scholarly journals The use of Guardianship Orders

1992 ◽  
Vol 16 (5) ◽  
pp. 292-293 ◽  
Author(s):  
S. M. Benbow ◽  
E. Germany
Keyword(s):  
Mental Illness ◽  
Old Age ◽  
The Elderly ◽  
Full Time

Guardianship Orders (GOs) are being applied more often in care of people suffering from mental illness (Hughes, 1991) and the elderly may have problems particularly suited to their use. Since many individual psychiatrists have little experience of GOs, we decided to examine our use of them. One of us had been involved in six orders over seven years working as a full-time consultant in the psychiatry of old age.

Is There a Need for Elderly Forensic Psychiatric Services?

2005 ◽  
Vol 45 (2) ◽  
pp. 154-160 ◽  
Author(s):  
I O Nnatu ◽  
F Mahomed ◽  
A Shah
Keyword(s):  
Mental Illness ◽  
Old Age ◽  
The Elderly ◽  
Mentally Disordered Offenders ◽  
Mentally Disordered ◽  
Court Diversion ◽  
Mental Health Difficulties ◽  
Old Age Psychiatry ◽  
Forensic Psychiatric ◽  
Developed Nations

The population of the elderly in most developed nations is on the increase. Furthermore, the prevalence of mental disorder amongst elderly offenders is high. The true extent of `elderly' crime is unknown because much of it goes undetected and unreported. This leads to a failure to detect mental illness in such offenders. Court diversion schemes may improve recognition of mental illness but these schemes usually tend to deal with the more severe crimes. This may result in an overestimation of the amount of serious crime committed by the elderly and a failure to detect mental illness amongst those who commit less serious crimes. Efforts to service this hidden morbidity call for multi-agency collaboration. Improved detection and reporting of crimes is essential if mental health difficulties in the elderly are not to go unnoticed. The needs of elderly mentally-disordered offenders are complex and fall within the expertise of old age and forensic psychiatry, without being adequately met by either one. Therefore, consideration should be given to the development of a tertiary specialist forensic old-age psychiatry service.

scholarly journals ATTITUDES TOWARDS OLDER PEOPLE IN CROATIAN AND SLOVENIAN NURSING STUDENTS

2020 ◽  
Author(s):  
Jurica Veronek ◽  
Maja Bajs Janović ◽  
Špiro Janović ◽  
Hrvoje Barić ◽  
Joca Zurc ◽  
...  
Keyword(s):  
Nursing Students ◽  
Old Age ◽  
The Elderly ◽  
Previous Experience ◽  
Average Score ◽  
Full Time ◽  
Cross Sectional Survey ◽  
Undergraduate Nursing Students ◽  
Undergraduate Nursing ◽  
Nursing Curricula

Background: Croatia and Slovenia are neighboring countries with marked differences in high school and undergraduate nursing curricula. The aim was to assess and compare attitudes toward the elderly among undergraduate nursing students in Croatia and Slovenia and identify factors associated with positive/negative attitudes.Subjects and methods: This was a cross-sectional survey conducted between September, 2017 and July, 2018 among undergraduate nursing students at five higher education institutions: three in Slovenia and two in Croatia. The following data were gathered: age, sex, year of study, previous education, employment status, previous education in gerontolgy, desired professional role after graduating, previous experience with the elderly. Kogan`s Attitude Towards Old People Scale (KATOPS) score was the primary outcome measure. Pairwise comparisons were conducted between Croatian and Slovenian students. KATOPS score was dichotomized with values above the 3rd quartile considered excellent - the dichotomized score was used as the dependent variable in a binary logistic regression model.Results: Overall, 825 students completed the questionnaire, 85.5% were women, 417 from Slovenia, 408 from Croatia, and 80% were under 22 years of age (80%). The average score on the KATOPS was 127.4, 95% CI 126.6-128.2. Variables associated with excellent scores on the KATOPS, based on the binary regression were: studying in Slovenia (OR=2.05, 95% CI 1.39-3.03), age group 28-32 years (OR=3.9, 95% CI 1.53-9.98); previous education gerontic nursing (OR=2.45, 95% CI 1.34-4.47), and full-time study (OR=2.12, 95% CI 1.38-3.55). Variables not associated with excellent scores were: being married (OR=0.44, 95% CI 0.22- 0.92) and having previous experience in working with the elderly (OR=0.5, 95% CI 0.3-0.86). Conclusion: Attitudes toward old age are mildly positive in Slovenian and Croatian nursing students. Slovenian students have significantly more positive attitudes toward old age and these differences are most probably due to marked differences in undergraduate nursing curricula between the two countries.

