Research Article
Volume 9 Issue 3 - 2020
Inpatient Care for Elderly Psychiatric Patients
Rotshtein VG, Ryakhovskiy VV* and Gerasina TV
National Mental Health Centre, Moscow Psychiatric Hospital №13, Moscow, Russian Federation
*Corresponding Author: Ryakhovskiy VV, National Mental Health Centre, Moscow Psychiatric Hospital №13, Moscow, Russian Federation.
Received: January 29, 2020; Published: February 24, 2020


Background: The mental healthcare reform and the reduction of overall hospital capacity in Russia has caused a shortage of beds in psychiatric inpatient institutions. However, the high unmet need for inpatient psychiatric care among elderly patients is well-recognized. In this regard it became necessary to evaluate the effect of the mentioned reform on inpatient care for this patient group.

Goal of the Research: To examine the possibilities of utilizing the diminishing bed fund in psychiatric care for elderly patients. 

Materials and Methods: This study is based on the data from the reports produced by Moscow psychiatric hospital #13 on treated patients older than 60 in 2016 - 2017. Additionally, clinic-epidemiological research of a 20% sample of inpatients has been conducted. 

Results: It was demonstrated that despite the reduction of the bed fund in 2017, quantitative and age-sex composition of the group of treated patients older than 60 did not differ from the similar group of patients treated in 2016. The study has shown that this appeared to be possible due to reduction of length of stay in the hospital (by 10% on average) as well as due to a decreasing number of patient re-admissions (from 43,9% in 2016 to 35,4% in 2017). It is also important to mention that in 1/3 of the cases the hospitalizations of elderly patients were due to social problems. The results of the clinic-epidemiological study which confirmed clinical accuracy of the reported data, revealed that the percentage of elderly patients hospitalized for affective disorders is extremely low which does not correspond to known data on the increase in the frequency of depression in the old age. Furthermore, the study revealed a significant number of schizophrenia cases with notably late onset that again raises a question about the age of onset specific to schizophrenia. 

Conclusion: The results of the study indicate the necessity for continued research (including economical) in order to optimize the functioning of the city psychiatric hospitals. 

Keywords:Late Age; Psychiatric Care; Mental Disorders


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Citation: Ryakhovskiy VV. “Inpatient Care for Elderly Psychiatric Patients”. EC Psychology and Psychiatry 9.3 (2020): 01-07.

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