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The British Journal of Psychiatry (1967) 113: 435-443. doi: 10.1192/bjp.113.497.435
© 1967 The Royal College of Psychiatrists
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Extramural Psychiatric Care and the Elderly

J. HOENIG M.D., M.R.C.P., D.P.M.1 and MARIAN W. HAMILTON B.A.(Hons) Oxon.2

1 Reader, Department of Psychiatry, Manchester University
2 Department of Psychiatry, Manchester University

1. A 50 per cent. random sample of all patients over 60 years of age newly incepted by two northern psychiatric units based on general hospitals has been investigated and followed up for four years. Comparisons are drawn with J. Hoenig, M.D., M.R.C.P., D.P.M., Reader patients in a similar service in the southern part of the country.

2. Unlike the situation in the South, the over-60 age group did not prove such a formidable problem for the northern units. Usage in general of the services was much smaller in the North than in the South. This is interpreted as mainly due to public attitudes towards the service, probably influenced by historical factors. It may also be due to the presence or absence of general geriatric services.

3. Patients in the two areas—North and South—differ to a certain extent in a number of clinical and social features, such as diagnosis, chronicity, civil status, social class and type of household.

4. It is argued that the planning of psychiatric services for the elderly must not be based merely on findings in one part of the country no matter how careful such an assessment has been.

Submitted on April 12, 1966






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Psychiatric Bulletin Advances in Psychiatric Treatment All RCPsych Journals
Copyright © 1967 The Royal College of Psychiatrists.