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Change in the Pattern of Care for the Demented

Published online by Cambridge University Press:  29 January 2018

A. B. Christie  and
Jean D. Train
A. B. Christie
Affiliation:
Crichton Royal, Dumfries DG1 4TG
Jean D. Train
Affiliation:
Crichton Royal
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Summary

The experience of 82 demented female patients, admitted to Crichton Royal in the period 1957–59, is compared with 107 similar female patients from 1974–76. All finally died in the hospital, or at the closure of the study in November 1981 were long-stay patients there. Results show that on average, each patient in the more recent group spent 24 per cent longer in hospital; the results, however, were only statistically significant in the very elderly—over 85. Further study of the 1970s failed to demonstrate that day care and intermittent holiday admissions had any effect on the length of time the patient spent in hospital on final admission. Using the study data, models of future needs are worked out on the basis of bed requirements for patients admitted without prospect of discharge.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 144 , Issue 1 , January 1984 , pp. 9 - 15
Copyright
Copyright © 1984 The Royal College of Psychiatrists 

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References

Arie, T. (1970) The first year of the Goodmayes Psychiatric Service for old people. Lancet, ii, 1179–82.Google Scholar
Arie, T. (1975) Day care in geriatric psychiatry. Gerontologia Clinica, 17, 31–9.Google Scholar
Bergmann, K. (1979) Problems of early diagnosis of dementia. In Proceedings of M.R.C. Conference on Alzheimers Disease. Edinburgh: Churchill Livingstone.Google Scholar
Blessed, G. (1980) Clinical aspects of the senile dementias. In Biochemistry of Dementia (ed. Roberts, P. J.). New York: John Wiley.Google Scholar
Blessed, G. & Wilson, I. D. (1982) The contemporary natural history of mental disorder in old age. British Journal of Psychiatry, 141, 59–67.Google Scholar
Brothwood, J. (1971) The organisation and development of services for the aged with special reference to the mentally ill. In Recent Developments in Psychogeriatrics (eds. Kay, D. W. K. and Walk, A.). Royal College of Psychiatrists SP.6. Ashford, Kent: Headley Brothers.Google Scholar
Christie, A. (1982) Changing patterns of mental illness in the elderly. British Journal of Psychiatry, 140, 154–9.CrossRefGoogle ScholarPubMed
General Register Office for Scotland (1980) Projected Home Populations of Scotland by Area.Google Scholar
Grundy, E. & Arie, T. (1982) Falling rate of provision of residential care for the elderly. British Medical Journal, 284, 799–802.CrossRefGoogle ScholarPubMed
Health Advisory Service (1982) The Rising Tide: Developing Services for Mental Illness in Old Age. Sutton, Surrey: National Health Service, Health Advisory Service.Google Scholar
Hemsi, L. (1982) Psychiatric care in the community. In The Psychiatry of Late Life (eds. Levy, R. and Post, F.) p 252–87. Oxford: Blackwell Scientific Publications.Google Scholar
Hubbard, B. M. & Anderson, J. M. (1981) A quantitative study of cerebral atrophy in old age and senile dementia. Journal of Neurological Sciences, 50, 135–45.Google Scholar
Jacoby, R. & Levy, R. (1980) Computed tomography in the elderly: Senile dementia: Diagnosis and functional impairment. British Journal of Psychiatry, 136, 256–69.Google Scholar
Kay, D. W. K., Beemish, P. & Roth, M. (1964) Old age mental disorders in Newcastle-upon-Tyne. British Journal of Psychiatry, 110, 146–58.Google Scholar
Leading Article (1978) Dementia, the quiet epidemic. British Medical Journal, 1, 1.CrossRefGoogle Scholar
Robinson, R. A. (1962) The practice of a psychiatric geriatric unit. Gerontologia Clinica, 1, 1–19.Google Scholar
Roth, M. (1955) The natural history of mental disorder in old age. Journal of Mental Science, 101, 281–301.Google Scholar
Shulman, K. & Arie, T. (1978) Fall in admission rates of old people to psychiatric units. British Medical Journal, 1, 156–8.Google Scholar
Tomlinson, B. E. (1980) The structural and quantitative aspects of the dementias. In The Biochemistry of Dementia (ed. Roberts, P. J.). New York: John Wiley.Google Scholar
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