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The TAPS Project. I: Previous Psychiatric Diagnosis and Current Disability of Long-Stay Psychogeriatric Patients

A Pilot Study

Published online by Cambridge University Press:  02 January 2018

Jeremy Anderson
Jeremy Anderson*
Affiliation:
Team for the Assessment of Psychiatric Services, Friern Hospital, Friern Barnet Road, London N11 3BP
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Abstract

Of all 89 long-stay residents in four psychogeriatric wards at a large London psychiatric hospital, 18 had a previous functional psychiatric diagnosis. Although the total group was markedly impaired overall, male sex, younger age, and a previous functional diagnosis were independently associated with better cognitive performance. Males and those with previous functional disorders also had less behavioural disability. These subgroups within the psychogeriatric inpatient population must be recognised if an in-built distortion in community reprovision of hospital psychogeriatric services is to be avoided.

Type
Lecture
Information
The British Journal of Psychiatry , Volume 156 , Issue 5 , May 1990 , pp. 661 - 666
Copyright
Copyright © Royal College of Psychiatrists, 1990 

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References

Bergmann, K., Foster, E. M., Justice, A. W., et al (1978) Management of the demented elderly patient in the community. British Journal of Psychiatry, 132, 441–450.CrossRefGoogle ScholarPubMed
Blessed, G. (1988) Long-stay beds for the elderly severely mentally ill: a discussion paper. Bulletin of the Royal College of Psychiatrists, 12, 250–251.Google Scholar
Blessed, G., Tomlinson, B. E. & Roth, M. (1968) The association between qualitative measures of dementia and senile changes in the grey matter of elderly subjects. British Journal of Psychiatry, 114, 797–811.Google Scholar
Charlesworth, A. & Wilkin, D. (1982) Dependency Among Old People in Geriatric Wards, Psychogeriatric Wards, and Residential Homes. Research report no. 6. Departments of Psychiatry and Community Medicine, University of Manchester.Google Scholar
Cutting, J., Bleuler, M., Ciompi, L., et al (1983) Discussion: schizophrenic deterioration. British Journal of Psychiatry, 143, 77–84.Google Scholar
Donaldson, L. J. & Jagger, C. (1984) Outcomes of admissions of elderly people to hospitals and homes: a survey and follow-up. Journal of Public Health, London, 98, 270–276.Google Scholar
Folstein, M. F., Folstein, S. E. & McHugh, P. R. (1975) “Mini-Mental State”: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.CrossRefGoogle ScholarPubMed
Goldberg, D. & Huxley, P. (1980) Mental Illness in the Community: The Pathway to Psychiatric Care. London: Tavistock.Google Scholar
Holden, N. L. (1987) Late paraphrenia or the paraphrenias? A descriptive study with a 10–year follow-up. British Journal of Psychiatry, 150, 635–639.Google Scholar
Johnstone, E. C., Cunningham Owens, D. G., Gold, A., et al (1981) Institutionalization and the defects of schizophrenia. British Journal of Psychiatry, 139, 195–203.Google Scholar
Jorm, A. F., Scott, R., Henderson, A. S., et al (1988) Educational differences on the Mini-Mental State: the role of test bias. Psychological Medicine, 18, 727–733.Google Scholar
Kay, D. W. K. (1962) Outcome and cause of death in mental disorders of old age: a long-term follow-up of functional and organic psychoses. Acta Psychiatrica Scandinavica, 38, 249–276.Google Scholar
Levene, L. S., Donaldson, L. J. & Brandon, S. (1985) How likely is it that a large district health authority can close its large mental hospitals? British Journal of Psychiatry, 147, 150–155.Google Scholar
Levy, R., Naguib, M. & Hymas, N. (1987) Late paraphrenia Getter). British Journal of Psychiatry, 151, 702.Google Scholar
Naguib, M. & Levy, R. (1987) Late paraphrenia. Neuropsychological impairment and structural brain abnormalities on computer tomography. International Journal of Geriatric Psychiatry, 2, 83–90.Google Scholar
Qureshi, K. N. & Hodkinson, H. M. (1974) Evaluation of a ten question mental test in the institutionalised elderly. Age and Ageing, 3, 152–157.Google Scholar
Roth, M., Tym, E., Mountjoy, C. Q., et al (1986) CAMDEX: a standardised instrument for the diagnosis of mental disorder in the elderly with special reference to the early detection of dementia. British Journal of Psychiatry, 149, 698–709.Google Scholar
SAS Institute Inc. (1985) SAS/STAT Guide for Personal Computers. Version 6 Edition. Cary, North Carolina.Google Scholar
Whitehead, A. & Hunt, A. (1982) Elderly psychiatric patients: a Ave year prospective study. Psychological Medicine, 12, 149–157.CrossRefGoogle Scholar
Wilkin, D. & Jolley, D. (1979) Behavioural Problems Among Old People in Geriatric Wards, Psychogeriatric Wards and Residential Homes, 1976–78. Research report no. 1. Department of Psychiatry and Community Medicine, University of Manchester.Google Scholar
Willcocks, D. M., Peace, S. M., Kellaher, L. A., et al (1982) The Residential Life of Old People: A Study of 100 Local Authority Homes. Research report no. 12. Survey Research Unit, Polytechnic of South London.Google Scholar
Willcocks, D. M., Peace, S. M. & Kellaher, L. A. (1987) Private Lives in Public Places. London: Tavistock.Google Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD–9). Geneva: WHO.Google Scholar
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