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Psychogeriatrics 1974 to 1984

Expanding Problems and Fixed Resources

Published online by Cambridge University Press:  02 January 2018

Alex B. Christie  and
Eric R. M. Wood
Alex B. Christie*
Affiliation:
Department of Geriatric Psychiatry, Crichton Royal Hospital, Dumfries, Scotland
Eric R. M. Wood
Affiliation:
Department of Geriatric Psychiatry, Crichton Royal Hospital, Dumfries, Scotland
*
Correspondence
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Abstract

The impact of a 16% increase between censuses in the population aged 65 and over, on a psychogeriatric department whose bed complement remained static between 1974 and 1984, has been studied. Demand for service, as measured by new referrals, rose by 150%, while admissions fell by 14%. The increase in new referrals was uniform across the diagnostic spectrum, but the fall in admissions was not. Functional admissions fell in all age-groups except that of women of 85 and over, while organic-case admissions other than for cases of dementia virtually collapsed. Overall admissions for dementia rose to the predicted level, but the distribution of the increase was irregular and unexpected. Admissions of males and females aged 65–74 and females of 85 and over fell relatively and absolutely, while those of women aged 75–84 and men of 85 and over were little changed. Only admissions of men aged 75–84 alone increased in real terms.

Type
Papers
Information
The British Journal of Psychiatry , Volume 151 , Issue 6 , December 1987 , pp. 813 - 817
Copyright
Copyright © Royal College of Psychiatrists, 1987 

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References

Blessed, G. & Wilson, I. D. (1982) The contemporary natural history of mental disorder in old age. British Journal of Psychiatry, 141, 59–67.Google Scholar
British Medical Journal (1978) Dementia - the quiet epidemic (leader). British Medical Journal, I, 1–2.Google Scholar
Christie, A. B. (1982) Changing patterns in mental illness in the elderly. British Journal of Psychiatry, 140, 154–159.CrossRefGoogle ScholarPubMed
Christie, A. B. & Train, J. D. (1984) Change in the pattern of care for the demented. British Journal of Psychiatry, 144, 9–15.CrossRefGoogle ScholarPubMed
Copeland, J. R. M. (1981) Mental illness amongst the elderly in London. Nordic Geronto-psychiatric Symposium. Silkeborg Kurbad, Denmark.Google Scholar
Hasegawa, K. (1985) The epidemiological study of depression in late life. Journal of Affective Disorders, Suppl. I, S3 S6.Google Scholar
Kay, D. W. K., Beamish, K. & Roth, M. (1964) Old age mental disorders in Newcastle upon Tyne - Part I. A study of prevalence. British Journal of Psychiatry, 110, 146–158.CrossRefGoogle Scholar
Kramer, M. (1980) The rising pandemic of mental disorders and associated chronic diseases and disabilities: epidemiological research as basis for the organisation of extramural psychiatry. Acta Psychiatrica Scandinavica, Suppl. 285 (ed. E. Stromgren, A. Dupont & J. A. Neilsen).Google Scholar
Murphy, E. (1983) The prognosis of depression in old age. British Journal of Psychiatry, 142, 111–119.CrossRefGoogle ScholarPubMed
Murphy, E. & Grundy, E. (1984) A comparative study of bed usage by younger and older patients with depression. Psychological Medicine, 14, 445–450.Google Scholar
Post, F. (1972) The management and nature of depressive illnesses in late life: a follow-through study. British Journal of Psychiatry, 121, 393–404.CrossRefGoogle ScholarPubMed
Rosser, M. N., Iversen, L. L., Reynolds, G. P., Mountjoy, C. Q. & Roth, M. (1984) Neurochemical characteristics of early and late onset types of Alzheimer's disease. British Medical Journal, 288, 961–964.Google Scholar
Scottish Health Service Planning Council (1980) SHAPE: Scottish Health Authorities Priorities for the Eighties. London: Her Majesty's Stationery Office.Google Scholar
Smith, C. W., Stoley, C. J. & Arie, T. (1986) Admission of demented old people to psychiatric units: an assessment of recent trends. British Medical Journal, 292, 731.Google Scholar
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