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Classification decisions within psychogeriatric day care.

E R Frenkel, E S Newman, S R Sherman

    Community Mental Health Journal
    |January 1, 1983
    PubMed
    Summary

    This study examines how staff classify patients for psychogeriatric day care services. Key criteria include social isolation, psychopathology, and daily living activities, impacting service implementation.

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    Area of Science:

    • Geriatric Psychiatry
    • Healthcare Management
    • Social Work in Healthcare

    Background:

    • Day care services are crucial for managing geriatric psychiatric conditions.
    • Effective patient classification is essential for optimizing day care program implementation.
    • Psychogeriatric day care programs require specific criteria for patient selection.

    Purpose of the Study:

    • To examine the classification decisions made for patients in a psychogeriatric day care program.
    • To identify the criteria used by staff in making these classification decisions.
    • To discuss challenges and considerations in applying these criteria.

    Main Methods:

    • A case study approach was employed.
    • Data were collected within an outpatient multilevel psychogeriatric day care program.
    • Staff-cited criteria for classification were analyzed.

    Main Results:

    • Staff identified social isolation, psychopathology severity, home environment, activity levels, activities of daily living (ADL), and mental status as key classification criteria.
    • The study highlighted issues concerning the relevance, consensus, and definition of these criteria.
    • Programmatic changes were also considered in relation to classification.

    Conclusions:

    • Classification decisions significantly influence the implementation of psychogeriatric day care.
    • Clear definitions and consensus on criteria are needed for effective patient placement.
    • Ongoing evaluation of criteria is necessary to adapt to program and patient needs.

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