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Characteristics of elderly psychiatric patients retained in a state hospital during downsizing
 — a prospective study with replication
Author(s)Leonard White, Michael Parrella, Janice McCrystal-Simon
Journal titleInternational Journal of Geriatric Psychiatry, vol 12, no 4,, April 1997
Pagespp 474-480
KeywordsPsychogeriatric patients ; Long term ; Evaluation ; General hospitals ; Reduction ; Longitudinal surveys ; United States of America.
AnnotationThis study of inpatients aged over 65 at the Pilgrim Psychiatric Center in New York State examined clinical characteristics associated with their retention in the hospital. During the first year of the study, all were individually evaluated; patients remaining in the hospital were re-evaluated in the study's second year and followed for another year. Most of the patients were hospitalised for long periods (mean, 33.9 years), and had significant cognitive impairment; 70% were assigned a lifetime research diagnosis of schizophrenia. Patients retained had more severe symptoms of excitement, hostility and impulsive behaviour than those discharged, while unco-operativeness, delusion, grandiosity and suspiciousness were also more severe in those retained than those discharged. Elderly patients who are very difficult to place are so characterised because of behaviour disorders that are difficult to manage rather than psychotic symptoms, cognitive impairment or mental disorders.
Accession NumberCPA-970807236 A
ClassmarkLF:E: 4Q: 4C: LD3: 5YD: 3J: 7T

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