PHYSICAL AGGRESSION IN THE MENTALLY ILL ELDERLY

患有精神疾病的老年人的身体攻击行为

• 批准号: 3382959
• 负责人: PAUL A BELL
• 金额: $ 13.65万
• 依托单位: COLORADO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1989
• 资助国家: 美国
• 起止时间: 1989-02-01 至 1991-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3382959
• 关键词: aggression; health care service evaluation; hospital patient care; human old age (65+); human subject; mental disorders; mental health epidemiology; mental health personnel; organic brain syndrome; psychiatric patient care; social behavior

This project is designed to examine how physical aggression in the elderly mentally ill impacts patients, program and staff, and policy in the public sector mental health system. Assaultive geriatric patients may account for 7% of all geriatric clients in the public sector mental health system, but 20% of all the elderly admitted to state hospitals. Preliminary evidence suggests that assaultiveness in these clients is highly correlated with the presence of organic system. Such patients are much more likely than nonviolent elderly to have a record of multiple admissions. Existing treatment appears to be minimally effective, and discharge is very difficult because of the lack of suitable placement facilities. There is a reasons to believe that the number and percentage of such clients is growing and will continue to expand into the next century. Despite the seriousness of the situation, there is almost no empirical database available on the problem or on potential solutions to it. The current project is designed to collect and compile four data sets that will be most useful in assessing the implications of assaultive behavior for geriatric patients, programs and staff, and system policy, as well as defining parameters for ameliorative action at each of these three levels of impact. In collaboration with the Colorado Division of Mental Health, data sets will be assembled to include: (1) detailed computerized archives for nine years from Colorado, (2) treatment and outcome data from chart records in Colorado state hospitals for four years, (3) longitudinal data for one year at colorado state hospitals that will include staging of dementia and recording of factors concomitant with specific assaultive incidents, and (4) archival Colorado state hospital records for nine years covering staff injuries due to assaults. Altogether, analysis of the data sets will permit a study of the clinical and treatment profiles for these clients, an assessment of correlates of onset and treatment outcomes as well as impact on program and staff, and implications for current and potential system policies.

这个项目的目的是研究如何在身体侵略 老年精神病患者影响患者，计划和工作人员， 公共部门精神卫生系统的政策。 攻击性 年的老人病患者可能占所有老人病患者的7%。 公共部门的精神卫生系统，但20%的老年人 被送进州立医院 初步证据显示， 这些客户的攻击性与 有机系统的存在。 这样的病人更有可能 有多次入院记录的非暴力老人 现有的治疗似乎是最低限度的有效性，并出院 由于缺乏合适的安置， 设施 有理由相信， 这类客户的百分比正在增长，并将继续扩大 进入下一个世纪。 尽管形势严峻， 几乎没有关于这个问题的经验数据库， 关于潜在的解决方案。目前的项目旨在 收集和汇编四个数据集，这将是最有用的， 评估攻击行为对老年人的影响 患者、项目和工作人员、系统政策，以及 在这三个方面的每一个方面确定改善行动的参数 影响的程度。 与美国科罗拉多州科罗拉多分部合作， 心理健康，将收集数据集，包括：（1） 来自科罗拉多的九年来详细的计算机化档案，（2） 来自科罗拉多州图表记录的治疗和结果数据 医院四年，（3）一年的纵向数据， 科罗拉多州立医院将包括痴呆症的分期， 记录伴随特定攻击性行为的因素 事件，和（4）档案科罗拉多州医院记录， 九年来一直在报道员工因袭击受伤的案件 总的来说， 对数据集的分析将允许研究临床和 这些客户的治疗概况，相关因素的评估 发作和治疗结果以及对项目的影响， 工作人员，以及对当前和潜在系统策略的影响。