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Psychiatric Disorder in the Middle-Aged and Elderly Mentally Handicapped

Published online by Cambridge University Press:  29 January 2018

Kenneth Day*
Affiliation:
Northgate Hospital, Morpeth, Northumberland

Abstract

In a study of 357 long-stay hospital residents aged 40 years and over, 30% had significant psychiatric disorder, while a retrospective survey of 215 new admissions over a seven-year period to a psychiatric unit for the mentally handicapped revealed that 20% of patients were aged 40 years and over. Both similarities and differences were found in the overall pattern of disorders between the two groups and a non-handicapped population in a comparable age-range.

Type
Papers
Copyright
Copyright © 1985 The Royal College of Psychiatrists 

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References

Ballinger, B. R. & Reid, A. H. (1977) Psychiatric disorder in an adult training centre and a hospital for the mentally handicapped. Psychological Medicine, 7, 525528.CrossRefGoogle Scholar
Balakrishnan, T. R. & Wolf, L. C. (1976) Life expectancy of mentally retarded persons in Canadian institutions. American Journal of Mental Deficiency, 80, 650662.Google ScholarPubMed
Burger, P. C. & Vogel, F. S. (1973) The development of pathologic changes of Alzheimer's disease and senile dementia in patients with Down's syndrome. American Journal of Pathology, 73, 457476.Google Scholar
Carter, G. & Jancar, J. (1983) Mortality in the mentally handicapped: a fifty year survey at the Stoke Park Group of Hospitals (1930–1980). Journal of Mental Deficiency Research, 27, 143156.Google Scholar
Corbett, J. (1979) Psychiatric morbidity and mental retardation. In Psychiatric Illness and Mental Handicap (eds. James, F. E. and Snaith, R. P.). Special Publication of the Royal College of Psychiatrists. Ashford, Kent: Headley Brothers.Google Scholar
Day, K. A. (1983) A hospital based psychiatric unit for mentally handicapped adults. Mental Handicap, 11, 137140.Google Scholar
DHSS (1984) Inpatient statistics from the Mental Health Enquiry for England 1979. Statistical and Research Reports Series No 25. HMSO.Google Scholar
Forrest, A. D. & Oguremni, O. O. (1974) The prevalence of psychiatric illness in a hospital for the mentally handicapped. Health Bulletin, 32, 199202.Google Scholar
Forssman, H. & Akesson, H. O. (1970) Mortality of the mentally deficient: Study of 12,903 institutionalised subjects. Journal of Mental Deficiency Research, 14, 276294.Google Scholar
Heaton-Ward, A. (1977) Psychosis in mental handicap. British Journal of Psychiatry, 130, 525533.Google Scholar
Hucker, S. J., Day, K. A., George, S. & Roth, M. (1979) Psychosis in mentally handicapped adults. In Psychiatric Illness and Mental Handicap (eds. James, F. E. and Snaith, R. P.). Special Publication of the Royal College of Psychiatrists. Ashford, Kent: Headley Brothers.Google Scholar
Kay, D. W. K., Beamish, P. & Roth, M. (1964) Old age mental disorders in Newcastle upon Tyne. British Journal of Psychiatry, 110, 146158.CrossRefGoogle ScholarPubMed
Leck, I., Gordon, W. L. & Mckeown, T. (1967) Medical and social needs of mentally subnormal patients. British Journal of Preventive and Social Medicine, 21, 115121.Google Scholar
Malamud, N. (1964) Neuropathology. In Mental Retardation (eds. Stevens, H. A. and Heber, R.). Chicago: University of Chicago Press.Google Scholar
Mccurley, R., Mackay, D. N. & Scally, B. G. (1972) The life expectation of the mentally subnormal under community and hospital care. Journal of Mental Deficiency Research, 16, 5766.Google ScholarPubMed
Miller, C. & Eyman, R. (1978) Hospital and community mortality rates among the retarded. Journal of Mental Deficiency Research, 22, 137145.Google ScholarPubMed
Miniszek, N. A. (1983) Development of Alzheimer's disease in Down's syndrome individuals. American Journal of Mental Deficiency, 87, 377385.Google Scholar
Parsons, P. L. (1965) Mental health of Swansea's old folk. British Journal of Preventive and Social Medicine, 19, 43.Google Scholar
Penrose, L. S. (1949) The incidence of mongolism in the general population. Journal of Mental Science, 9, 10.Google Scholar
Reid, A. H. (1972) Psychoses in adult mental defectives: (i) Manic depressive psychosis, (ii) Schizophrenic and paranoid psychoses. British Journal of Psychiatry, 120, 205218.CrossRefGoogle Scholar
Reid, & Aungle, P. G. (1974) Dementia in ageing mental defectives: A clinical psychiatric study. Journal of Mental Deficiency Research, 18, 1523.Google ScholarPubMed
Reid, , Maloney, A. F. J. & Aungle, P. G. (1978) Dementia in ageing mental defectives: A clinical and neuropathological study. Journal of Mental Deficiency Research, 22, 233241.Google ScholarPubMed
Reid, , Ballinger, B. R., Heather, B. B. & Melvin, S. J. (1984) The natural history of behavioural symptoms among severely and profoundly mentally retarded patients. British Journal of Psychiatry, 145, 289293.CrossRefGoogle ScholarPubMed
Report of the Committee of Enquiry into Mental Handicap Nursing and Care 1979. CMND 7468 HMSO.Google Scholar
Richards, B. W. & Slddiqui, A. Q. (1980) Age and mortality trends in residents of an institution for the mentally handicapped. Journal of Mental Deficiency Research, 24, 99105.Google Scholar
Roper, A. H. & Williams, R. S. (1980) Relationship between plaques, tangles and dementia in Down's Syndrome. Neurology, 30, 639644.CrossRefGoogle Scholar
Tait, D. (1983) Mortality and dementia among ageing defectives. Journal of Mental Deficiency Research, 27, 133142.Google ScholarPubMed
Williams, C. E. (1971) A study of the patients in a group of mental subnormality hospitals. British Journal of Mental Subnormality, 17, 2941.CrossRefGoogle Scholar
World Health Organisation (1978) International Classification for Mental Disorder. 9th Revision. Geneva.Google Scholar
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