Zeltzer Barry B, Kohn Robert
Department of Psychiatry and Human Behavior, Brown University, Providence, Rhode Island, USA.
Psychiatr Serv. 2006 Apr;57(4):567-9. doi: 10.1176/ps.2006.57.4.567.
This study examined the practices of home care agencies and home health nursing agencies in the management and treatment of homebound clients with behavioral problems, dementia, and undiagnosed mental illnesses.
A survey was mailed to all 54 directors of agencies in Rhode Island in 2003; 53 responded, either by mail or telephone.
Data indicated a lack of psychiatric services, a reluctance to address behavioral problems, and a failure to identify undiagnosed disorders. There was also a bias against accepting individuals with primary psychiatric disorders.
Although the population of homebound elders with mental illness is increasing, their needs are not being met by these agencies.
本研究调查了家庭护理机构和家庭健康护理机构在管理和治疗行动不便且伴有行为问题、痴呆症及未确诊精神疾病的客户方面的做法。
2003年,向罗德岛州所有54家机构的负责人邮寄了一份调查问卷;53人通过邮件或电话进行了回复。
数据表明缺乏精神科服务,不愿处理行为问题,且未能识别未确诊的疾病。此外,在接纳患有原发性精神疾病的个体方面存在偏见。
尽管行动不便的老年精神疾病患者数量在增加,但这些机构并未满足他们的需求。