Abstract
The elderly (65 years or older) constitute approximately 25% of the patients referred for psychiatric consultations in general hospitals. The authors compared the clinical characteristics of and treatment recommendations for elderly and younger (less than 65 years) patients. Our findings revealed fourteen distinctive characteristics which differentiated the elderly from the younger patients. Most notably, the elderly have had a longer hospitalization at the time of the request for a psychiatric consultation and had a higher prevalence of organic brain syndromes (O.B.S.). Some of the implications of these results are discussed with the view to planning psychiatric services for the elderly in general hospitals.
Similar content being viewed by others
References
Statistics Canada.Hospital Morbidity, 1980–81. Ottawa, Ont.: Statistics Canada, 1981. (Catalogue No. 8-2-206).
Lipowski Z: Current trends in consultation liaison psychiatry.Can. J. Psychiatry 23:329–38, 1983.
Schneider L, Plopper M: Letter to the editor: Geropsychiatry and consultation liaison services.Am. J. Psychiatry 141:721–22, 1984.
Popkin M, Mackenzie T, Caffies A: Psychiatric consultation to geriatric medically ill patients in a university hospital.Arch. Gen. Psychiatry 41: 703–7, 1984.
Shevitz SA, Silberfab PM, Lipowski Z: Psychiatric consultation in a general hospital. A report on 1000 referrals.Dis. Nerv. Syst. 37:295–300, 1976.
Krakowski A: Psychiatric consultation for the geriatric population in the general hospital.Bibthca. psychiat. 159:163–85, 1979.
Lipowski ZJ, Wolston EJ: Liaison psychiatry: referral patterns and their stability over time.Am. J. Psychiatry 138:1608–11, 1981.
Taylor G, Doody K: Psychiatric consultations in a Canadian general hospital.Can. J. Psychiatry 24:717–23, 1979.
Lipowski ZJ: The need to integrate liaison psychiatry and geropsychiatry.Am. J. Psychiatry 140:1003–5, 1983.
Karasu TB, Plutchik R, Steinmuller R, Conte H, Siegal B: Patterns of psychiatric consultation in a general hospital.Hosp. Community Psychiatry 38:291–5, 1977.
Pérez E, Silverman M: Utilization pattern of a Canadian psychiatric consultation service.Gen. Hosp. Psychiatry 5:185–90, 1983.
Fauman MA: Psychiatric components of medical and surgical practice. II Referral and treatment of psychiatric disorders.Am. J. Psychiatry 140:760–63, 1983.
Knights EB, Folstein MF: Unsuspected emotional and cognitive disturbance in medical patients.Ann. Intern. Med. 87:723–24, 1977.
Berkowitz HL: House officer knowledgeability of organic brain syndromes: a pilot study.Gen. Hosp. Psychiatry 3:321–26, 1981.
Pérez E, Silverman M. Delirium. the often overlooked diagnosis.Int'l. J. Psychiatry in Medicine 14:181–9, 1984.
Levitan S, Kornfeld B: Clinical and cost benefits of liaison psychiatry.Am. J. Psychiatry 138:790–3, 1981.
Author information
Authors and Affiliations
Additional information
The authors acknowledge the editorial assistance of Dr. Barbara Brunhuber in the preparation of this manuscript.
Rights and permissions
About this article
Cite this article
Pérez, E.L., Silverman, M. & Blouin, J. Psychiatric consultation to elderly medical and surgical inpatients in a general hospital. Psych Quart 57, 18–22 (1985). https://doi.org/10.1007/BF01064973
Issue Date:
DOI: https://doi.org/10.1007/BF01064973