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Am J Psychiatry 1993; 150:1063-1069
Copyright © 1993 by American Psychiatric Association
Mental disorders in the nursing home: another perspective
PN Tariot, CA Podgorski, L Blazina and A Leibovici
Department of Psychiatry, University of Rochester School of Medicine and Dentistry, N.Y.
OBJECTIVE: Many studies of the prevalence of mental disorders among
residents of long-term care facilities have had substantial methodological
shortcomings. This study was conducted to replicate a previous
well-designed study and to examine additional characteristics of nursing
home residents. METHOD: Randomly selected residents (N = 80) in a public
long-term care facility were evaluated by a psychiatric team using
DSM-III-R criteria and quantitative assessments of behavior and cognitive
status. RESULTS: Of the 80 subjects, 91% had at least one psychiatric
diagnosis and at least one behavioral problem; 50% had four or more
behavioral problems. In addition, 29% had received psychiatric care before
admission, and 61% received psychiatric care after admission. CONCLUSIONS:
These findings replicate those of the few prior studies that used analogous
research techniques, but those previous studies were conducted in private,
intermediate-care institutions whose residents had different demographic
characteristics. The mental health needs of these residents are substantial
and should be addressed by the medical community and the nursing home
industry.
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