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12 - Community Treatment Needs

from Section 5 - Treatment and Services

Published online by Cambridge University Press:  15 March 2019

By
Paul D. Meesters
Edited by
Carl I. Cohen  and
Paul D. Meesters
Carl I. Cohen
Affiliation:
SUNY Downstate Medical Center
Paul D. Meesters
Affiliation:
Friesland Mental Health Services
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Summary

To organize appropriate and comprehensive services for older individuals with schizophrenia, understanding their specific needs is a prerequisite. This includes evaluating the patient´s own perspective and acknowledging needs with a more subjective or existential character. This may highlight needs that go undetected or are underestimated by staff or families. Changes associated with aging may generate new care needs or modify existing ones. In the limited research into the needs of older schizophrenia patients, a pattern emerges that resembles findings in younger populations, with psychological and social needs being highly prevalent and frequently unmet. Mental health services clearly have a role in meeting these needs. Interventions with different scopes and intensities are currently available, one of which is exemplified in this chapter, the case of The New Club, a novel Dutch facility that provides a non-demanding social environment for older individuals with severe mental illnesses. Due to the wide science-to-service gap, many patients are missing out on these types of service. A broader effort is needed that calls upon political commitment to promote social inclusion of older individuals with schizophrenia.
Type
Chapter
Information
Schizophrenia and Psychoses in Later Life
New Perspectives on Treatment, Research, and Policy
 , pp. 135 - 145
Publisher: Cambridge University Press
Print publication year: 2019

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