and meaning of community care for the elderly mentally ill.
    • To propose an alternative model of "true" community care.
    • To explore the implications of enhanced community care models.

    Main Methods:

    • Critical analysis of existing community care frameworks.
    • Conceptualization of an ideal community care service.
    • Discussion of potential societal and attitudinal impacts.

    Main Results:

    • The current implementation of community care often serves as a substitute for underfunded institutional facilities.
    • "True" community care, providing comprehensive, full-time home-based services, is identified as a beneficial alternative.
    • Implementing such a model presents challenges due to potential discordance with prevailing official attitudes.

    Conclusions:

    • Re-evaluation of the term "community care" is necessary to ensure genuine patient benefit.
    • A shift towards robust, home-based community care services is advocated for the elderly mentally ill.
    • Policy and societal attitudes require alignment to support effective community-based mental healthcare for the elderly.

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