The Mentally Ill in Nursing Homes

Schmidt, Leonard J.; Reinhardt, Adina M.; Kane, Robert L; Olsen, Donna M.

doi:10.1001/archpsyc.1977.01770180073006

Cited by 65 publications

(13 citation statements)

References 19 publications

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“…At the same time there was a considerable drop in numbers of patients in mental hospitals; many patients were transinstitutionalised from psychiatric hospitals to nursing homes, the 'new back wards in the community' (Schmidt et al 1977). At the same time there was a considerable drop in numbers of patients in mental hospitals; many patients were transinstitutionalised from psychiatric hospitals to nursing homes, the 'new back wards in the community' (Schmidt et al 1977).…”

Section: Mental Disordersmentioning

confidence: 99%

Mental Health in Nursing Homes

Snowdon

1993

Drugs & Aging

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Most elderly persons in nursing homes and residential care have mental disorders; up to 75% have dementia. Depression and behavioural problems are common. There are big differences between institutions in the proportion of residents prescribed psychotropic medication. A review of the literature suggests that antipsychotics and benzodiazepines are modestly effective in diminishing agitation in some dementing patients. Antidepressants may be underutilized, but clear guidelines about which depressed individuals should receive them are lacking. Attention should be given to ways of improving the environment within these homes, in order to relieve depression and anxiety, and to increase life satisfaction and self-esteem, before commencing psychotropic medication to deal with mental disturbances. Shortage of trained staff and inappropriate design of nursing homes are factors associated with behavioural disturbance in some cases. Special dementia care units are a desirable option for a minority of residents. Involvement of pharmacists and medical directors in monitoring effects, adverse side effects, possible interactions and appropriateness of medications in nursing homes is recommended.

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Section: Mental Disordersmentioning

confidence: 99%

Mental Health in Nursing Homes

Snowdon

1993

Drugs & Aging

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“…They show, however, little improvement in social behaviour and adjustment (42,52). Concern has been voiced that this practice merely replaces the old back wards with new ones (43,49), and a return to extended care units for chronic hospitalization has been proposed (27).…”

Section: Non-transitional Housingmentioning

confidence: 99%

The Rehabilitation of Psychiatric Patients^*

Menuck

1978

Canadian Psychiatric Association Journal

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“…Startled by reports of extremely poor living circumstances of a great number of dehospitalized patients in the late 1970s [10][11][12], different authors argued that traditional clinical measures for the evaluation of dehospitalization programs such as psychopathological symptoms or hospital recidivism ignored the living situation of the patients in the community [13][14][15][16].…”

Section: The Historical Reasons For the Introduction Of The Concept Omentioning

confidence: 99%

Quality of Life in Psychiatry as an Ethical Duty: From the Clinical to the Societal Perspective

Kilian

Angermeyer²

1999

Psychopathology

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It is the aim of this paper to discuss the ethical roots of the concept of quality of life and the historical background of its introduction into mental health service evaluation research. It will be argued that the original broad meaning of the quality of life concept has been brought closely in line with the clinical view, neglecting the ethical and the societal dimensions of this concept. In conclusion, expansion of the scope of quality of life research in psychiatry from a clinical to a societal perspective will be suggested. On the basis of this argument, seven research questions concerning the most important nonclinical factors influencing the quality of life of mentally ill patients will be formulated.

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The Mentally Ill in Nursing Homes

Cited by 65 publications

References 19 publications

Mental Health in Nursing Homes

Mental Health in Nursing Homes

The Rehabilitation of Psychiatric Patients^*

Quality of Life in Psychiatry as an Ethical Duty: From the Clinical to the Societal Perspective

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The Mentally Ill in Nursing Homes

Cited by 65 publications

References 19 publications

Mental Health in Nursing Homes

Mental Health in Nursing Homes

The Rehabilitation of Psychiatric Patients*

Quality of Life in Psychiatry as an Ethical Duty: From the Clinical to the Societal Perspective

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The Rehabilitation of Psychiatric Patients^*