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Intervention and social breakdown in the elderly

J D Little1

  • 1Gramplans Psychiatric Services, Lakeside Hospital, Ballarat, Victoria, Australia.

The Australian and New Zealand Journal of Psychiatry
|October 1, 1996
PubMed
Summary
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Intervention for elderly social breakdown (SBE) is ethically and clinically justifiable. Community services can successfully manage patients with schizophrenia, ensuring their return home and ongoing support.

Area of Science:

  • Geriatric psychiatry
  • Ethical considerations in elder care
  • Community mental health services

Background:

  • Social breakdown in the elderly (SBE) presents complex ethical and clinical challenges.
  • Management requires careful consideration of patient autonomy and community welfare.

Observation:

  • A case study of a 76-year-old recluse with suspected SBE was presented.
  • The patient exhibited concerning living conditions and behavior, prompting community referral.

Findings:

  • Longitudinal assessment led to a diagnosis of schizophrenia.
  • Treatment with fluphenazine decanoate resulted in significant patient improvement.
  • The patient was successfully reintegrated into her home environment with ongoing community support.

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Implications:

  • This case supports a proactive approach to SBE, balancing clinical needs with ethical principles.
  • Effective community-based interventions are crucial for managing elderly patients with severe mental illness.
  • Establishing a collaborative relationship between community services and patients is key to sustained recovery.