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Mental disorders in the nursing home: another perspective

P N Tariot1, C A Podgorski, L Blazina

  • 1Department of Psychiatry, University of Rochester School of Medicine and Dentistry, N.Y.

The American Journal of Psychiatry
|July 1, 1993
PubMed
Summary

This study found that 91% of residents in a public long-term care facility had psychiatric diagnoses and behavioral problems, highlighting significant mental health needs in this population.

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Area of Science:

  • Geriatric Psychiatry
  • Long-Term Care Research
  • Mental Health Services

Background:

  • Previous studies on mental disorder prevalence in long-term care facilities often had methodological limitations.
  • This research aimed to address these shortcomings by replicating a well-designed study and exploring resident characteristics.

Purpose of the Study:

  • To accurately assess the prevalence of mental disorders in residents of a public long-term care facility.
  • To identify behavioral and cognitive characteristics of these residents.
  • To replicate and extend findings from prior research using improved methodologies.

Main Methods:

  • A psychiatric team evaluated 80 randomly selected residents of a public long-term care facility.
  • Diagnostic and Statistical Manual of Mental Disorders, Third Edition-Revised (DSM-III-R) criteria were utilized.

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  • Quantitative assessments of behavior and cognitive status were performed.

    • Main Results:

    • 91% of residents had at least one psychiatric diagnosis and one behavioral problem.
    • 50% of residents exhibited four or more behavioral problems.
    • 61% of residents received psychiatric care after admission, with 29% receiving care prior.

    Conclusions:

    • Findings confirm substantial mental health needs among residents of public long-term care facilities.
    • Replication of prior studies, despite differing demographics and facility types, underscores consistent findings.
    • The medical community and nursing home industry must prioritize addressing these significant mental health requirements.