Abstract
This communication examines the pathways of geriatric psychiatric patients in New York and London from the time of onset of a psychiatric episode to hospitalization. Informants of 50 patients in each city were interviewed with a semi-structured interview covering the events and the patient's activities prior to hospitalization. The results show that the time from the onset of the episode to hospitalization is significantly shorter in London than it is in New York. The major portion of this difference is accounted for by the longer time spent London the doctor is significantly more involved in New York between episode onset and initial medical contact. In the decision to hospitalize. In New York the main reason for hospitalization is harmful behavior, while in London it is psychiatric symptoms.
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Selected References
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- Copeland J. R., Kelleher M. J., Kellett J. M., Gourlay A. J., Barron G., Cowan D. W., De Grouchy J., Gurland B. J., Sharpe L., Simon R. Diagnostic differences in psychogeriatric patients in London and New York: United Kingdom-United States diagnostic project. Can Psychiatr Assoc J. 1974 Jun;19(3):267–271. doi: 10.1177/070674377401900305. [DOI] [PubMed] [Google Scholar]
- DOWLING R. H., KNOX S. J. SOMATIC SYMPTOMS IN DEPRESSIVE ILLNESS; A PROBLEM OF REFERRAL FOR GENERAL PRACTITIONERS. Br J Psychiatry. 1964 Sep;110:720–722. doi: 10.1192/bjp.110.468.720. [DOI] [PubMed] [Google Scholar]
- Fahy T. J. Pathways of specialist referral of depressed patients from general practice. Br J Psychiatry. 1974 Mar;124(0):231–239. doi: 10.1192/bjp.124.3.231. [DOI] [PubMed] [Google Scholar]
- Simon R. J., Fleiss J. L., Fisher B., Gurland B. J. Two methods of psychiatric interviewing: telephone and face-to-face. J Psychol. 1974 Sep;88(1ST):141–146. doi: 10.1080/00223980.1974.9915723. [DOI] [PubMed] [Google Scholar]