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A psychogeriatric nursing home resocialization program
Hospital & Community Psychiatry
|December 1, 1981
Summary
This study shows that a special nursing home program improved elderly residents' behavior and independence. The problem-oriented approach and multidisciplinary team helped resolve issues, allowing some residents to return to community living.
Area of Science:
- Gerontology
- Psychiatric Nursing
- Healthcare Management
Background:
- Nursing home environments can foster dependence and learned helplessness in elderly residents.
- Elderly individuals with chronic medical and psychiatric issues are particularly vulnerable.
- Traditional approaches may not adequately address complex resident needs.
Purpose of the Study:
- To evaluate a specialized nursing home program designed for elderly residents with complex medical and psychiatric challenges.
- To assess the effectiveness of a problem-oriented recordkeeping system and a multidisciplinary team approach.
- To determine if the program could reduce dependence and improve resident outcomes.
Main Methods:
- Implementation of a specialized program in 1974 at an intermediate-and skilled-care nursing home.
- Utilized problem-oriented recordkeeping instead of diagnosis-oriented methods.
- Employed a multidisciplinary therapeutic team to manage and treat residents with behavioral and psychiatric issues.
Main Results:
- Significant resolution of behavioral problems observed in numerous residents over four years.
- Successful release of many original residents from the program.
- Some residents were able to transition to independent community living post-program.
Conclusions:
- A problem-oriented, multidisciplinary approach can effectively manage complex needs of nursing home residents.
- The specialized program demonstrated success in improving resident behavior and promoting independence.
- This model offers a viable alternative for improving care quality and resident outcomes in long-term care facilities.