Roca R P, Storer D J, Robbins B M, Tlasek M E, Rabins P V
Department of Psychiatry, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Hosp Community Psychiatry. 1990 Aug;41(8):916-20. doi: 10.1176/ps.41.8.916.
A psychogeriatric outreach team provides in-home evaluation and treatment for elderly persons living in high-rise public housing in Baltimore. During the first ten months of the team's operation, housing staff referred 9.5 percent of the elderly residents of four public housing sites for evaluation. Evaluations were completed for 85 residents, 25 percent of whom were age 80 or older. Twenty-one percent of the residents evaluated were unable to perform at least one basic activity of daily living such as eating, bathing, or dressing without assistance, and 54 percent needed help with cooking, cleaning, and other instrumental activities of daily living. Eighty-nine percent of the residents who were evaluated by the team met criteria for at least one DSM-III-R diagnosis; 63 percent of the disorders had not been previously diagnosed. The most prevalent diagnoses were dementia, depressive syndromes, schizophrenic and delusional disorders, and alcohol abuse or dependence.
一个老年精神科外展团队为居住在巴尔的摩高层公共住房中的老年人提供上门评估和治疗服务。在该团队运营的前十个月里，住房工作人员将四个公共住房地点9.5%的老年居民转介去做评估。对85名居民完成了评估，其中25%的居民年龄在80岁及以上。接受评估的居民中有21%在没有帮助的情况下无法完成至少一项基本日常生活活动，如吃饭、洗澡或穿衣，54%的居民在做饭、打扫和其他日常生活工具性活动方面需要帮助。接受该团队评估的居民中有89%符合至少一种《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）的诊断标准；63%的病症此前未被诊断出来。最常见的诊断是痴呆症、抑郁综合征、精神分裂症和妄想性障碍，以及酒精滥用或依赖。
