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The British Journal of Psychiatry (1975) 126: 21-29. doi: 10.1192/bjp.126.1.21
© 1975 The Royal College of Psychiatrists
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Evaluation of a Psychogeriatric Service: The Distinction Between Psychogeriatric and Geriatric Patients

J. R. M. COPELAND M.B., M.R.C.P., M.R.C.Psych.1, M. J. KELLEHER M.D., B.Sc., M.Phil, M.R.C.Psych.2, J. M. KELLETT M.B., M.R.C.P., M.R.C.Psych.3, G. BARRON M.A.3, D. W. COWAN B.A.3, and A. J. GOURLAY M.A.2

1 Senior Lecturer, Department of Psychiatry, Honorary Consultant Psychiatrist, Bethlem Royal and Maudsley Hospital
2 Lecturer, Department of Psychiatry, U.S./U.K. Diagnostic Project Institute of Psychiatry, De Crespigny Park, Denmark Hill, London, SE5 8AF
3 Research Worker, U.S./U.K. Diagnostic Project Institute of Psychiatry, De Crespigny Park, Denmark Hill, London, SE5 8AF

The literature on the `misplacement' of elderly patients in hospital is briefly and critically reviewed. One-hundred and sixty patients entering geriatric and psychiatric hospitals serving Camberwell, London, were examined, using semi-structured and standardized interviews. Reliability between members of the team for psychiatric ratings and diagnosis was established. Social measures, measures of mobility, and psychological tests were undertaken. All patients were followed-up at intervals of one month, three months and one year after admission. Sixty-four per cent of the geriatric admissions were shown to suffer from a psychiatric illness. 5.3 per cent of patients entering the psychiatric hospital and 12.0 per cent entering the geriatric hospital were probably misplaced. There were no adverse effects on prognosis demonstrated. The place of psychogeriatric assessment units in relation to `misplacement' is discussed.

Submitted on January 9, 1974




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C. Hilton
The provision of mental health services in England for people over 65 years of age, 1970--78
History of Psychiatry, September 1, 2008; 19(3): 297 - 320.
[Abstract] [PDF]


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Copyright © 1975 The Royal College of Psychiatrists.