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Psychiatric hospitalization of senile, presenile and arteriosclerotic dementia patients in israel: A psychiatric case register study

✍ Scribed by Jeremia Heinik; Miriam Popper; Josef Ph. Hes; Moshe Avnon; Yoram Barak


Publisher
John Wiley and Sons
Year
1994
Tongue
English
Weight
707 KB
Volume
9
Category
Article
ISSN
0885-6230

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✦ Synopsis


Abstract

Most dementia patients in Israel are cared for by non‐psychiatric services. Psychiatric hospitals are generally reluctant to admit behaviourally disturbed dementia patients, unless it is for appropriate psychiatric reasons and for a transient period of time. We used national Psychiatric Case Register (PCR) data to examine the implementation of these criteria in a sample of 711 dementia patients (senile and arteriosclerotic). Results suggest that: (a) in about a third of senile patients and in nearly half of arteriosclerotics no primarily treatable, psychiatric symptoma‐tology was diagnosed; (b)most admissions were not on a psychiatric emergency basis; (c)inpatient stay of dementia patients was longer than the average psychiatric admission. These patients were usually transferred to a non psychiatric facility or to a general hospital, or died in the psychiatric hospital. We conclude that the subject of psychiatric hospitalization of dementia patients in Israel needs substantial revision.