Predicament of Disability, Old Age, and Extreme

2022 ◽  
pp. 254-278
Keyword(s):  
Mental Illness ◽  
Community Participation ◽  
Elderly People ◽  
Social Exclusion ◽  
Old Age ◽  
Physical Disability ◽  
The Elderly ◽  
Living Conditions ◽  
Perceived Barriers ◽  
Sensory Impairment

The study of poverty explores the experiences of elderly people and people living with disabilities pertaining to the five broad categories of disability, namely physical disability, blindness, deafness, and mental illness, including perceived barriers and remedies. Disability whether physical infirmity, disease, or sensory impairment or perhaps later in life, by the onset of illness or frailty due to aging, is conceptualized as a restriction or lack of ability to perform an activity in a ‘normal' or expected manner. By focusing on the African extended family's context and the living conditions among people with and without disabilities, this discussion informs policy everywhere to combat poverty and social exclusion and discrimination, take lifecycle approach to individual needs, eliminate poverty among the elderly and in people living with disabilities, and ensure access to social protections and community participation.

Old and new reasons for specialization

2016 ◽  
Vol 33 (S1) ◽  
pp. S64-S65
Author(s):  
G. Stoppe
Keyword(s):  
Mental Illness ◽  
Health Service ◽  
Old Age ◽  
Service System ◽  
Psychiatric Patients ◽  
The Elderly ◽  
Current Evidence ◽  
Ageing Population ◽  
Old Age Psychiatry ◽  
Competing Interest

Mental illness is one of the largest areas of activity in the health service, with mental disorders of the elderly an important part of it. This substantial ageing of the population is a new phenomenon, occurring over the last century. It has given prominence to mental illness in old age. There is a growing interest in making decisions about how many and which services to provide to the older community.The expertise of old age psychiatry services lies in the care and treatment of people with complex mixtures of psychological, cognitive, functional, behavioral, physical and social problems usually relating to ageing. Current evidence suggests specialist old age services are best equipped to diagnose and treat mental illness in our ageing population. However, the specialists should be integrated optimally into a service system to the benefit of the elderly. It will be crucial to improve access of older patients to the services. The service system and the partners in the system differ to those for younger adult psychiatric patients. Thus, not only knowledge and skills underline the necessity of specialization but also the increasingly complex health service structures of modern societies.Disclosure of interestThe author has not supplied his declaration of competing interest.

scholarly journals Speech therapy for psychogeriatric services

1989 ◽  
Vol 13 (2) ◽  
pp. 57-59 ◽  
Author(s):  
Helen Griffiths ◽  
Bob Baldwin
Keyword(s):  
Old Age ◽  
Mentally Ill ◽  
Health Authority ◽  
Speech Therapy ◽  
The Elderly ◽  
Full Time ◽  
Team Working ◽  
Old Age Psychiatry ◽  
Time Position ◽  
Speech Therapist

A psychogeriatrician was recently given the opportunity of five sessions of speech therapy for his service. His response was that he had no need of a speech therapist as he was perfectly well able to do his own assessment of dysphasia. This attitude is perhaps understandable since there has been so little exposure to the skills of speech therapists within this clinical field. In 1985 a full-time speech therapist was appointed by Central Manchester Health Authority to be part of the multidisciplinary team working in old age psychiatry. At the time this was, to our knowledge, the first full-time position of its kind. This article reviews progress thus far and outlines the contribution of speech therapy skills to the management of the elderly mentally ill.

