Recent research indicates that post-stroke depression results from neurobiological changes associated with focal cerebral injury. Family or medical personnel may identify potential depression. An accurate assessment process will determine the extent of depression and indicate treatment options. Treatment approaches using both medication and cognitive therapy can help the individual replace negative thinking patterns with positive patterns. Depression has been accepted as a normal accompaniment of stroke. The area of injury may correlate with the degree of mood disorder. Interventions to reverse depression will serve to improve rehabilitation potential and increase chances of recovering pre-stroke capabilities.

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Two groups of institutionalized aged, the mentally ill and the frail elderly, were studied for differences in observable behaviors. The mentally ill group showed no significant decline in behavior as years spent in an institution increased. This finding reflects improvement in mental health care. The mentally ill nursing home resident does need to be maintained on appropriate psychotropic medications. Limit-setting approaches to caregiving will help maintain expected behaviors. The frail elderly showed a decline in neatness and an increase in negative behaviors with longer institutional stays. Caregiving needs to focus on helping the resident maintain a sense of mastery and control in the nursing home environment.

The primary purpose of the research study was to clarify the role of institutionalization on levels of activity and morale among aging schizophrenics. Social breakdown theory provided the theoretical framework for the study. Four sub