Blumenthal M D, Davie J W, Morycz R K
Am J Psychiatry. 1979 Sep;136(9):1157-61. doi: 10.1176/ajp.136.9.1157.
Psychiatric problems are rampant among the aged, yet the psychiatric profession has not developed sufficient resources for training the necessary number of practitioners able and willing to treat elderly psychiatric patients. The management of psychiatric problems in old age differs substantially from that in younger age groups. The elderly patient is likely to have multiple needs and to require diverse services. Fundamental goals in training geriatric psychiatrists should focus on differential diagnosis and treatment, pharmacologic issues, consultation, community resources, and psychiatric, medical, and psychosocial aspects of care. The authors describe a curriculum tailored to meet these goals.
精神问题在老年人中很普遍,但精神科专业尚未开发出足够的资源来培训足够数量的有能力且愿意治疗老年精神科患者的从业者。老年精神问题的管理与年轻人群体有很大不同。老年患者可能有多种需求,需要多样化的服务。培训老年精神科医生的基本目标应集中在鉴别诊断与治疗、药理学问题、会诊、社区资源以及护理的精神、医学和心理社会方面。作者描述了一门为实现这些目标量身定制的课程。