scholarly journals Comparision of how old age psychiatry and general adult psychiatry services meet the needs of elderly people with functional mental illness: Cross-sectional survey

2015 ◽  
Vol 207 (5) ◽  
pp. 440-443 ◽  
Author(s):  
Walid Khalid Abdul-Hamid ◽  
Kelly Lewis-Cole ◽  
Frank Holloway ◽  
Ann Marisa Silverman
Keyword(s):  
Mental Illness ◽  
Elderly People ◽  
Old Age ◽  
The Elderly ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Urban Catchment ◽  
People With Mental Illness ◽  
Adult Psychiatry ◽  
Old Age Psychiatry

BackgroundThere is little research evidence as to whether general adult psychiatry or old age psychiatry should look after old people with enduring mental illness.AimsTo compare the extent to which general adult and old age psychiatric services meet the needs of older people with enduring mental illness.MethodA total of 74 elderly patients with functional psychiatric disorders were identified by reviewing the notes of patients over the age of 60 living in a defined inner urban catchment area. Data were collected on the morbidity and needs of the sample. Needs were assessed using the Elderly Psychiatric Needs Schedule (EPNS).ResultsThe participants in contact with old age psychiatry had significantly fewer unmet needs compared with those in contact with general adult psychiatry (2.8 v. 5.6, t = 2.2, P<0.03). Total needs were not significantly different between those managed by old age and general adult services (8.0 v. 6.5 respectively, t = 1.2, P = 0.2).ConclusionsThis study found that old age psychiatry services were better placed to meet the needs of elderly people with mental illness. This finding supports the need for a separate old age psychiatry service.

Patterns of use of the health care system by the elderly with mental illness

2005 ◽  
Author(s):  
Patricia Martens ◽  
◽  
Randy Fransoo ◽  
Elaine Burland ◽  
Charles Burchill ◽  
...  
Keyword(s):  
Health Care ◽  
Mental Illness ◽  
Health Care System ◽  
The Elderly ◽  
Patterns Of Use ◽  
Care System

‘Strength in What Remains Behind’: Wordsworth and the Question of Ageing

Romanticism ◽  
2019 ◽  
Vol 25 (3) ◽  
pp. 261-270
Author(s):  
Mark Sandy
Keyword(s):  
Old Age ◽  
The Elderly ◽  
Frequent Pattern ◽  
Younger Generation ◽  
Old Men ◽  
Poetic Vision

Attending to the hoped-for connection between young and older generations, this essay revisits Wordsworth's poetic fascination with the elderly and the question of what, if any, consolation for emotional and physical loss could be attained for growing old. Wordsworth's imaginative impulse is to idealise the elderly into transcendent figures, which offers the compensation of a harmonious vision to the younger generation for the losses of old age that, in all likelihood, they will themselves experience. The affirmation of such a unified and compensatory vision is dependent upon the reciprocity of sympathy that Wordsworth's poetry both sets into circulation and calls into question. Readings of ‘Simon Lee’, ‘I know an aged Man constrained to dwell’, and ‘The Old Cumberland Beggar’ point up the limitations of sympathy and vision (physical and poetic) avowed in these poems as symptomatic of Wordsworth's misgivings about the debilitating effects of growing old and old age. Finally, Wordsworth's unfolding tragedy of ‘Michael’ is interpreted as reinforcing a frequent pattern, observed elsewhere in his poetry, whereby idealised figures of old men transform into disturbingly spectral second selves of their younger counterparts or narrators. These troubling transformations reveal that at the heart of Wordsworth's poetic vision of old age as a harmonious, interconnected, and consoling state, there are disquieting fears of disunity, disconnection, disconsolation, and, lastly, death.

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