John Libbey Eurotext

Gériatrie et Psychologie Neuropsychiatrie du Vieillissement


How to facilitate the orientation of elderly subjects with psychical disabilities to a health alternative to hospitalization? Volume 14, issue 3, Septembre 2016

1 Université de Lorraine, Nancy 2, Laboratoire INTERPSY, EA 4432, Nancy, France
2 Centre hospitalier de Jury-les-Metz, Jury-les-Metz, France
* Tirés à part : 29, rue de Saverne, entrée 10, 54000 Nancy, France.

This paper is aimed to improve the socio-psycho-therapeutic support for older patients with heavy psychiatric disability. First, we review the literature to question the specific grounds reported by professionals regarding the orientation of these vulnerable subjects. Secondly, we emphasize that integration of these subjects within alternatives to hospitalization requires a type of support similar to that usually proposed, an accompaniment of psychosocial rehabilitation. Then, we propose to build an indicator called the psychosocial age, which reduces the weight of the chronological age for the orientation of these subjects. Ultimately, we question the health policies in psychiatry.