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Psychosis and aging


l'Information Psychiatrique. Volume 86, Number 1, 39-47, janvier 2010, Psychiatrie du sujet âgé : enjeux cliniques et institutionnels

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Author(s) : Georges Jovelet

Summary : The future for aging psychotic patients, their fate is a recurrent concern of professionals, families, and government. As regards the latter, there is however a gap between declared intentions and concrete responses left to different initiatives or improvisations. The clinical positions helped by the tendency of the mentally ill towards a series of dysfunctions, the classification of “physically handicapped”, the medico-economic pressures, have all had a concrete effect on the quality of patient management as well as a lack of political involvement. The improvement in somatic care and medical prescriptions must be placed into its proper perspective with a priority in care for acute patients and a disorganization of the psychiatric sector practices as regards these patients. We conclude this article by considering the necessity of adapting management in order to preserve the dimension of patient care.

Keywords : psychosis, aging, cognitive alterations, dementia, madness, sector, medico-social sector, Ehpad (Housing for the Aged), UNAFAM (The National Union of Friends and Families of the Mentally Ill)

 

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