Patterns of use of psychiatric facilities by the aged: Past, present, and future.

Abstract

State and County Mental Hospitals 1946-66 Historical background Changes in the total resident population Changes specific for age and diagnosis Outpatient clinics Day care services Community mental health centers Halfway houses Psychiatric services in general hospitals Nursing homes Utilization of other facilities 1955-68 Morton Kramer received his ScD in hygiene (biostatistics) from Johns Hopkins University in 1934. He is currently Chief of the Biometry Branch of the National Institute of Mental Health. He formerly served as statistician in the

Validity Study of the Short Portable Mental Status Questionnaire for the Elderly*

“…Blacks were over‐represented (43 percent) relative to their proportion in the elderly population (8 percent) (6). These characteristics were consistent with other descriptions of the impaired elderly who are either in institutions or at risk for admission (6, 22).…”

Pathway to psychiatric care of the elderly with depression

“…Rates of admission to US state, private and general hospital psychiatric units were reported to be 1.25/1000 where this disorder constituted 72% of admissions (Kramer et al, 1968;Redick and Taube, 1980). Calculated admission rates for New Brunswick (Richman, 1985) and the UK (Wattis, 1988) were 1.4/1000 and 2.6/1000 respectively.…”

Psychotherapy With Elderly Patients

“…The elderly make up nearly 10 percent of the U.S. population; they account for only 2 percent of psychiatric outpatient populations but for nearly 30 percent of mental hospital populations. 3 Thus the aged are markedly underrepresented in psychiatric outpatient clinics, typically the site of psychotherapeutic efforts, but are markedly overrepresented in mental hospitals, typically the site of physical or custodial forms of psychiatric treatment. In other words, the elderly in our society tend to receive either no psychiatric care at all, or "total care" in institutions.…”