The prevalence and management of dementia and other psychiatric disorders in nursing homes.

B. W. Rovner, P. S. German, J. Broadhead, R. K. Morriss, L. J. Brant, J. Blaustein, Marshal F. Folstein

Research output: Contribution to journalArticle

Abstract

The prevalence of psychiatric disorders among new admissions to nursing homes is unknown. Such data are needed to estimate the psychiatric needs of this population. We report the prevalence of specific psychiatric disorders in 454 consecutive new nursing home admissions who were evaluated by psychiatrists and diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders, third edition, revised. Eighty percent had a psychiatric disorder. The commonest were dementia syndromes (67.4%) and affective disorders (10%). Also, 40% of demented patients had additional psychiatric syndromes such as delusions or depression, and these patients constituted a distinct subgroup that predicted frequent use of restraints and neuroleptics, and the greatest consumption of nursing time. These data demonstrate that the majority of nursing home residents have psychiatric disorders on admission, and that their management is often quite restrictive. Research is now needed to determine the best methods of treatment for nursing home patients with mental disorders.

Original languageEnglish (US)
Pages (from-to)13-24
Number of pages12
JournalInternational Psychogeriatrics
Volume2
Issue number1
StatePublished - Mar 1990

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Nursing Homes
Psychiatry
Dementia
Delusions
Mood Disorders
Mental Disorders
Diagnostic and Statistical Manual of Mental Disorders
Antipsychotic Agents
Nursing
Depression
Research
Population

ASJC Scopus subject areas

  • Aging
  • Geriatrics and Gerontology
  • Psychiatry and Mental health
  • Psychology(all)
  • Clinical Psychology

Cite this

Rovner, B. W., German, P. S., Broadhead, J., Morriss, R. K., Brant, L. J., Blaustein, J., & Folstein, M. F. (1990). The prevalence and management of dementia and other psychiatric disorders in nursing homes. International Psychogeriatrics, 2(1), 13-24.

The prevalence and management of dementia and other psychiatric disorders in nursing homes. / Rovner, B. W.; German, P. S.; Broadhead, J.; Morriss, R. K.; Brant, L. J.; Blaustein, J.; Folstein, Marshal F.

In: International Psychogeriatrics, Vol. 2, No. 1, 03.1990, p. 13-24.

Research output: Contribution to journalArticle

Rovner, BW, German, PS, Broadhead, J, Morriss, RK, Brant, LJ, Blaustein, J & Folstein, MF 1990, 'The prevalence and management of dementia and other psychiatric disorders in nursing homes.', International Psychogeriatrics, vol. 2, no. 1, pp. 13-24.
Rovner BW, German PS, Broadhead J, Morriss RK, Brant LJ, Blaustein J et al. The prevalence and management of dementia and other psychiatric disorders in nursing homes. International Psychogeriatrics. 1990 Mar;2(1):13-24.
Rovner, B. W. ; German, P. S. ; Broadhead, J. ; Morriss, R. K. ; Brant, L. J. ; Blaustein, J. ; Folstein, Marshal F. / The prevalence and management of dementia and other psychiatric disorders in nursing homes. In: International Psychogeriatrics. 1990 ; Vol. 2, No. 1. pp. 13-24.
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