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[Geriatric psychiatry--a specialty gaining recognition]

K Engedal1, E Nordberg, K M Moksnes

  • 1Psykogeriatrisk seksjon, Ullevål sykehus, Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|January 7, 1998
PubMed
Summary

Services for elderly, mentally ill individuals have evolved, shifting from long-term psychiatric hospital care to specialized geriatric psychiatry units. This change emphasizes short-term diagnostics and treatment for conditions like dementia and depression.

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Area of Science:

  • Geriatric Psychiatry
  • Mental Health Services Research

Background:

  • Historical psychiatric care for the elderly focused on long-term institutionalization.
  • Significant changes in service provision for elderly, mentally ill individuals have occurred since 1990.

Purpose of the Study:

  • To analyze the evolution of geriatric psychiatric services in Norway.
  • To describe the current profile of in-patients within geriatric psychiatry.

Main Methods:

  • Comparative analysis of service provision in 1990 and 1995.
  • Description of current in-patient demographics and diagnostic categories.

Main Results:

  • A reduction in allocated beds for elderly psychiatric patients from 650 to 400 between 1990 and 1995.

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  • Establishment of outpatient clinics and a shift towards short-term admissions.
  • Current in-patients comprise approximately one-third dementia, one-third depression, and one-third other psychiatric disorders.

    • Conclusions:

    • Geriatric psychiatry departments now function as diagnostic and short-term treatment units.
    • Recommendations include establishing dedicated geriatric psychiatry units in each Norwegian county.
    • Advocacy for dedicated funding for professorships in geriatric psychiatry at all universities.